Methodological Study to Develop Standard Operational Protocol on Intramuscular (IM), Intradermal (ID) and Subcutaneous Drug Administration for Children

Introduction: Medicine administration is a major role played by registered nurses. Medicines are prescribed by the physician and dispensed by the pharmacist but responsibility for meticulous administration rests with the registered nurse. It becomes even more important when drugs are to be administe...

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Main Authors: Sunil Kumar Bijarania, Sushma Kumari Saini, Sanjay Verma, Sukhwinder Kaur
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2017-10-01
Series:Indian Journal of Neonatal Medicine and Research
Subjects:
Online Access:http://www.ijnmr.net/articles/PDF/2215/27405_CE(VSU)_F(AK)_PF1(VSU_GG)_PFA(VSU_GG)_PF2(VSU_GG).pdf
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author Sunil Kumar Bijarania
Sushma Kumari Saini
Sanjay Verma
Sukhwinder Kaur
author_facet Sunil Kumar Bijarania
Sushma Kumari Saini
Sanjay Verma
Sukhwinder Kaur
author_sort Sunil Kumar Bijarania
collection DOAJ
description Introduction: Medicine administration is a major role played by registered nurses. Medicines are prescribed by the physician and dispensed by the pharmacist but responsibility for meticulous administration rests with the registered nurse. It becomes even more important when drugs are to be administered to children. Drug administration via Intramuscular (IM), Intradermal (ID) and Subcutaneous route is a complex process. Errors are associated with medicine administration. Aim: The objective of this study was to develop Standard Operational Protocol (SOP) for IM, ID and Subcutaneous drug administration and checklist to assess the implementation of the developed SOP. Materials and Methods: A methodological research design adapted to carry out the present study to develop standard operational protocol for IM, ID and subcutaneous drug administration for children, admitted in Advanced Paediatric Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India. The study included 58 bedside nurses and 90 observations of medicine administration procedure. Results: The Content Validity Index (CVI) was prepared to assess the validity of content (items) of SOPs and checklists. Over all Cronbach's-alpha values was calculated to assess the internal consistency of Items in SOPs and checklists. CVI of SOP and checklists were 98.51%, 97.83% and 99.03%. Over all Cronbach'salpha values were calculated 0.96, 0.82 and 0.95. All the nurses felt that SOPs are useful. Conclusion: Valid and feasible SOPs for drug administration in children along with valid and reliable checklists were developed. It is recommended to use this document for drug administration in children to prevent any possible error during drug administration to children.
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spelling doaj.art-bc66d2501fad4c34ae62288207a07b642022-12-21T21:18:34ZengJCDR Research and Publications Pvt. Ltd.Indian Journal of Neonatal Medicine and Research2277-85272455-68902017-10-0154PO01PO1010.7860 IJNMR/2017/27405.221525196Methodological Study to Develop Standard Operational Protocol on Intramuscular (IM), Intradermal (ID) and Subcutaneous Drug Administration for ChildrenSunil Kumar Bijarania0Sushma Kumari Saini1Sanjay Verma2Sukhwinder Kaur3Nursing Officer, Department of Neonatology, PGIMER, Chandigarh, India.Lecturer, Department of Community Health Nursing, NINE, PGIMER, Chandigarh, India.Associate Professor, Department of Paediatric Medicine, PGIMER, Chandigarh, India.Lecturer, Department of Child Health Nursing, NINE, PGIMER, Chandigarh, India.Introduction: Medicine administration is a major role played by registered nurses. Medicines are prescribed by the physician and dispensed by the pharmacist but responsibility for meticulous administration rests with the registered nurse. It becomes even more important when drugs are to be administered to children. Drug administration via Intramuscular (IM), Intradermal (ID) and Subcutaneous route is a complex process. Errors are associated with medicine administration. Aim: The objective of this study was to develop Standard Operational Protocol (SOP) for IM, ID and Subcutaneous drug administration and checklist to assess the implementation of the developed SOP. Materials and Methods: A methodological research design adapted to carry out the present study to develop standard operational protocol for IM, ID and subcutaneous drug administration for children, admitted in Advanced Paediatric Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India. The study included 58 bedside nurses and 90 observations of medicine administration procedure. Results: The Content Validity Index (CVI) was prepared to assess the validity of content (items) of SOPs and checklists. Over all Cronbach's-alpha values was calculated to assess the internal consistency of Items in SOPs and checklists. CVI of SOP and checklists were 98.51%, 97.83% and 99.03%. Over all Cronbach'salpha values were calculated 0.96, 0.82 and 0.95. All the nurses felt that SOPs are useful. Conclusion: Valid and feasible SOPs for drug administration in children along with valid and reliable checklists were developed. It is recommended to use this document for drug administration in children to prevent any possible error during drug administration to children.http://www.ijnmr.net/articles/PDF/2215/27405_CE(VSU)_F(AK)_PF1(VSU_GG)_PFA(VSU_GG)_PF2(VSU_GG).pdfContent validity indexDelphi-techniqueNurse
spellingShingle Sunil Kumar Bijarania
Sushma Kumari Saini
Sanjay Verma
Sukhwinder Kaur
Methodological Study to Develop Standard Operational Protocol on Intramuscular (IM), Intradermal (ID) and Subcutaneous Drug Administration for Children
Indian Journal of Neonatal Medicine and Research
Content validity index
Delphi-technique
Nurse
title Methodological Study to Develop Standard Operational Protocol on Intramuscular (IM), Intradermal (ID) and Subcutaneous Drug Administration for Children
title_full Methodological Study to Develop Standard Operational Protocol on Intramuscular (IM), Intradermal (ID) and Subcutaneous Drug Administration for Children
title_fullStr Methodological Study to Develop Standard Operational Protocol on Intramuscular (IM), Intradermal (ID) and Subcutaneous Drug Administration for Children
title_full_unstemmed Methodological Study to Develop Standard Operational Protocol on Intramuscular (IM), Intradermal (ID) and Subcutaneous Drug Administration for Children
title_short Methodological Study to Develop Standard Operational Protocol on Intramuscular (IM), Intradermal (ID) and Subcutaneous Drug Administration for Children
title_sort methodological study to develop standard operational protocol on intramuscular im intradermal id and subcutaneous drug administration for children
topic Content validity index
Delphi-technique
Nurse
url http://www.ijnmr.net/articles/PDF/2215/27405_CE(VSU)_F(AK)_PF1(VSU_GG)_PFA(VSU_GG)_PF2(VSU_GG).pdf
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