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Virginia Henderson International Nursing e-Repository > Registry of Nursing Research Conference Abstracts > ENRS - Eastern Nursing Research Society > The Impact of a Mobile Medication Cart on the Medication Delivery Process

Please use this identifier to cite or link to this item: http://hdl.handle.net/10755/163131
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Category: Abstract
Type: Presentation
Title: The Impact of a Mobile Medication Cart on the Medication Delivery Process
Author(s): Lavin, Marjorie
Sierzega Sierzega, Gina
Pucklavage, David
Kleinbach, Dale
Gogal, Christina
Yanchunas, Sean
Bokovoy, Joanna
Author Details: Marjorie Lavin, RN, MS, CNRN, Lehigh Valley Hospital and Health Network, Allentown, Pennsylvania, USA, email: marjorie.lavin@lvh.com; Gina Sierzega Sierzega, MA; David Pucklavage, RN, BSN, CPM, SM; Dale Kleinbach, RN, MHA; Christina Gogal, BS; Sean Yanchunas, Pharm-D; Joanna Bokovoy, RN, DrPH
Abstract: Purpose: A collaborative team conducted a study to understand the workflow impact of the implementation of Rubbermaid? Medication Solutions' Mobile Medication Stations (RMSMMS) at a tertiary care, Magnet designated hospital. Theoretical Framework: This study was based on the Activity Theory mediation principle, which describes how activity is mediated by tools, rules, and divisions of labor. Methods (Design, Sample, Setting, Measures, Analysis): This medication cart comparison study was a prospective, case-controlled study comparing frequency of medication cart activities using RMSMMS and the standard medication cart (an Ergotron cart). The team used a convenience sample of 20 matched morning medication delivery nursing occurrences in a transitional open heart unit (TOHU). Prior to the study, four focus groups were conducted to better understand nurses' perceptions of the medication delivery process. Five medication delivery activity themes were chosen from focus group data and a validated observation tool was developed. Observations were conducted over a two-week period when team members collected demographic and medication activity related to medication cart usage. Two observers conducted observations on TOHU during morning medication administration; one observed a nurse with a RMSMMS and one observed a nurse with an Ergotron cart. Observations began with the nurse's cart selection and ended when the nurse completed medication delivery. Observations focused on medication preparation, gathering supplies, gathering medications, medication administration, and documentation. Team members used SPSS software to analyze data. Results: Focus group comments were themed by study team, with a Kappa = 0.98, indicating a high level of agreement among the team. Observation study results showed a significant difference (p = 0.021) between RMSMMS and Ergotron carts for the number of trips to the medication room. Conclusions and Implications: RMSMMS proved to be superior in qualitative and quantitative project phases by providing concrete data reflecting improved medication delivery efficiency and significantly decreasing trips to the medication room.
Repository Posting Date: 27-Oct-2011
Date of Publication: 27-Oct-2011
Conference Date: 2007
Conference Name: 19th Annual Scientific Sessions
Conference Host: Eastern Nursing Research Society
Conference Location: Providence, Rhode Island, USA
Description: Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note: This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.
Appears in Collections: ENRS - Eastern Nursing Research Society

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