• Nicole Margaret Phillips and Ruth Endacott.
• The Deakin Centre for Quality and Risk Management in Health: A Joanna Briggs Collaborating Centre, School of Nursing and Midwifery, Faculty of Health, Deakin University, Burwood, Victoria, Australia. nikki.phillips@deakin.edu.au
• J Adv Nurs. 2011 Dec 1; 67 (12): 2586-92.

AimThis article is a report of a study examining the practices of acute care nurses when administering medication via enteral tubes.BackgroundAdministering medication via enteral tubes is predominantly a nursing responsibility across countries. It is important to establish what nurses actually do when giving enteral medication to inform policy and continuing education development.MethodIn 2007, a survey was conducted using a random sample of acute care nurses at two large metropolitan hospitals in Melbourne, Australia. There were 181 Registered Nurses who participated in the study; 92 (50.8%) practised in intensive care units, 52 (28.7%) in surgical areas, 30 (16.6%) in medical areas and 7 (3.9%) were from combined medical-surgical areas. The questionnaire was developed by the researchers and a pilot study was conducted in August 2006 to test reliability, face validity and user-friendliness of the tool.ResultsNurses reported using a range of methods to verify enteral tube position prior to administering enteral medication; some were unreliable methods. A majority reported administering enteric-coated and slow or extended release forms of medication, and giving solid forms of medication when liquid form was available. Nearly all (96%) reported flushing a tube after giving medication, 28% before, and 12% always flushed between each medication.ConclusionEnteral medication administration practices are inconsistent. Some nurses are using unsafe practices and may therefore compromise patient care.© 2011 Blackwell Publishing Ltd.

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