Good practice in the administration of medicines via probes in neonates: a cross-sectional study

Authors

DOI:

https://doi.org/10.21527/2176-7114.2024.48.13282

Keywords:

Patient safety, medication errors, Intubation, gastrointestinal, neonatology

Abstract

In the literature, there are studies related to the administration of medication via gastric and enteral tubes which describe failures, especially in adult patient care units. However, research in neonatal units is scarce. This study aimed to assess the degree of compliance with good practice in the process of administering drugs via gastric and enteral tubes in neonates. This is a quantitative, cross-sectional study carried out in the neonatology department of a public teaching hospital in Mato Grosso do Sul. Data were collected from January to April 2019, using an observational script based on the recommendations of the American Society for parenteral and Enteral Nutrition. One-third of the processes (33.7%) were classified as inadequate. Nursing technicians adhered less to recommended good practices compared to nurses (p=0.02) and those who work during the day had more inadequacies when compared to the ones who work at night (p=0.01). It can be noticed that the nursing team needs to fully adhere to the good practices recommended for the administration of medicines to reduce possible adverse risks events that could affect neonates.

References

Mathews SC, Sutcliffe KM, Garrett MR, Pronovost PJ, Paine L. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38–46.

Gomes ATL, Assis YMS, Silva MF, Costa IKF, Feijao AR, Santos VEP, et al. Medication Administration Errors: Evidence and Implications for Patient Safety. Cogitare Enferm. 2016;21(3):1–11.

Oliveira RS, Santos SR, Rezende CP, Araújo RLB, Nascimento MMG. Recomendações para o preparo e administração de medicamentos via cateter enteral: uma revisão. J Appl Phamaceutical Sci. 2020;(7):88–98.

Boullata JI, Carrera AL, Harvey L, Escuro AA, Hudson L, Mays A, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. J Parenter Enter Nutr. 2017;41(1):15–103.

Higa CML, Cheade MFM, Ferreira Júnior MA, Flores VGT, Cardoso AIQ, Benites PT. Erros na administração de medicamentos por cateteres gastrintestinais: revisão integrativa. Saúde e Desenvolv Hum. 2021;9(1):1–8.

Fabretti SC, Brassica SC, Cianciarullo MA, Romano-Lieber NS. Triggers for active surveillance of adverse drug events in newborns. Cad Saude Publica. 2018;34(9).

Cuschieri S. The STROBE guidelines. Saudi J Anaesth. 2019;13(5):31.

Silva ML, Ramires MA, Coelho AB, Burci LM. Nove certos da medicação: uma análise de conhecimentos. Rev Gestão Saúde. 2018;18(2):55–65.

Kabiri NS, Brooks C, Comery T, Kelley ME, Fried P, Bhangu J, et al. The Hawthorne Effect in Eye-blinking: Awareness that One’s Blinks are Being Counted Alters Blink Behavior. Curr Eye Res. 2020;45(11):1380–4.

Chaves CMP, Lima FET, Fernandes AFC, Matias ÉO, Araújo PR. Assessment of the preparation and administration of oral medications to institutionalized children. Revista Brasileira de Enfermagem. 2018;71(suppl 3):1388–94.

Martins MR, Soares AQ, Modesto ACF, Carvalho RF, Melo VV, Duarte I de P. Análise de medicamentos administrados por sonda em unidades de terapia intensiva em hospital de ensino. Rev Eletrônica Enferm. 2013;15(1):191–6.

Matsuba CST, Serpa LF, Pereira SRM. Diretriz BRASPEN de Enfermagem em Terapia Nutricional Oral, Enteral e Parenteral. Braspen J. 2021;Supl3(3):2–62.

Beserra MPP, De Oliveira CLCG, Portela MP, Lopes MVO, Fonteles MMF. Drugs via enteral feeding tubes in inpatients: dispersion analysis and safe use of dispensers. Nutr Hosp. 2017;34(2):257.

Silva MVRS, Carvalho Filha FSS, Lando GA, Branco TB, Viana LMM, Silva HMC. Cuidados na administração de medicamentos: as responsabilidades dos profissionais de enfermagem. Rev enferm UFPE line. 2017;11(supl.2):950–8.

Sohrevardi SM, Jarahzadeh MH, Mirzaei E, Mirjalili M, Tafti A, Heydari B. Medication errors in patients with enteral feeding tubes in the intensive care unit. J Res Pharm Pract. 2017;6(2):100–5.

Llapa-Rodriguez EO, Silva LSL, Menezes MO, Oliveira JKA, Currie LM. Safe patient care in the preparation and administration of medicines. Rev Gaúcha Enferm. 2018;38(4):e2017–29.

Kurien M, Penny H, Sanders DS. Impact of direct drug delivery via gastric access devices. Expert Opin Drug Deliv. 2015;12(3):455–63.

Published

2024-07-22

How to Cite

Higa, C. M. L., Cheade, M. de F. M., Frota, O. P., & Cardoso , A. I. de Q. (2024). Good practice in the administration of medicines via probes in neonates: a cross-sectional study. Context and Health Journal, 24(48), e13282. https://doi.org/10.21527/2176-7114.2024.48.13282

Issue

Section

ORIGINAL ARTICLE