Administration of medications by enrolled nurses: Perceptions of metropolitan and non-metropolitan registered nurses and nursing unit managers
Vicki Aguilar
Nurse Educator, Sydney South West Area Health Service, Sydney NSW
Ritin S Fernandez
School of Nursing and Midwifery, University of Western Sydney, Sydney NSW
Rhonda D Griffiths
Head of School, School of Nursing and Midwifery, University of Western Sydney, Penrith NSW
Duong Thuy Tran
Research Officer, Centre for Applied Nursing Research, Sydney South West Area Health Service, Sydney NSW
Rosemary Chester
Former Associate Professor; Area Director of Nursing and Clinical Services, South Western Sydney Area Health Service, Sydney NSW
PP: 237
Abstract
Objective: The objective of this study was to investigate the views and current practices of registered nurses (RNs) and nurse unit managers (NUMs) working in metropolitan and non-metropolitan health facilities relating to medication administration by enrolled nurses (ENs).
Background: The advanced scope of practice role relating to medication administration is one area currently challenging Registered and Enrolled Nurses from the perspectives of the education, knowledge and skills required to support competence in this area of practice.
Method: A self-administered survey comprising questions on participant demographics, their perceptions and their current practices relating to ENs administering medications was completed by 272 RNs and NUMs from metropolitan and non-metropolitan health care facilities within Australia.
Results: There were statistically significant differences among metropolitan and non-metropolitan based RNs relating to their views on the various routes by which ENs should be allowed to administer medications. Significantly more RNs from metropolitan hospitals indicated that they asked ENs to administer S3, S4 and S4D medications. Overall, a large proportion of RNs were opposed to ENs administering injectable medications.
Conclusion: This study describes the current practices and view points of RNs relating to administration of medications by ENs. While the findings suggest that practice change could be slow, appropriate ongoing education for and consultation with RNs will support change of practice at the clinical level. Further formalising a medication administration role for ENs that acknowledges current practice will have potential organisational and patient safety benefits.
Keywords
enrolled nurse, registered nurse, medication management, nursing practices, metropolitan, non-metropolitan
References
Commonwealth of Australia (2001) National review of nursing education: Discussion paper, Department of Education, Science and Training, Canberra.
Edwards P, Roberts I, Clarke M, DiGuiseppi C, Pratap S, Wentz R and Kwan I (2004) Methods to influence response to postal questionnaires (Cochrane Methodology Review), John Wiley & Sons, Chichester, UK.
Gibson T and Heartfield M (2003) Contemporary enrolled nursing practice: Opportunities and issues, Collegian 10(1): 22-6.
Hegney D (1996) The status of rural nursing in Australia: A review, Australian Journal of Rural Health 4(1): 1-10.
Holmes B (2002). General Secretary's report: Drug administration and the role of enrolled nurses - the debate we have to have. The Lamp 59(9): 6-7.
Kenny AJ and Duckett S (2005) An online study of Australian enrolled nurse conversion, Journal of Advanced Nursing 49(4): 423-31.
Kimberley A, Myers H, Davis S, Keogh P and Twigg D (2004) Enrolled Nurse Medication Administration, Contemporary Nurse 17(1): 63-70
McKenna L, Sadler R, Long M and Burke G (2001) National Review of Nursing Education Enrolled Nurse Education, Final Report to the National Review of Nurse Education, Centre for the economics of Education and Training, Monash University to Commonwealth of Australia Department of Education Science and Training, Canberra.
Milson-Hawke S and Higgins I (2003) The scope of enrolled nurse practice: A review of the literature, Contemporary Nurse 14(2): 129-37.
New South Wales Health (2007) New South Wales Poisons List, New South Wales Health. Accessed at http://www.health.nsw.gov.au/public-health/psb/publications/pdf/poisons_list.pdf
Working Group on Aged Care Worker Qualifications of the National Aged Care Forum (2001). A review of the current role of Enrolled nurses in the aged care sector: future directions. Canberra, Commonwealth of Australia: 1-80.
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