Archive \ Volume.15 2024 Issue 2

Evaluation of Resuscitation Medications’ Knowledge among Pakistani Nurses: A Cross-Sectional Analysis

Safia Alvi , Muhammad Salman*✉ , Amer Hayat Khan
  1. Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, 11800 Penang, Malaysia.
  2. Institute of Pharmacy, Faculty of Pharmaceutical and Allied Health Sciences, Lahore College for Women University, Lahore, Pakistan.

Abstract

Medication errors are associated with significant morbidity and mortality worldwide. Of various types of medication errors, administration errors are the most common. This study evaluated nurses’ knowledge of resuscitation medication administration and the obstacles they encountered while administering these medications. This multicenter, cross-sectional study was conducted among registered nurses working within public and private sector hospitals in Lahore, Pakistan. Participants were recruited using a convenient sampling technique and data were gathered using a self-completed, pre-validated questionnaire. This study included 409 nurses (age 30.09 ± 4.45 years), of whom, around 55% were found to have adequate knowledge (score > 70%) of resuscitation medications. Increasing age, experience, and hospital, and cardiovascular life support training were associated with higher knowledge scores. Furthermore, nurses from oncology, intensive care units, and emergency rooms had better knowledge (P < 0.05) than those working in other departments. Interruptions during the drug administration method (75.6%), a lack of understanding between health professionals (69.4%), and a reluctance to ask inquiries (67.7 %) were the three most common barriers encountered during the administration process. Only 55 percent of nurses had adequate knowledge, necessitating educational measures to improve nurses’ knowledge of resuscitation medications.


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Vancouver
Alvi S, Salman M, Khan AH. Evaluation of Resuscitation Medications’ Knowledge among Pakistani Nurses: A Cross-Sectional Analysis. Arch Pharm Pract. 2024;15(2):26-33. https://doi.org/10.51847/dhF5Ij3BtD
APA
Alvi, S., Salman, M., & Khan, A. H. (2024). Evaluation of Resuscitation Medications’ Knowledge among Pakistani Nurses: A Cross-Sectional Analysis. Archives of Pharmacy Practice, 15(2), 26-33. https://doi.org/10.51847/dhF5Ij3BtD

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References
  1. World Health Organization. Patient Safety. 2019. Available from: https://www.who.int/news-room/fact-sheets/detail/patient-safety
  2. National Coordinating Council for Medication Error Reporting and Prevention. What is a medication error? (New York, NY: National Coordinating Council for Medication Error Reporting and Prevention). 2015. Available from: http://www.nccmerp.org/about-medication-errors
  3. Rodziewicz TL, Houseman B, Hipskind JE. Medical error reduction and prevention. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2022, StatPearls Publishing LLC. 2022.
  4. Gladstone J. Drug administration errors: A study into the factors underlying the occurrence and reporting of drug errors in a district general hospital. J Adv Nurs. 1995;22(4):628-37. 
  5. Patel I, Balkrishnan R. Medication error management around the globe: An overview. Indian J Pharm Sci. 2010;72(5):539-45.
  6. World Health Organization. WHO launches global effort to halve medication-related errors in 5 years 2017. Available from: https://www.who.int/news/item/29-03-2017-who-launches-global-effort-to-halve-medication-related-errors-in-5-years.
  7. National Academies of Sciences E, Medicine. Crossing the global quality chasm: Improving health care worldwide. Washington, DC: The National Academies Press; 2018. 334 p.
  8. DAWN. Medication errors cause half a million deaths in Pakistan, say pharmacists. 2021. Avaibale from: https://www.dawn.com/news/1362951
  9. Laatikainen O, Sneck S, Turpeinen M. Medication-related adverse events in health care have we learned? A narrative overview of the current knowledge. Eur J Clin Pharmacol. 2022;78(2):159-70.
  10. Chen MJ, Yu S, Chen IJ, Wang KW, Lan YH, Tang FI. Evaluation of nurses' knowledge and understanding of obstacles encountered when administering resuscitation medications. Nurse Educ Today. 2014;34(2):177-84. 
  11. Weinstock P, Halamek LP. Teamwork during resuscitation. Pediatr Clin North Am. 2008;55(4):1011-24.
  12. Koster RW, Baubin MA, Bossaert LL, Caballero A, Cassan P, Castrén M, et al. European resuscitation council guidelines for resuscitation 2010 section 2. Adult basic life support and use of automated external defibrillators. Resuscitation. 2010;81(10):1277-92.
  13. Ornato JP, Peberdy MA, Reid RD, Feeser VR, Dhindsa HS. Impact of resuscitation system errors on survival from in-hospital cardiac arrest. Resuscitation. 2012;83(1):63-9.
  14. Salman M, Ul Mustafa Z, Asif N, Oluseyi A, Saed A, Nawaz A, et al. Knowledge of acute kidney injury among Pakistani nurses: A cross-sectional survey. Saudi J Kidney Dis Transpl. 2021;32(2):497-504. 
  15. Hughes RG, editor. Patient safety and quality: An evidence-based handbook for nurses. Rockville (MD): Agency for healthcare research and quality (US); 2008.
  16. Verklan MT. Malpractice and the neonatal intensive-care nurse. J Obstet Gynecol Neonatal Nurs. 2004;33(1):116-23. 
  17. Government of Punjab. Number of teaching hospitals, DHQ hospitals, THQ hospitals, RHCs, and BHUs in Punjab province. Available from: https://health.punjab.gov.pk/directory/reports/Division_and_district_wise_facilities.pdf.
  18. Punjab Public Health Agency. Policy roundtable on nursing and midwifery. 2018. Available from: http://www.ppha.punjab.gov.pk/news-and-highlights/nursing-and-midwifery.html
  19. Salman M, Mustafa ZU, Rao AZ, Khan QU, Asif N, Hussain K, et al. Serious inadequacies in high alert medication-related knowledge among Pakistani nurses: Findings of a large, multicenter, cross-sectional survey. Front Pharmacol. 2020;11:1026. 
  20. Salman M, Mustafa ZU, Asif N, Zaidi HA, Hussain K, Shehzadi N, et al. Knowledge, attitude and preventive practices related to COVID-19: A cross-sectional study in two Pakistani university populations. Drugs Ther Perspect. 2020;36(7):319-25.
  21. Datapharm. Calcium chloride intravenous infusion, 10% w/v 2018 Available from: https://www.medicines.org.uk/emc/product/4126/smpc
  22. Chakraborty A, Can AS. Calcium gluconate. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.
  23. Zyoud SH, Khaled SM, Kawasmi BM, Habeba AM, Hamadneh AT, Anabosi HH, et al. Knowledge about the administration and regulation of high alert medications among nurses in Palestine: A cross-sectional study. BMC Nurs. 2019;18(11).
  24. Qedan RI, Daibes MA, Al-Jabi SW, Koni AA, Zyoud SH. Nurses' knowledge and understanding of obstacles encountered them when administering resuscitation medications: A cross-sectional study from Palestine. BMC Nurs. 2022;21(1):116.
  25. Pierobon N, Batista J, Marcondes L, da Silva DP. Knowledge of nurses in the administration and regulation of high-alert medications in oncology. Enfermería Global. 2022;21(3):96-108.
  26. Dalal R, Grujic D. Epinephrine. In: StatPearls [Internet]. StatPearls Publishing; 2023.
  27. Fischer D, Vander Leek TK, Ellis AK, Kin H. Anaphylaxis. Allergy Asthma Clin Immunol. 2018;14(Suppl 2):54.
  28. Güneş Ü, Ozturk H, Ülker E. Nurses’ knowledge level about high-alert medications. Maku J Health Sci Inst. 2021;9(1):12-20.
  29. Vali P, Sankaran D, Rawat M, Berkelhamer S, Lakshminrusimha S. Epinephrine in neonatal resuscitation. Children (Basel). 2019;6(4):51. 
  30. Kozer E, Seto W, Verjee Z, Parshuram C, Khattak S, Koren G, et al. Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. BMJ. 2004;329(7478):1321. 
  31. European Resuscitation Council. Part 6: Advanced cardiovascular life support. Section 6: Pharmacology II: Agents to optimize cardiac output and blood pressure. European Resuscitation Council. Resuscitation. 2000;46(1-3):155-62. 
  32. ASHP. Epinephrine (Monograph). 2024; [cited 2024 March 3]. Available from: https://www.drugs.com/monograph/epinephrine.html
  33. Khan AH, Carleton RA. Nitroglycerin-induced hypotension and bradycardia. Arch Intern Med. 1981;141(8):984.
  34. Florek JB, Lucas A, Girzadas D. Amiodarone. In: StatPearls [Internet]. StatPearls Publishing; 2023.
  35. Neumar RW, Otto CW, Link MS, Kronick SL, Shuster M, Callaway CW, et al. Part 8: Adult advanced cardiovascular life support: 2010 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18 Suppl 3):S729-67.
  36. Yano T, Kawana R, Yamauchi K, Endo G, Nagamine Y. The additive effect of atropine sulfate during cardiopulmonary resuscitation in out-of-hospital non-traumatic cardiac arrest patients with non-shockable rhythm. Intern Med. 2019;58(12):1713-21.
  37. RxList. Dopamine 2021. Available from: https://www.rxlist.com/dopamine-drug.htm
  38. Chen JL, O'Shea M. Extravasation injury associated with low-dose dopamine. Ann Pharmacother. 1998;32(5):545-8.
  39. Smith MD, Maani CV. Norepinephrine. In: StatPearls [Internet]. StatPearls Publishing; 2023.
  40. Güler S, Könemann H, Wolfes J, Güner F, Ellermann C, Rath B, et al. Lidocaine as an anti‐arrhythmic drug: Are there any indications left? Clin Transl Sci. 2023;16(12):2429-37.
  41. Singh S, McKintosh R. Adenosine. InStatPearls [Internet]. StatPearls Publishing; 2022.
  42. RxList. ADENOCARD 2020. Available from: https://www.rxlist.com/adenocard-drug.htm#description
  43. Peng TJ, Andersen LW, Saindon BZ, Giberson TA, Kim WY, Berg K, et al. The administration of dextrose during in-hospital cardiac arrest is associated with increased mortality and neurologic morbidity. Crit Care. 2015;19(1):160.
  44. Salman M, Mustafa ZU, Shehzadi N, Mallhi TH, Asif N, Khan YH, et al. Evaluation of knowledge and practices about administration and regulations of high alert medications among hospital pharmacists in Pakistan: Findings and implications. Curr Med Res Opin. 2022;38(11):1967-75.
  45. Hsaio GY, Chen IJ, Yu S, Wei IL, Fang YY, Tang FI. Nurses' knowledge of high-alert medications: Instrument development and validation. J Adv Nurs. 2010;66(1):177-90.
  46. Punjab Public Service Commission. The Punjab public service commission ordinance; 1978. Available from: http://punjablaws.gov.pk/laws/328.html

 


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