Abstract:
BACKGROUND:Co-administration of multiple intravenous (IV) medicines down the same lumen of an IV catheter is often necessary in the intensive care unit (ICU) while ensuring medicine compatibility. AIMS AND OBJECTIVES:This study explores ICU nurses' views on the everyday practice surrounding co-administration of multiple IV medicines down the same lumen. DESIGN:Qualitative study using focus group interviews. METHODS:Three focus groups were conducted with 20 ICU nurses across two hospitals in the Thames Valley Critical Care Network, England. Participants' experience of co-administration down the same lumen and means of assessing compatibility were explored. All focus groups were recorded, transcribed verbatim, and analysed using thematic analysis. Functional Resonance Analysis Method was used to provide a visual representation of the co-administration process. RESULTS:Two key themes were identified as essential during the process of co-administration, namely, venous access and resources. Most nurses described insufficient venous access and lack of compatibility data for commonly used medicines (eg, analgesics and antibiotics) as particular challenges. Strategies such as obtaining additional venous access, prioritizing infusions, and swapping line of infusion were used to manage IV administration problems where medicines were incompatible, or of unknown or variable compatibility. CONCLUSIONS:Nurses use several workarounds to manage commonly encountered medication compatibility problems that may lead to delays in therapy. Organizations should review and tailor compatibility resources towards commonly administered medicines using an interdisciplinary approach. Developing a clinical decision-making pathway to minimise variability while promoting safe co-administration practice should be prioritised. RELEVANCE TO CLINICAL PRACTICE:This study highlights several ways ICU nurses are able to manage challenges associated with co-administration and the need for the development of a more robust and comprehensive compatibility resource that is relevant to everyday practice through collaboration between nurses and pharmacists.
journal_name
Nurs Crit Carejournal_title
Nursing in critical careauthors
Oduyale MS,Patel N,Borthwick M,Claus Sdoi
10.1111/nicc.12497subject
Has Abstractpub_date
2020-05-01 00:00:00pages
156-164issue
3eissn
1362-1017issn
1478-5153journal_volume
25pub_type
杂志文章abstract:BACKGROUND:Critical care consensus groups recommend providing bereavement support; however, little is known about what cardiac intensive care patients' families would find useful and beneficial in their grieving process. AIM AND OBJECTIVES:To describe cardiac intensive care unit (ICU) patients' families' opinions on s...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12439
更新日期:2019-07-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2012.00525.x
更新日期:2012-11-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
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更新日期:1996-11-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12590
更新日期:2021-01-25 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
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更新日期:2015-05-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
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更新日期:2007-07-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12493
更新日期:2021-01-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
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journal_title:Nursing in critical care
pub_type: 杂志文章
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journal_title:Nursing in critical care
pub_type: 杂志文章
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:The shortage of critical care and specialist nurses has been an ongoing issue for many decades. Although all areas of nursing are affected, critical care areas are especially vulnerable to recruitment and retention problems. High nursing turnover in critical care areas is evident; however, research into the ...
journal_title:Nursing in critical care
pub_type: 杂志文章,评审
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更新日期:2019-01-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
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更新日期:2020-11-06 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
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更新日期:2015-05-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
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更新日期:2014-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
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更新日期:2017-05-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
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更新日期:2013-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2011.00478.x
更新日期:2012-01-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
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journal_title:Nursing in critical care
pub_type: 杂志文章
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更新日期:2014-11-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
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更新日期:2010-05-01 00:00:00
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journal_title:Nursing in critical care
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更新日期:2020-12-08 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2010.00444.x
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:10.1111/j.1478-5153.2010.00409.x
更新日期:2010-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
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更新日期:2003-03-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12583
更新日期:2020-12-20 00:00:00