Training on intravenous medication administration in pediatric nursing: a before-after study.

Ires Lopes Custódio,Paulo César Almeida,Patrícia Neyva Da Costa Pinheiro,Francisca Elisângela Teixeira Lima,Islene Victor Barbosa,Lorena Pinheiro Barbosa,Silvania Braga Ribeiro,Lívia Maia Pascoal,Rhanna Emanuela Fontenele Lima De Carvalho

doi:10.1590/1980-220x-reeusp-2021-0195

Abstract

To evaluate the effect of training on intravenous medication administration in pediatric patients on nursing staff 's learning and response. This is a quasi-experimental study (pre- and post-test), with 38 nursing professionals who participated in training on administration of intravenous (IV) medication in pediatric patients with heart disease. For data collection, a questionnaire with 19 items was applied to evaluate participants' learning before (pre-test) and after (post-test) training. Data were analyzed by descriptive and analytical statistics (binomial and Friedman tests). Nurses predominated (52.6%), mean age 41.2 years and 9.8 years of professional experience in pediatrics. For learning evaluation, there was an increase in the rate of hits from the pre-test to the post-test in 13 items, with a significant difference (p < 0.05) in the items: removing adornments to sanitize hands; wearing gloves when administering medication; administering medication with gloves, mask and goggles; and checking patient name by asking their companion. Training had positive effects on nursing professionals' learning and reaction.

Highlights

The medication administration system in pediatric patients is complex, as children have their own characteristics that contribute to incident occurrence at any stage of the medication system; and managers and health teams must promote an organizational culture that allows for restructuring processes and implementing patient safety strategies[1].When addressing safe environment in healthcare services, the possibility of incidents in hospital care should be considered, especially in medication preparation and administration
To evaluate the effect of training on intravenous medication administration in pediatric patients on nursing staff ’s learning and response. This is a quasi-experimental study, with 38 nursing professionals who participated in training on administration of intravenous (IV) medication in pediatric patients with heart disease
Errors in hospitals during IV medication preparation and administration in the pediatric population were reported at a rate of 13 to 84%, indicating the need for corrective actions and implementation of control measures to reduce the risk of errors[3]

Summary

Introduction

When addressing safe environment in healthcare services, the possibility of incidents in hospital care should be considered, especially in medication preparation and administration. This process involves the nursing team, being one of their greatest responsibilities, as it corresponds to one of the last barriers capable of intercepting and preventing incidents with medications with or without damage (adverse events)(1–2). Errors in hospitals during IV medication preparation and administration in the pediatric population were reported at a rate of 13 to 84%, indicating the need for corrective actions and implementation of control measures to reduce the risk of errors[3]. The adaptations made to enable medication use in children involve significant risks and deviations in the final dose[4]

Methods

Results

Discussion

Conclusion