Drug Administration From Enteral Nutrition Tube

NCT05790291 | Completed

• 1 other identifier: 2021/29
• Study Type: interventional
• Target: 69
• Locations: 1 country
• Sites: 1

Brief Summary

Enteral nutrition protocols are applied in patients who do not have gastrointestinal dysfunction but in whom oral feeding is contraindicated. In these patients, where drug use is also necessary but alternative drug administration routes are not possible, drugs can be given to the patient through enteral nutrition tubes. However, there are studies reporting errors and complications during drug administration from the enteral nutrition tube. With the planned thesis study, it is aimed to develop an evidence-based checklist and to reduce the rate of errors and complications in drug administration through enteral feeding tube with this checklist.

Conditions

Intensive Care

Keywords

Enteral Tube; Enteral Drug Administration; Nurse; Medication Errors; Checklist

Outcome Measures

Primary Outcomes (1)

• Change in enteral drug administration error rates of nurses with an interval of 2 months

  First, the error rates of 69 nurses during enteral drug administration were calculated. Enteral medication was administered for approximately one month with the next intervention group (n=34) checklist. Finally, the error rates of 69 nurses during enteral drug administration were recalculated. Error rates were determined with a 19-item observation formula. Name of the form; Medication from Enteral Feeding Tube Observation Form for Applications The lowest error rate is 0%, the highest error rate is 100%.

  baseline and month 2

Secondary Outcomes (1)

• Change in enteral drug administration knowledge of nurses with an interval of 2 months

  baseline and month 2

Study Arms (2)

checklist

EXPERIMENTAL

checklist

Other: Checklist

no intervention

NO INTERVENTION

no intervention

Interventions

Checklist OTHER

the experimental group will practice using the checklist

checklist

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Being an intensive care nurse
• Have experience in administering enteral medication
• Administering enteral medication to an adult patient
• Agree to participate in the research

You may not qualify if:

• Administering enteral medication to a patient with fluid restriction
• Change of position
• Wanting to leave research

Sponsors & Collaborators

• Emel Külekçi: lead

Study Sites (1)

Sağlık Bilimleri Üniversitesi

Ankara, Keçiören, 06210, Turkey (Türkiye)

Location

Related Publications (11)

• Demirkan K, Ekincioğlu AB. Enteral Beslenme Tüpünden İlaç Uygulanmasında İlaç Dozaj Şekillerinin Önemi. Journal of the Turkish Society of Intensive Care/Türk Yogun Bakim Dernegi Dergisi. 2016;14(1):1-8.

  BACKGROUND

• Ekincioglu AB, Demirkan K. Clinical nutrition and drug interactions. Ulus Cerrahi Derg. 2013 Nov 14;29(4):177-86. doi: 10.5152/UCD.2013.112013. eCollection 2013.

  PMID: 25931873 BACKGROUND

• Abu Hdaib N, Albsoul-Younes A, Wazaify M. Oral medications administration through enteral feeding tube: Clinical pharmacist-led educational intervention to improve knowledge of Intensive care units' nurses at Jordan University Hospital. Saudi Pharm J. 2021 Feb;29(2):134-142. doi: 10.1016/j.jsps.2020.12.015. Epub 2021 Jan 7.

  PMID: 33679176 BACKGROUND

• Sari D, Kadifeli D, Akbiyik A, Taskiran N. Intensive care unit nurses' knowledge of medication administration via enteral tubes. Nurs Crit Care. 2018 May;23(3):141-146. doi: 10.1111/nicc.12335. Epub 2018 Feb 8.

  PMID: 29424127 BACKGROUND

• Çelik S, Demiray Y, Tuğrul A, Köymen H, Coşkun Y, Doğru Ö, et al. Yoğun bakım hemşirelerinin enteral tüp aracılığıyla ilaç uygulamalarının değerlendirilmesi. Çağdaş Tıp Dergisi. 2014;4(1):18-25.

  BACKGROUND

• Emami S, Hamishehkar H, Mahmoodpoor A, Mashayekhi S, Asgharian P. Errors of oral medication administration in a patient with enteral feeding tube. J Res Pharm Pract. 2012 Jul;1(1):37-40. doi: 10.4103/2279-042X.99677.

  PMID: 24991587 BACKGROUND

• Özkan D, Yavuz Van Giersbergen M. Güvenli Cerrahi Kontrol Listesi Konusunda Ameliyathane Ekibinin Düşüncelerinin İncelenmesi. Turkiye Klinikleri J Surg Nurs-Special Topics Türkiye Klinikleri Cerrahi Hastalıkları Hemşireliği-Güvenli Cerrahi Uygulamaları Özel Sayısı. 2016;2(3):22-8

  BACKGROUND

• Winters BD, Gurses AP, Lehmann H, Sexton JB, Rampersad CJ, Pronovost PJ. Clinical review: checklists - translating evidence into practice. Crit Care. 2009;13(6):210. doi: 10.1186/cc7792. Epub 2009 Dec 31.

  PMID: 20064195 BACKGROUND

• Bankhead R, Boullata J, Brantley S, Corkins M, Guenter P, Krenitsky J, Lyman B, Metheny NA, Mueller C, Robbins S, Wessel J; A.S.P.E.N. Board of Directors. Enteral nutrition practice recommendations. JPEN J Parenter Enteral Nutr. 2009 Mar-Apr;33(2):122-67. doi: 10.1177/0148607108330314. Epub 2009 Jan 26. No abstract available.

  PMID: 19171692 BACKGROUND

• Boullata JI, Carrera AL, Harvey L, Escuro AA, Hudson L, Mays A, McGinnis C, Wessel JJ, Bajpai S, Beebe ML, Kinn TJ, Klang MG, Lord L, Martin K, Pompeii-Wolfe C, Sullivan J, Wood A, Malone A, Guenter P; ASPEN Safe Practices for Enteral Nutrition Therapy Task Force, American Society for Parenteral and Enteral Nutrition. ASPEN Safe Practices for Enteral Nutrition Therapy [Formula: see text]. JPEN J Parenter Enteral Nutr. 2017 Jan;41(1):15-103. doi: 10.1177/0148607116673053. Epub 2016 Nov 5.

  PMID: 27815525 BACKGROUND

• Bischoff SC, Austin P, Boeykens K, Chourdakis M, Cuerda C, Jonkers-Schuitema C, Lichota M, Nyulasi I, Schneider SM, Stanga Z, Pironi L. ESPEN guideline on home enteral nutrition. Clin Nutr. 2020 Jan;39(1):5-22. doi: 10.1016/j.clnu.2019.04.022. Epub 2019 May 30.

  PMID: 31255350 BACKGROUND

MeSH Terms

Interventions

Checklist

Intervention Hierarchy (Ancestors)

Data Collection; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation

Study Officials

• EMEL KÜLEKCİ

  PhD student

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: First, the participants were blinded. Participants were randomized after the pretest and divided into two groups. No explanation was given to the participants about how many groups there were and which group they belonged to. Second, the observer was blinded. Video recording was taken by the researcher during the administration in calculating the error rates. The video recordings were watched one by one by an assistant researcher who did not know the groups, and the administration steps were marked on the observation form as true/false. Third, the statistician was blinded.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer

Model Details: randomized control

Study Record Dates

• First Submitted: February 16, 2023
• First Posted: March 30, 2023
• Study Start: March 15, 2022
• Primary Completion: May 15, 2022
• Study Completion: June 15, 2022
• Last Updated: March 30, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)