Time–Motion Analysis of Nurses Utilizing Insulin Pen Devices Compared to Vial and Syringe in an Inpatient Setting

Autor: Dao Ngo, Joan Burtner, Samuel K. Peasah, Bobby C. Jacob, Laura Moody, Laura P. Kimble, Gina J. Ryan, Angela O Shogbon-Nwaesei
Rok vydání: 2017
Předmět:
Zdroj: Journal of Pharmacy Practice. 32:126-131
ISSN: 1531-1937
0897-1900
Popis: Objective: To compare the time taken and steps completed by nurses in the process of insulin preparation and administration using the pen device compared to the vial and syringe method. Methods: Observational and exploratory study utilizing a time–motion analysis of nurses’ administration of insulin using the pen versus vial and syringe delivery methods. Nurses were observed, video-recorded, and timed during insulin preparation and administration using each delivery method. The steps performed by nurses were observed against recommended processes for preparing and administering insulin, and the percentage of nurses completing each step was noted. Results: A total of 137 (94%) nurses participated. Nurses took less time preparing and administering insulin with the pen device compared with the vial and syringe method (79 ± 18 seconds vs 88 ± 20 seconds, respectively, P < .001). The overall average completion rate of steps with the pen device was 90% ± 7% compared to 88% ± 7% with the vial and syringe method. Conclusion: The time taken by nurses to prepare and administer insulin was lower with the pen device compared with vial and syringe. Furthermore, areas were identified for potential nursing education to enhance safe and appropriate use of insulin with both delivery methods.
Databáze: OpenAIRE