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Improving IV Insulin Administration in a Community Hospital

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Published on: June 11, 2012

Nurses' knowledge about the double-checking process for medicines administration.

Zayed Alsulami¹, Imti Choonara, Sharon Conroy

¹School of Graduate Entry Medicine and Health, University of Nottingham.

Nursing Children and Young People

|November 5, 2014

Summary

Nurses in a UK children's hospital show gaps in knowledge and training regarding medication administration double-checking. Poor adherence to policies may stem from insufficient understanding and unclear guidelines, potentially increasing medication errors.

Keywords:

Children’s nurses double-checking medication administration nurse training paediatric medication prescription drugs

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Area of Science:

Nursing Practice
Patient Safety
Medication Administration

Background:

Double-checking medication administration is a critical safety measure.
Understanding healthcare professionals' perspectives is vital for improving safety protocols.
Limited data exists on nurses' adherence and understanding of double-checking in pediatric settings.

Purpose of the Study:

To assess nurses' knowledge of medication administration double-checking.
To explore nurses' perceptions and opinions regarding the double-checking process.
To identify factors influencing adherence to double-checking policies in a UK children's hospital.

Main Methods:

A questionnaire survey was distributed to 119 nurses.
48 questionnaires were returned for analysis.
Data collected included knowledge, policy awareness, training, and perceived barriers to double-checking.

Main Results:

Only 30 nurses had seen the written double-checking policy.
Over half reported no formal training in medication double-checking.
Few nurses could accurately define double-checking per hospital policy; knowledge gaps and unclear guidelines were linked to errors.

Conclusions:

Significant deficits in nurses' knowledge and training regarding medication administration double-checking were identified.
Staffing, workload, and interruptions were perceived as barriers to adherence.
Improved education and clearer guidelines are necessary to enhance medication safety and reduce errors.