Institutional related factors influencing adherence to The Nursing Council of Kenya medication administration guidelines among nurses in a mission hospital in Meru, Kenya

Mary Mumbi Ng'ang'a, Dr. Catherine Mutunga Mwenda, Mr. George Kimani Njoroge

Abstract


Abstract:

Introduction

Medication administration errors, which have a significant financial and emotional impact can be greatly reduced if medication administration guidelines are well adhered to.

Methods

A descriptive cross-sectional study was carried out among 117 nurses. The sample was 106 nurses chosen using stratified and simple random sampling. Data was collected using a self-administered questionnaire and an observational checklist. The analysis was done using SPSS Version 21 software.

Findings

84.7% respondents reported that the hospital had a policy, 62.4% reported that the hospital facilitated CPD, 76.5% reported that the staffing level was inadequate, 14.1% reported that inter-professional relationship was uncooperative, 82.4%, reported it was cooperative while 3.5% reported that it was very cooperative. On availability of resources, 44.7% reported that resources were always available while 55.3% reported that they were not always available. There was a significant association between CPD, inter-professional relationship and availability of resources with adherence to the Nursing Council of Kenya medication administration guidelines (p=<0.05).

Conclusion

The adherence level was found to be low. Various institutional related factors had a high influence on adherence to the guidelines. The institution can work towards improving the staffing levels and ensure the availability of resources.

 


Keywords


Medication errors; Medication administration guidelines;Adherence;Institutional factors; Nursing Council of Kenya

Full Text:

PDF

References


Abdullah, M., Mohammed W., & Ismail M. (2004). Nurses’ Knowledge and Practices about Administration of Medications via Nasogastric Tube among Critically Ill Patients.

Alsulami Z., Choonara I. & Conroy S. (2014). Nurses’ knowledge about the double-checking process for medicines administration. Nursing Children and Young People.26,9,21-26.doi: 10.7748/ncyp.26.9.21.e378.https://journals.rcni.com/nursing-children-and- young-people/ nurses- knowledge- about- the double-checking- process -for-medicines-administration-ncyp.26.9.21.e378. Journal of Education and Practice www.iiste.org. ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) Vol.5, No.1, 2014.147

Archives of Disease in Childhood, (2013). Adherence of pediatric nurses to double-checking process steps during medication administration in a children's hospital: an observational study. Date Published June 01, 2013, Date Accessed April 25, 2018. URLhttp://adc.bmj.com/content/98/6/e1.43?utm_source=trendmd&utm_medium= cpc utm_campaign=adc&utm_content=consumer&utm_term=0-A

Cheragi, M.A., Manoocheri, H., Mohammadnejad, E., &Ehsani, S.R. (2013). “Types and causes of medication errors from nurse’s viewpoint”. Iran Journal of Nursing and Midwifery Research, 18, 228-231.

Cloete L., (2015). Reducing medication errors in nursing practice. Nursing Standard. 29, 20, 50-59. Date of submission: August 19, 2014; date of acceptance: October 13, 2014. URL: https://doi.org/10.1111/j.1365-2702.2012.04344.x

Jeongeum, K. & Bates D.W. (2012). Medication administration errors by nurses: adherence to guidelines, Journal of Clinical Nursing, Blackwell Publishing Ltd, Published December 10, 2012, https://doi.org/10.1111/j.1365-2702.2012.04344.x

Keers R. N., Williams S.D., Cooke J., & Ashcroft D.M (2014). Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study, URL: http://dx.doi.org/10.1136/bmjopen-2014-005948

NCK. (2009). Manual of Clinical Procedures (3rd Edition). Nairobi: Nursing Council of Kenya.

Ndambuki, J.et al. (2012). Factors influencing the quality management of medication by nurses at Kenyatta National Hospital. Journal of Biology, Agriculture, and Health 3(18) ISSNhttps://doi.org/10.1093/intqhc/mzv036.Published: 08 June 2015

Tshiamo, W., Kgositau, M., Ntsayagae, E., Motshedisi & Sabone B. (2015). The role of nursing education in preventing medication errors in Botswana, International Journal of Africa Nursing Sciences, Volume 2015, Pages 18- 23, https://doi.org/10.1016/j.ijans.2015.06.001, Retrieved on 1st March, 2018from: https://www.sciencedirect.com/science/article/pii/S221413911500013X


Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Kenyan Journal of Nursing & Midwifery

© Numid Publishers        ISSN:  2518-8631