College of Nursing, University of Santo Tomas, España, Manila, Philippines.
Nurse Educ Today. 2013 Mar;33(3):222-8. doi: 10.1016/j.nedt.2012.01.001. Epub 2012 Feb 8.
Across medication error literature, much attention has been given to incidence, types, causes and prevention of medication errors. Despite these efforts, medication errors continue to occur among registered and student nurses. Considering the numerous studies on medication errors committed by registered nurses, little is known on the nature of student nurses' medication error. This study employed factor analysis and structural equation modeling to explore the factors affecting medication errors by student nurses. With the participation of 329 junior and senior student nurses recruited from a comprehensive university in the Philippines, five factor dimensions of the causes of student nurses' medication error were identified, namely: In-violation, In-writing, In-excess, In-experience and In-tension. Results of path analysis showed an interaction among these variables. Additionally, poor adherence to the "five rights" was identified as an important mediator between In-violation, In-writing, In-excess, In-experience and In-tension and student nurses' medication error. By developing a model to explain how student nurses' medication errors occur, this study sheds light on the nature of student nurses' medication error and provides a basis for error prevention strategies.
在药物错误文献中，人们已经对药物错误的发生率、类型、原因和预防措施给予了很多关注。尽管做出了这些努力，但注册护士和护生仍会发生药物错误。考虑到大量关于注册护士药物错误的研究，对于护生药物错误的性质却知之甚少。本研究采用因子分析和结构方程模型来探讨影响护生药物错误的因素。通过对来自菲律宾一所综合性大学的 329 名低年级和高年级护生的参与，确定了护生药物错误原因的五个因素维度，即：违规、书写错误、用药过量、经验不足和紧张。路径分析的结果表明，这些变量之间存在相互作用。此外，研究还发现，“五个正确”（即正确的药物、正确的剂量、正确的途径、正确的时间和正确的患者）的遵守情况不佳是违规、书写错误、用药过量、经验不足和紧张与护生药物错误之间的一个重要中介因素。通过建立一个解释护生药物错误发生的模型，本研究揭示了护生药物错误的性质，并为错误预防策略提供了基础。
