Luk Leung Andrew, Ng Wai I Milly, Ko Kam Ki Stanley, Ung Vai Ha
Kiang Wu Nursing College of Macau, Macau, China.
Nurs Ethics. 2008 Jan;15(1):28-39. doi: 10.1177/0969733007083932.
Medication error is the most common and consistent type of error occurring in hospitals. This article attempts to explore the ethical issues relating to the nursing management of medication errors in clinical areas in Macau, China. A qualitative approach was adopted. Seven registered nurses who were involved in medication errors were recruited for in-depth interviews. The interviews were transcribed and analyzed using content analysis. Regarding the management of patients, the nurses acknowledged the mistakes but did not disclose the incidents to patients and relatives. Concerning management of the nurses involved by senior staff, most participants experienced fairness, comfort and understanding during the process of reporting and investigation. The ethical issues relating to the incidents were discussed, particularly in the Chinese context. There is a need for further study relating to the disclosure of medication incidents to patients and some suggestions were made.
用药错误是医院中最常见且持续存在的错误类型。本文旨在探讨中国澳门临床领域用药错误护理管理相关的伦理问题。采用了定性研究方法。招募了七名涉及用药错误的注册护士进行深入访谈。对访谈内容进行转录并采用内容分析法进行分析。在患者管理方面,护士承认了错误,但未向患者及其亲属披露事件。关于高级 staff 对涉事护士的管理,大多数参与者在报告和调查过程中感受到了公平、安慰和理解。讨论了与这些事件相关的伦理问题,特别是在中国背景下。有必要进一步研究向患者披露用药事件的问题,并提出了一些建议。