Nursing professionals' knowledge of preparing and administering insulin to hospitalized children and adolescents
DOI:
https://doi.org/10.15253/2175-6783.20242593719Keywords:
Nurse Practitioners; Insulin; Pediatrics; Knowledge; Patient Safety.Abstract
Objective: to describe nursing professionals' knowledge of preparing and administering insulin to hospitalized children and adolescents. Methods: a cross-sectional study with 64 nursing professionals from a highly complex public children's hospital, recruited by convenience sampling. A questionnaire was used to collect data, and the level of professional knowledge and the quality of care were analyzed using the positivity index. The ethical and legal principles of research were complied with. Results: there was a predominance of women (94.4%) with an average age of 37.16+8.09 years and an average time working in pediatrics of 13.90+8.91 years. Of the 19 items on insulin, those considered poor assistance (eight) prevailed, followed by borderline assistance (five), which may have an impact on the preparation and administration of insulin with glycemic and metabolic repercussions for pediatric inpatients. Conclusion: weaknesses were found concerning nursing professionals' knowledge of various aspects of insulin use in children and adolescents in the hospital environment. Contributions to practice: the study addresses gaps in the nursing team's knowledge of insulin injection, providing opportunities for improvement.
References
Libman I, Haynes A, Lyons S, Pradeep P, Rwagasor E, Tung JY, et al. ISPAD Clinical Practice Consensus Guidelines 2022: definition, epidemiology, and classification of diabetes in children and adolescents. Pediatr Diabetes. 2022;23(8):1160-74. doi: https://doi.org/10.1111/pedi.13454
Merino MFGL, Oliveira RR, Silva PLAR, Carvalho MDB, Pelloso SM, Higarashi IH. Hospitalization and mortality by diabetes mellitus in children: analysis of temporal series. Rev Bras Enferm. 2019;72(Suppl3):147-53. doi: https://doi.org/10.1590/0034-7167-2018-0299
Instituto para Práticas Seguras no uso de Medicamentos - Brasil. Medicamentos potencialmente perigosos de uso ambulatorial e para instituições de longa permanência – listas atualizadas 2021 [Internet]. 2022 [cited Aug 10, 2024]. Available from: https://www.ismp-brasil.org/site/wp-content/uploads/2022/09/MEDICAMENTOS-POTENCIALMENTE-PERIGOSOS-LISTAS-ATUALIZADAS-2022.pdf
Nascimento MMG, Rezende CP, Neves CM. Insulinas glargina e asparte: Erros de medicação, riscos e práticas seguras na utilização. Boletim ISMP Brasil [Internet]. 2021 [cited Aug 5, 2024];10(3):1-9. Available from: https://www.ismp-brasil.org/site/wp-content/uploads/2021/06/boletim_ismp_INSULINAS-GLARGINA-E-ASPARTE.pdf
American Diabetes Association. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019;42:S90-S102. doi: https://doi.org/10.2337/dc19-s009
Sociedade Brasileira de Diabetes. Diretriz oficial da Sociedade Brasileira de Diabetes [Internet]. 2024 [cited July 12, 2024]. Available from: https://diretriz.diabetes.org.br/
Lawson SA, Hornung LN, Lawrence M, Schuler CL, Courter JD, Miller C. An initiative to reduce insulin-related adverse drug events in a children’s hospital. Pediatrics. 2022;149(1):e2020004937. doi: https://doi.org/10.1542/peds.2020-004937
Wu X, Zhao F, Zhang M, Yuan L, Zheng Y, Huang J, et al. Insulin injection knowledge, attitudes, and practices of nurses in China: a cross-sectional nationwide study. Diabetes Ther. 2021;12(9):2451-69. doi: https://dx.doi.org/10.1007/s13300-021-01122-x
Saupe R, Horr L. Auditoria em enfermagem. Rev Saúde [Internet]. 1982 [cited July 3, 2024];1(1):23. Available from: https://revista.ccs.ufsc.br/index.php/REVCCS/issue/current
Lima JSM, Santos AC, Magalhães FJ, Pinto MMM, Oliveira RMC, Rolim KMC, et al. Knowledge of the multidisciplinary team about neonatal post-resuscitation care. Rev Enf Ref. 2023;6(2):1-7. doi: https://doi.org/10.12707/RVI23.39.30330
He M, Huang Q, Lu H, Gu Y, Hu Y, Zhang X. Call for decision support for high-alert medication administration among pediatric nurses: findings from a large, multicenter, cross-sectional survey in China. Front Pharmacol. 2022;13:860438. doi: https://doi.org/10.3389/fphar.2022.860438
Leroy V, Lazaro M, Raymond B, Henry A. Évaluation des connaissances des personnels soignants sur les pratiques d’administration de l’insuline et impact de l’introduction des insulines à forte concentration. Res Soins Infirm. 2018;(134):44-51. doi: https://doi.org/10.3917/rsi.134.0044
Lazaretto FZ, Santos CO, Millão LF. Medication errors in pediatrics: Evaluation of spontaneous reports in a pediatric hospital in Porto Alegre, RS, Brazil. Mundo Saúde. 2020;44(1):68-75. doi: https://doi.org/10.15343/0104-7809.202044068075
Azar C, Allué D, Valnet-Rabier MB, Chouchana L, Rocher F, Durand D, et al. Patterns of medication errors involving pediatric population reported to the French Medication Error Guichet. Pharm Pract (Granada). 2021;19(2):2360. doi: https://doi.org/10.18549/pharmpract.2021.2.2360
Liao Y, Liu X, Huang J, Chen Q, Li N, Zhou P. Insulin injection knowledge, attitude and behaviour of nurses: a cross-sectional study in Guangdong Province. Nurs Open. 2023;10(6):3754-65. doi: https://doi.org/10.1002/nop2.1633
Stefanowicz-Bielska A, Słomion M, Rąpała M. Knowledge of school nurses on the basic principles of type 1 diabetes mellitus self-control and treatment in children. Int J Environ Res Public Health. 2022;19(24):16576. doi: http://doi.org/10.3390/ijerph192416576
Alassaf A, Gharaibeh L, Abuna’meh L, Odeh R. Adequacy of knowledge of new medical graduates about diagnosis and management of children and adolescents with type 1 diabetes in a developing country. BMC Med Educ. 2023;23(1):234. doi: https://doi.org/10.1186/s12909-023-04234-z
Alkubati SA, Albagawi B, Alharbi TA, Alharbi HF, Alrasheeday AM, Llego J, et al. Nursing internship students’ knowledge regarding the care and management of people with diabetes: a multicenter cross-sectional study. Nurse Educ Today. 2023;129:105902. doi: https://doi.org/10.1016/j.nedt.2023.105902
Sousa Z, Neves MC, Carvalho D. Técnica de Administração de Insulina: uma prática sustentada em evidência científica. Rev Port Diabetes [Internet]. 2019 [cited Aug 5, 2024];14(3):120-8. Available from: http://www.revportdiabetes.com/wp-content/uploads/2019/11/RPD-Set-2019-Artigo-de-Revis%C3%A3o-p%C3%A1gs-120-128.pdf
Schlosser CN, Silva JLG, Andrade SN, Galindo Neto NM, Oliveira F, Lima MHM, et al. Nursing consultation for insulin use: construction and validity of a simulation scenario. Texto Contexto Enferm. 2023;32:e20230097. doi: https://dx.doi.org/10.1590/1980-265X-TCE-2023-0097pt
Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval Clin Pract. 2022;28(6):1037-49. doi: https://doi.org/10.1111/jep.13668
Alrabadi N, Shawagfeh S, Haddad R, Mukattash T, Abuhammad S, Al-rabadi D, et al. Medication errors: a focus on nursing practice. J Pharm Health Serv Res. 2021;12(1):78-86. doi: https://dx.doi.org/10.1093/jphsr/rmaa025
Lima MEF, Silva LT, Santo AE, Dias WLR, Silva JKC, Silva ABR, et al. Knowledge of the nursing staff about safety in emergency medication. Braz J Health Rev. 2021;4(6):25455-66. doi: https://doi.org/10.34119/bjhrv4n6-148
Lawler J, Cook R, Dosanj R, Trevatt P, Leary A. Examining the impact of diabetes inpatient specialist nursing in acute trusts in London. J Adv Nurs. 2021;77(10):4081-8. doi: https://dx.doi.org/10.1111/jan.14917
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Rev Rene
This work is licensed under a Creative Commons Attribution 4.0 International License.
