Accurate Peripheral Medication in Hospital - Preparation and Administration of Intravenous Therapy : Observation study
Määttä, Atte; Spännäri, Kerttu (2014)
Metropolia Ammattikorkeakoulu
2014
Creative Commons Attribution 1.0 Suomi
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2014111815856
https://urn.fi/URN:NBN:fi:amk-2014111815856
Tiivistelmä
The purpose of this final project is to describe the existing practices in intravenous therapy in a hospital environment. Furthermore, the aim will be to generate knowledge on the intravenous therapy in a HUCHS hospital ward. The research question of this final project is how intravenous therapy is realized in practice. The project is part of the TOLA development collaboration project between Metropolia University of Applied Sciences and Hospital District of Helsinki and Uusimaa.
The method for data collection was quantitative, structured observation. Structured observation is a ‘’not concealed, no intervention’’ method where the observers do not participate and remain passive in the background. The instrument was a chart developed by the TOLA project and has been translated by the students of the international programme under the supervision of the project manager. Total 40 hours were observed at the ward, 5 days were spread out for weekdays and for one weekend. N=19 completed preparation and administration were observed.
The results were analyzed and percentages in consistencies were calculated. Furthermore, the results had great deviation between the two observers due to challenges in environment and irregularities in the internal consistency in some items. The trends that were seen implicated good standards in personal hygiene, medicine storage, labelling and maintenance. However, the hand hygiene technique was seen as lacking and this seemed to be consistent in all of the staff despite of the fact that the use of disinfectant was relatively good. The duration of hand disinfection was almost always too short. Preparation and the administration of the medication were executed well. Patients were seldom identified prior to the administration which is explained by the close staff-patient contact. Cannula was checked every time, but it was uncertain if there was an appropriate assessment of the skin in the vicinity of the cannula.
In conclusion, the results describe the practice at the HUCHS hospital ward. The most lacking aspects were in the hand hygiene technique and its short duration. The observation study had many shortcomings, and the results should naturally be interpreted critically. However, it reflects quite accurately the current situation. Furthermore, it pinpoints to the need for awareness of the existing issues and that there is a clear demand for further education.
The method for data collection was quantitative, structured observation. Structured observation is a ‘’not concealed, no intervention’’ method where the observers do not participate and remain passive in the background. The instrument was a chart developed by the TOLA project and has been translated by the students of the international programme under the supervision of the project manager. Total 40 hours were observed at the ward, 5 days were spread out for weekdays and for one weekend. N=19 completed preparation and administration were observed.
The results were analyzed and percentages in consistencies were calculated. Furthermore, the results had great deviation between the two observers due to challenges in environment and irregularities in the internal consistency in some items. The trends that were seen implicated good standards in personal hygiene, medicine storage, labelling and maintenance. However, the hand hygiene technique was seen as lacking and this seemed to be consistent in all of the staff despite of the fact that the use of disinfectant was relatively good. The duration of hand disinfection was almost always too short. Preparation and the administration of the medication were executed well. Patients were seldom identified prior to the administration which is explained by the close staff-patient contact. Cannula was checked every time, but it was uncertain if there was an appropriate assessment of the skin in the vicinity of the cannula.
In conclusion, the results describe the practice at the HUCHS hospital ward. The most lacking aspects were in the hand hygiene technique and its short duration. The observation study had many shortcomings, and the results should naturally be interpreted critically. However, it reflects quite accurately the current situation. Furthermore, it pinpoints to the need for awareness of the existing issues and that there is a clear demand for further education.