An Evaluation of Nurses' Adherence to Protocol in the Administration of Intravenous Medications at University of Benin Teaching Hospital
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- NGN 5000
Background of the Study
The safe and effective administration of intravenous (IV) medications is a crucial aspect of nursing practice, particularly in hospitals where patients often require immediate therapeutic intervention. IV medication administration involves the delivery of fluids, electrolytes, or medications directly into the bloodstream, allowing for rapid therapeutic effects. However, errors in IV medication administration, such as incorrect dosing, improper techniques, or failure to follow established protocols, can lead to adverse patient outcomes including infections, phlebitis, and medication toxicity (Ferguson et al., 2023).
At University of Benin Teaching Hospital, one of Nigeria’s leading tertiary healthcare institutions, nurses are frequently involved in administering IV medications in various clinical settings, including critical care units, surgery wards, and emergency departments. Despite the essential role that nurses play in this procedure, research suggests that adherence to established protocols for IV medication administration is often inconsistent (Oluwasanmi et al., 2023). Inadequate training, heavy workloads, and a lack of proper monitoring mechanisms may contribute to non-adherence to safety protocols.
Given the high risks associated with IV medication administration, it is imperative to evaluate nurses' adherence to protocols at the University of Benin Teaching Hospital, as this can serve as a guide for improving patient safety and nursing practices. This study will explore factors affecting adherence to IV medication protocols, the frequency of medication errors, and the impact of training and resources on protocol compliance.
Statement of the Problem
Despite the well-documented risks associated with improper IV medication administration, there is limited research on the level of adherence to protocols by nurses at the University of Benin Teaching Hospital. Poor adherence to protocols can lead to significant patient harm, including adverse drug reactions and complications such as infections or extravasation. Furthermore, there is a lack of evidence concerning the factors that influence nurses' adherence to these protocols in this particular hospital setting. This study seeks to investigate the adherence of nurses to protocols in IV medication administration, exploring the extent to which deviations from standard procedures occur, and the barriers to full compliance with established guidelines.
Objectives of the Study
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To evaluate the level of nurses’ adherence to protocols in the administration of intravenous medications at the University of Benin Teaching Hospital.
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To identify the factors that influence adherence to IV medication administration protocols among nurses at the hospital.
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To recommend strategies for improving adherence to IV medication protocols and patient safety.
Research Questions
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What is the level of adherence to protocols in the administration of intravenous medications among nurses at the University of Benin Teaching Hospital?
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What factors affect nurses’ adherence to IV medication administration protocols at the University of Benin Teaching Hospital?
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What strategies can be implemented to improve adherence to intravenous medication administration protocols?
Research Hypotheses
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Nurses with specialized training in intravenous medication administration are more likely to adhere to established protocols.
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The availability of resources and monitoring mechanisms positively influences nurses' adherence to IV medication protocols.
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High workload and staff shortages are negatively correlated with adherence to intravenous medication administration protocols.
Scope and Limitations of the Study
The study will focus on nurses working at the University of Benin Teaching Hospital, specifically those involved in the administration of intravenous medications. Limitations include potential biases from self-reported data, the variability in adherence due to staffing and resource constraints, and the potential for differing levels of training among nurses. Findings may not be applicable to other hospitals with different resources or training structures.
Definitions of Terms
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Intravenous Medications: Medications administered through a needle or catheter directly into the bloodstream.
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Adherence: The extent to which nurses follow established clinical protocols for IV medication administration.
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Protocol: A set of guidelines or procedures designed to ensure the safe and effective administration of intravenous medications.
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