Assessment of the preparation and administration of oral medications to institutionalized children

Rev Bras Enferm. 2018;71(suppl 3):1388-1394. doi: 10.1590/0034-7167-2017-0197.
[Article in English, Portuguese]

Abstract

Objective: to evaluate the preparation and administration of oral medications to institutionalized children by nursing professionals.

Method: quantitative study, developed from August to September 2016, in a shelter in Fortaleza, Ceará. 323 observations of preparation and administration of oral drugs were carried out. Interview and non-participant direct observation of the process of drug administration were performed, whose data were analyzed through descriptive statistics.

Results: Of the 29 actions of preparation and administration of the drugs, ten were considered satisfactory. Sanitizing of hands before touching the pills occurred in only 5.2% of the observations and cleansing of the bottle for liquid drugs was performed in 23.8%. The actions "check the right child"; "checking medication with the prescription", and "check the right dose" obtained percentages below 15%.

Conclusion: measures recommended by the literature for the administration of medication were not, in their clear majority, followed, making specific training and protocols necessary.

MeSH terms

  • Administration, Oral*
  • Adult
  • Brazil
  • Child
  • Child, Institutionalized*
  • Child, Preschool
  • Drug Compounding / methods
  • Drug Compounding / standards*
  • Female
  • Humans
  • Infant
  • Interviews as Topic / methods
  • Male
  • Medication Errors / nursing
  • Middle Aged