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Parenteral Nutrition Administration by Critical Care Nurses in Iran

A Performance Evaluation

Taherkhani, Atefeh MSc; Shahrokhi, Akram MSc; Barikani, Ameneh PhD; Rashvand, Farnoosh PhD

doi: 10.1097/NAN.0000000000000327

In Iran, nurses are responsible for administering parenteral nutrition (PN) to hospitalized patients in intensive care units (ICUs). However, little information is available among nurses in Iran regarding best practices in PN administration. This study evaluates the performance of critical care nurses in Iran in the administration of PN. The performance of 50 nurses in the administration of PN in the ICU was observed 3 times during a 5-month period for a total of 150 observations. A researcher-developed checklist, “Critical Care Nurses' Performance in Parenteral Nutrition Administration,” was used for data collection. The total score in this checklist ranged from 0 to 52. Based on the procedural steps in the checklist and whether the steps were performed appropriately, nurses' performance was scored as poor, moderate, or good. The mean score of nurses' performances in PN administration skills was 24.6 ± 2.5. This study found that 46 nurses had moderate skill levels in PN administration, and 3 demonstrated poor skills. Overall, the results indicated that critical care nurses in Iran have poor to moderate PN administration skills.

Qazvin University of Medical Sciences, Qazvin, Iran; student research committee (Ms Taherkhani); Social Determinants of Health Research Center and Department of Nursing, Faculty of Nursing and Midwifery (Ms Shahrokhi and Dr Rashvand); and Children Growth Research Center (Dr Barikani).

Atefeh Taherkhani, MSc, is a critical care nurse with more than 5 years' experience in several hospital wards and intensive care units.

Akram Shahrokhi, MSc, has been a faculty member at the Qazvin School of Nursing and Midwifery for more than 25 years. She conducts several research projects each year and teaches critical care nursing subject matter.

Ameneh Barikani, PhD, is an associate professor in community medicine at the Qazvin University of Medical Sciences. Dr Barikani specializes in research methodology and statistics.

Farnoosh Rashvand, PhD, is an assistant professor at the Qazvin School of Nursing and Midwifery. She supervises theses, conducts research, and teaches in the field of critical care nursing. Dr Rashvand specializes in patient safety.

Corresponding Author: Farnoosh Rashvand, PhD, Qazvin University of Medical Sciences, Department of Nursing, Faculty of Nursing and Midwifery, Shahid Bahonar Boulevard, Qazvin, Iran 3419759811 (;

The authors of this article have no conflicts of interest to disclose.

© Copyright 2019 by Infusion Nurses Society