ABSTRACT
Background
Medication administration by nurses is a complex task requiring multiple steps to
ensure patient safety. A medication administration evaluation and feedback tool (MAEFT)
incorporating self-assessment, direct observation, and feedback has been developed
and tested previously for reliability.
Aim
To describe nurses’ medication administration practice when followed up with self
and peer evaluation and feedback using the MAEFT.
Methods
Four nurse evaluators were trained to use the MAEFT. Twenty-eight nurses participated
in the study to be observed administering medications in the clinical setting. The
initial observations were conducted over four weeks, with follow-up four months later.
The MAEFT contains 22 criteria, against which the nurses were evaluated. For each
criterion, an evaluation of whether it was performed (“yes” or “no”) was made. The
overall score was calculated as a percentage of the number of criteria performed.
Findings
There was a high standard of criteria performed, with median overall observer scores
of 95% at time 1 and 94% at time 2. Criteria not performed demonstrated 71 potential medication errors at time point 1, with only 33 at time point 2.
Discussion
There was no difference in nurses’ practice using the MAEFT when followed up, but
there was no baseline control to determine the current practice before using the MAEFT.
However, there was a reduction in the number of medication errors.
Conclusion
Nurses’ medication administration practice standards remained high when followed up
with self and peer evaluation and feedback using the MAEFT. More criteria were checked
during the follow-up evaluation.
Keywords
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Article info
Publication history
Published online: March 01, 2023
Accepted:
December 11,
2022
Received in revised form:
October 24,
2022
Received:
August 1,
2022
Identification
Copyright
Crown Copyright © 2022 Published by Elsevier Ltd on behalf of Australian College of Nursing Ltd.
