Brief Resume of the Intended Study

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BRIEF RESUME OF THE INTENDED

STUDY

INTRODUCTION

I use the word nursing for want of a better.It has been limited to signify little more than

the administration of medicines and theapplication of poultices. It ought to signifythe proper use of fresh air, light, warmth,

cleanliness, quiet, and the proper selection

and administration of dietall at the leastexpense of vital power to the patient.

Florence Nightingale


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Ensuring safe and effective administration of

medications to clients is an important component of nursing

care. Nursing pharmacotherapeutics requires the

application of knowledge from a variety of sources. The

registered nurse is educated in drug actions, effects, adverse

reactions & factors. Administering medications involves

more than just the technical task. Competent medication

administration requires the ability. Pharmacotherapeutics,

the use of drugs to prevent, modify or cure disease, is

among the most frequently used medical treatment.

Expectations of society and increasing nursing expertise

have expanded the registered nurses role from simple

administration to collaboration, in which the registered

nurse contributes to the design, implementation and

evaluation of the clients drug regimen. Assessment and

evaluation of the appropriateness of the medication is done

in collaboration with the client.


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Evaluation of the appropriateness of a medicationrequires knowledge of actions, interactions, side effects

(including allergic reactions), usual dose, route andapproved use, basic pharmacokinetics of the drug andthe clients response to it.

Competent medication administration also includes

preparing the medication according to directions,monitoring the client while administering the medication,appropriately intervening as necessary, evaluating theoutcome of the medication on the clients health statusand documenting the process

NURSES need to assess their competence to safely andeffectively carry out their roles and responsibilities formedication administration in each situation.


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NEED FOR THE STUDY

The preparation and administration of medication are atthe core of nursing practice, and nurses' involvement in

pharmacotherapy is essential to medication safety.Drug therapy, prescribed by physicians, is mostly carriedout by nurses, who are expected to master all aspects ofmedication.

It is important to ensure that patients do not mistakenlyreceive the wrong medication, wrong dose in wrongtime. Insufficient knowledge is a factor in nurses' drugadministration errors. Most errors do not harm topatients, but incorrect administration of high-alert

medications can result in serious consequences.Sufficient knowledge about high-alert medications isvital.Medication errors are often involved in reportingadverse events such as ineffectiveness, drug resistance,drug reactions.


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Researcher has revealed the need for improvedknowledge in drug dose calculation, and medication

knowledge as a whole. The survey was conducted with thepurpose to study registered nurses' medicationknowledge, certainty and estimated risk of errors, and toexplore factors associated with good study.

This cross-sectional survey among nurses in a university-affiliated general community hospital investigated self-reported medication practices and sources of error, Usingsub-scales and items assessing different aspects ofpractice (dosage care, right patient, preparing/carrying

medications and reporting errors) and the investigatorswere able to identify areas where practices may needimprovement.


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An another study demonstrated the need for moreeducation for all nurses, taking into consideration therole adjustment period for new nurses as well as thetime associated with preceptorship programs. Theauthors acknowledge that more research is needed onthe impact of senior nurses, preceptor ship programsand patient care unit safety culture on the medicationsafety practices of junior nurses.

It has been observed that in SDM Hospital, themedication errors committed by registered nurse`s areincrease. Hence the investigators felt to undertake astudy to identify type & nature of medication errors

occurring in this hospital so that findings of the studywill guide to plan course of action & activities tominimize medication errors & provide safe nursing careto the client.


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REVIEW OF LITERATURE

Review of literature is a critical summary of research on a

topic of interest, often prepared to put a research problemin context.

Study was conducted on Administering medication is animportant function of registered nurses. It is thereforenecessary that nursing students develop knowledge and skill in

this field. Given the propensity for, and negative consequencesof, medication errors, it is essential that nursing students areproperty supervised in this role. There is currently a paucity ofresearch examining the practices of supervising medicationadministration by nursing students, particularly from theperspectives of registered nurses. The aim of this study was to

explore the opinions and insights of registered nursesregarding the supervision of nursing students administeringmedication. Focus groups were conducted with registerednurses with experience of working with students in the clinicalenvironment. Focus groups were transcribed verbatim and

data analysis was


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conducted using the five stage framework

approach. Four main themes were identified thatreflected the participants' views of the factors

most strongly influencing the provision of

supervision: communication, busyness, attitudes,

and pressure to conform. The participants

identified the importance of providing student

supervision and suggested strategies for

improvement, such as a closer working relationshipbetween the clinical facilitator and the registered

nurses providing supervision.(12.1)


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A cross sectional study conducted on Medication

knowledge, certainty, and risk of errors in healthcare in Dept, of Research, Innlandet Hospital Trust,Brumunddal, Norway. Results was Two-hundredand three registered nurses participated (including

16 males), aged 42.0 (9.3) years with a workingexperience of 12.4 (9.2) years. CONCLUSIONS:TheMedication knowledge was found to beunsatisfactory among nurses, with a significant risk

for medication errors. The study revealed a need toimprove the nurses basic knowledge, especiallywhen referring to drug management.


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A cross sectional study was conducted on nurses'knowledge of high-alert medications: instrument

development and validation in Department ofNursing, Chang Gung Institute of Technology, Taoyuan,Taiwan. Aim of This paper is a report of thedevelopment and validation of an instrument tomeasure nurses' knowledge of high-alert medications

and to analyze known administration errorsFindings : A total of 305 nurses participated, giving a79.2% response rate (305/385).

Concluded the questionnaire was valid and reliable.Evidence-based results strongly suggest that nurseshave insufficient knowledge about high-alertmedications and could benefit from additionaleducation, particularly associated with intravenousbolus administration of high-alert medications.


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STATMENT OF PROBLEM

OBJECTIVES

1. To Assess the Knowledge of students regardingAdministration of Medication.

2. To Find out the association between students,Knowledge, and Selected demographic variables

TO ASSESS THE KNOWLEDGE OF B.Sc(N)STUDENTS REGARDING ADMINISTRATION OF

MEDICATION IN SDM INSTITUTE OF NURSUING

SCIENCES,SATTUR,DHARWAD.


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OPERATIONAL DEFINATIONS

ASSESS: Evaluate or estimate the nature, quality,

ability, extent, or signification of, the students

responsibility to administer the medication.

ADMINISTRATION OF MEDICATION:

Administering medications to patients for a

defined period of time, including physicians

orders and time to administer the agents, It is

possible to more accurately check and confirmthe right medication process is being followed

than is possible with a typical.


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KNOWLEDGE:Refers to correct responses of students tothe items listed in the self administered questionnaireregarding administers the medication.

STUDENTS:Refers to the students studying in 3rd year B.Sc(N) in SDM Institute Of Nursing Sciences Sattur,Dharwad.

ASSUMPTION

Students have some knowledge about administration of

medication.HYPOTHESIS

There will be significant association between studentsmedication knowledge and selected socio demographicvariables at 0.05 level of significance.

The medication error committed by students is dependenton medication knowledge.


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DELIMITATIONS

The study will be limited to 3rd Year B.Sc (N) students.

MATERIALS & METHODS

SOURCE OF DATA

Data will be collected from 3rd Year B.Sc(N) students.

RESEARCH DESIGN AND APPROACH:

Non-experimental descriptive design

VARIABLES UNDER STUDY:

Study variableknowledge regarding medicationadministration among students.

Attribute Variables - Personal characteristics which

include age, gender.SETTING:

SDM Institute of Nursing Sciences, Sattur, Dharwad.


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POPULATION:

The population consists of 3rd Year B.Sc(N)

students.

METHODS OF DATA COLLECTION:

SAMPLING PROCEDURE:

Purposive sampling technique.

SAMPLE SIZE:

40 B.Sc nursing students.

DURATION OF THE STUDY:

30 days.


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INCLUSION CRITERIA

3rd year B.Sc students

who are studying in SDM Institute Of NursingSciences.

who are willing to participate in the study.

are available at the time of data collection.

EXCLUSION CRITERIA FOR SAMPLING

3rd year B.Sc students

who are not willing to participate in the study.

who are not available at the time of datacollection


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INSTRUMENTS INTENDED TO BE USED:

The investigator will develop a structured

questionnaire for collecting the data which will beconsisting of 3-parts.

(1) Part-1 demographic data..

(2) Part-2 knowledge questionnaire.

DATA COLLECTION METHOD:The investigators will collect the data from the

3rd year B.Sc students using structuredquestionnaire on knowledge questionnaire.

DATA ANALYSIS PLAN:The data will be analysed by using descriptive

statistics such as Mean, Median, standarddeviation, frequencies and percentages.


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Chi square test.

Collected data will be presented by using graphs anddiagrams

Does the study require any investigations or interventionsto be conducted on nurses, If so please describe briefly.

No, the study will be conducted on assess the knowledgeand Practice of staff nurses regarding Administration ofmedication in selected SDM Hospital, Dharwad.

Has ethical clearance been obtained from your institutionin case 11.

Yes, ethical clearance is obtained from the Institution'sethical committee.

INFERENTIAL STATISTICS


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(12.1)(Reid-Searl K, Happell B. Factors

influencing the supervision of nursing

students administering medication: the

registered nurse perspective. Collegian.Institute for Health and Social Science

Research, School of Nursing and Midwifery,

CQUniversity Australia, Bruce Highway,Rockhampton, Queensland 4702, Australia.

2011;18(4):139-46.)

Reference
http://www.ncbi.nlm.nih.gov/pubmed?term=%22Reid-Searl%20K%22[Author]http://www.ncbi.nlm.nih.gov/pubmed?term=%22Happell%20B%22[Author]http://www.ncbi.nlm.nih.gov/pubmed/22256554http://www.ncbi.nlm.nih.gov/pubmed/22256554http://www.ncbi.nlm.nih.gov/pubmed?term=%22Happell%20B%22[Author]http://www.ncbi.nlm.nih.gov/pubmed?term=%22Reid-Searl%20K%22[Author]http://www.ncbi.nlm.nih.gov/pubmed?term=%22Reid-Searl%20K%22[Author]http://www.ncbi.nlm.nih.gov/pubmed?term=%22Reid-Searl%20K%22[Author]http://www.ncbi.nlm.nih.gov/pubmed?term=%22Reid-Searl%20K%22[Author]http://www.ncbi.nlm.nih.gov/pubmed?term=%22Reid-Searl%20K%22[Author]


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DISCUSSION


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THANK YOU

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Brief Resume of the Intended Study