American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: Editor-in-chief: Apply for this position
Open Access
Journal Browser
American Journal of Nursing Research. 2020, 8(3), 399-405
DOI: 10.12691/ajnr-8-3-10
Open AccessArticle

Effect of Implementing Guidelines Regarding Administering Inotropic Medications for Critically Ill Patients on Nurses' Knowledge

Mohamed Elsayed Ahmed Allawy1, , Wafaa Ismail Sherief2, Amal Bakr Abo El – Ata3 and Samia Gaballah4

1Master of Medical- Surgical Nursing, Faculty of Nursing, Suez Canal University

2Medical Surgical Nursing, Faculty of Nursing, Mansoura University

3Medical Surgical Nursing Faculty of Nursing Port Said University

4Medical Surgical Nursing, Faculty of Nursing Suez Canal University

Pub. Date: April 20, 2020

Cite this paper:
Mohamed Elsayed Ahmed Allawy, Wafaa Ismail Sherief, Amal Bakr Abo El – Ata and Samia Gaballah. Effect of Implementing Guidelines Regarding Administering Inotropic Medications for Critically Ill Patients on Nurses' Knowledge. American Journal of Nursing Research. 2020; 8(3):399-405. doi: 10.12691/ajnr-8-3-10


Background: There is no teaching guidelines denoted for improving the nurses' knowledge regarding inotropic medication administration, that emphasizes the intervention teaching guidelines necessity. Aim of the study: To assess the effect of intervention teaching guidelines regarding administering inotropic medications for critically ill patients on nurses' knowledge. Design: Quasi-experimental research design was used in the study. Setting: the present study was carried out at Critical Care Units. Sample: A convenient sample of all staff nurses (60 nurses). Tools of data collection: The data were collected using one tool titled nurses' knowledge assessment questionnaire. Results: 86.7% of studied nurses had satisfactory level of knowledge regarding inotropic medications post implementing teaching guidelines. The post and follow up-intervention mean knowledge was high 29.33, 29.40 respectively when compared with pre-intervention practice mean score 18.10 with P value < .001.

critically ill patients inotropic medications nurses' knowledge teaching guidelines

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Bennett, K. A., Robertson, L. C., & Al-Haddad, M. (2016). Recognizing the critically ill patient. Anaesthesia & Intensive Care Medicine, 17(1), 1-4.
[2]  Paim, A. E., Nascimento, E. R. P. d., Bertoncello, K. C. G., Sifroni, K. G., Salum, N. C., & Nascimento, K. C. d. (2017). Validation of an instrument regarding nursing intervention in patients in vasoactive therapy. Revista brasileira de enfermagem, 70(3), 453-460.
[3]  Sisan, M. m., Rayan, A., Elmorsy, S., Elyan, H., & Salahat, M. (2018). Knowledge regarding noncytotoxic medication extravasation among registered nurses working in western Saudi Arabia. Journal of Vascular Nursing, 36(1), 12-22.
[4]  Abusaad, E. F. E. S., & Etawy, E. A. (2015). Medication administration errors at Children’s University hospitals: nurses point of view. J Nur Health Sci, 4(1), 51-60.
[5]  Soheir, T. (2017). Effect of a clinical instructional intervention on nurses’ perception and practice toward medication errors. IOSR Journal of Nursing and Health Science (IOSR-JNHS.
[6]  Alemu, W., Belachew, T., & Yimam, I. (2017). Medication administration errors and contributing factors: A cross sectional study in two public hospitals in Southern Ethiopia. International Journal of Africa Nursing Sciences, 7(Supplement C), 68-74.
[7]  Allawy, M. E. A. (2017). Assessment of Nurses’ Performance Regarding Administration of Inotropic Medications for Critically Ill Patients. Un published master thesis, Faculty of nursing, Suez canal university.Egypt.PP:48
[8]  Frandsen, G., & Pennington, S. S. (2014). Abrams' clinical drug therapy: Rationales for nursing practice: Lippincott Williams & Wilkins. USA. Pp 444-45,453,494.
[9]  Kee, J. L., Hayes, E. R., & McCuistion, L. E. (2015). Pharmacology-E-Book: A Patient-Centered Nursing Process Approach: Elsevier Health Sciences, Canada. Pp 605-606.
[10]  Kizior, R. and Hodgson, B. (2016). Nursing Drug Handbook, 21th ed., St. Louis, Elsevier: Pp.391-393, 381-382, 437-439, 881-883
[11]  Lu, M.-C., Yu, S., Chen, I.-J., Wang, K.-W. K., Wu, H.-F., & Tang, F.-I. (2013). Nurses' knowledge of high-alert medications: a randomized controlled trial. Nurse education today, 33 (1), 24-30.
[12]  Parry, A. (2015). How to administer inotropic drugs. Nursing Standard, 30 (4), 36.
[13]  Skidmore-Roth, L. (2015).Mosby’s2015 Nursing Drug Reference, 28th Ed.,China: Elsevier Mosby, P.p360-371, 380-381, 391-393, 432-435, 861-867
[14]  Aboshaiqah, A. E. (2014). Nurses’ perception of medication administration errors. Am J Nurs Res, 2(4), 63-67.
[15]  Feleke, S. A., Mulatu, M. A., & Yesmaw, Y. S. (2015). Medication administration error: magnitude and associated factors among nurses in Ethiopia. BMC nursing, 14(1), 53.
[16]  Lamkhede, R. (2014). Effectiveness of planned teaching programme on knowledge of emergency drugs among staff nurses. Sinhgad e Journal of Nursing, 4(1), 38-41.
[17]  Ltheeth, H., & Abbas, S. (2017). Effectiveness of an Educational Program on Nurses' Knowledge Concerning Medication Error at Teaching Hospital in AL-Nasiriyah City. International Journal of Science and Research (IJSR), 6.
[18]  Ayorinde, M. O., & Alabi, P. I. (2019). Perception and contributing factors to medication administration errors among nurses in Nigeria. International Journal of Africa Nursing Sciences, 11, 100153.
[19]  Marzouk Faltas, S., & Fathy, S. (2017). High Alert Medications: Effect of Nursing Guidelines on Internship Nursing Students' Performance.
[20]  Chun, B., & Heo, H. J. (2018). The effect of flipped learning on academic performance as an innovative method for overcoming ebbinghaus' forgetting curve. Paper presented at the Proceedings of the 6th International Conference on Information and Education Technology.