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Updated: Jul 11, 2026
06:59
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Enrolled nurse medication administration.
Anne Kimberley1, Helen Myers, Sue Davis
1Centre for Nursing Education, Sir Charles Gairdner Hospital, Nedlands, Western Australia.
Contemporary Nurse
|October 13, 2007
Summary
Enrolled nurses can now administer medications independently, improving patient care and timeliness. This professional development initiative boosted enrolled nurse job satisfaction and reduced registered nurse workload.
Area of Science:
- Nursing Practice
- Healthcare Management
- Professional Development
Background:
- Enrolled nurses (ENs) traditionally require direct supervision for medication administration.
- Sir Charles Gairdner Hospital identified a need to enhance EN professional development and autonomy.
Purpose of the Study:
- To evaluate the impact of enabling enrolled nurses to administer medications without direct registered nurse supervision.
- To assess the benefits of this practice change for patients, enrolled nurses, and registered nurses.
Main Methods:
- Implementation of a new practice model at Sir Charles Gairdner Hospital.
- Training and professional development for enrolled nurses.
Main Results:
- Positive outcomes reported for the hospital and enrolled nurses.
- Patients experienced improved continuity of care and timely medication administration.
- Enrolled nurses reported increased job satisfaction, morale, and self-esteem.
- Registered nurses benefited from decreased stress and workload.
Conclusions:
- Empowering enrolled nurses to administer medications independently enhances professional development.
- This initiative positively impacts patient care, nursing staff satisfaction, and overall hospital efficiency.
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