Tri-service General Hospital, Taipei, Taiwan.
Nurse Educ Today. 2013 Jan;33(1):24-30. doi: 10.1016/j.nedt.2011.11.018. Epub 2011 Dec 15.
This study explores the effectiveness of an educational intervention on nurses' knowledge regarding the administration of high-alert medications.
Nurses' insufficient knowledge is considered to be one of the most significant factors contributing to medication errors. Most medication errors cause no harm to patients, but the incorrect administration of high-alert medications can result in serious consequences. A previous study by the same authors validated 20 true/false questions concerning high-alert medications and suggested that the topic be taught to nurses (Hsaio, et al., 2010. Nurses' knowledge of high-alert medications: Instrument development and validation. Journal of Advanced Nursing, 66(1), 177-199.).
A randomized controlled trial was employed in 2009 in Taiwan. Twenty-one hospital wards and 232 nurses were randomized to control and intervention groups. The sixty-minute educational intervention was based on the viewing of a Powerpoint file developed for this study. The results were compared pre-intervention and six weeks post-intervention by means of a test comprising the 20 questions regarding high-alert medications.
The pre-intervention baseline data for correct answer rate was 75.8% (mean; n=232). After the intervention, the post-test showed significant improvement in the intervention group (n=113) (pre vs. post; 77.2±15.5 vs. 94.7±7.6; paired t=10.82, p<0.0001) but not in the control group (n=112) (pre vs. post; 74.3±14.7 vs. 75.5±14.2; paired t=0.60; p=0.247).
Educational intervention appears to be effective in strengthening nurses' knowledge of high-alert medications. The Powerpoint file presented teaching material which is both suitable and feasible for hospital-based continuing education.
本研究探讨了一项教育干预措施对护士掌握高警示药物管理知识的效果。
护士知识不足被认为是导致用药错误的最重要因素之一。大多数用药错误不会对患者造成伤害，但高警示药物的错误给药可能会导致严重后果。同一作者的先前研究验证了 20 个关于高警示药物的真假判断题，并建议向护士教授该主题（Hsaio 等人，2010 年。护士对高警示药物的知识：工具的开发和验证。高级护理杂志，66(1)，177-199.）。
2009 年在台湾进行了一项随机对照试验。21 个病房和 232 名护士被随机分配到对照组和干预组。60 分钟的教育干预措施是基于观看为这项研究开发的 PowerPoint 文件。通过包含 20 个高警示药物问题的测试，在干预前和干预后六周比较结果。
正确答案率的干预前基线数据为 75.8%（平均值；n=232）。干预后，干预组（n=113）的后测显示出显著改善（前 vs. 后；77.2±15.5 vs. 94.7±7.6；配对 t=10.82，p<0.0001），但对照组（n=112）没有改善（前 vs. 后；74.3±14.7 vs. 75.5±14.2；配对 t=0.60；p=0.247）。
教育干预似乎可以有效加强护士对高警示药物的知识。PowerPoint 文件提供了适合医院继续教育的教学材料。
