What is general medical nurses' practice and knowledge of medicine administration via percutaneous endoscopic gastrostomy; a structured interview and observational study?
Background: Medicine administration is one of the most common nursing skills and yet the number of reported errors is substantial (Sulosaari 2010). This nursing issue has been exhaustively researched and strategies implemented in an attempt to improve practice. However, there is a very limited body of research concerning enteral medicine administration, specifically PEG (Phillips and Nay 2008). The evidence concerning enteral medicine administration is very much conflicting and the specifics of practice have as yet to be confirmed via quantitative research (Phillips and Nay). However, the British Association for Parenteral and Enteral Nutrition (2004) has published some guidance concerning the practice which nurses should adhere to. However, of the available evidence the consensus remains, similar to medicine administration research, that nurses' knowledge and practice concerning enteral medicine administration is inadequate (Phllips 2011). Aims: Bearing in mind the limited and to a great extent flawed literature available, the researcher strove to create a proposal that would be greatly relevant and address previous limitations. Therefore, the researcher will use an alternative methodology, target population, setting and specifically focused on one form of enteral medicine administration. PEG is one of the most common, long term enteral routes of nutrition and yet the literature surrounding PEG medicine administration is greatly lacking. The aim of this research proposal is to ascertain the practice and knowledge of, Scottish, general medical nurses. Method: This research proposal will be a quantitative descriptive study, employing mixed methods of both disguised observation and structured interview. All general medical nurses in a random cluster sample of 20 wards in 10 Lothian Hospitals will be invited to participate in the structured interview and consent to observational data collection. The researcher anticipates achieving a sample size of 100 nurses for the structured interview and 100 observations of medication administration. The data collected will be statistically analysed using descriptive statistics.