Smeulers Marian, Onderwater Astrid T, van Zwieten Myra C B, Vermeulen Hester
Department of Quality and Process Innovation (KPI), Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
J Nurs Manag. 2014 Apr;22(3):276-85. doi: 10.1111/jonm.12225. Epub 2014 Mar 18.
To explore nurses' experiences with and perspectives on preventing medication administration errors.
Insight into nurses' experiences with and perspectives on preventing medication administration errors is important and can be utilised to tailor and implement safety practices.
A qualitative interview study of 20 nurses in an academic medical centre was conducted between March and December of 2011.
Three themes emerged from this study: (1) nurses' roles and responsibilities in medication safety: aside from safe preparation and administration, the clinical reasoning of nurses is essential for medication safety; (2) nurses' ability to work safely: knowledge of risks and nurses' work circumstances influence their ability to work safely; and (3) nurses' acceptance of safety practices: advantages, feasibility and appropriateness are important incentives for acceptance of a safety practice.
Nurses' experiences coincide with the assumption that they are in a pre-eminent position to enable safe medication management; however, their ability to adequately perform this role depends on sufficient knowledge to assess the risks of medication administration and on the circumstances in which they work.
Safe medication management requires a learning climate and professional practice environment that enables further development of professional nursing skills and knowledge.
探讨护士在预防用药错误方面的经历和观点。
深入了解护士在预防用药错误方面的经历和观点很重要，可用于制定和实施安全措施。
2011年3月至12月间，对一家学术医疗中心的20名护士进行了定性访谈研究。
本研究得出三个主题：（1）护士在用药安全中的角色和职责：除了安全的调配和给药外，护士的临床推理对用药安全至关重要；（2）护士安全工作的能力：对风险的了解和护士的工作环境影响其安全工作的能力；（3）护士对安全措施的接受度：优势、可行性和适宜性是接受安全措施的重要激励因素。
护士的经历与她们处于确保安全用药管理的卓越地位这一假设相符；然而，她们充分履行这一角色的能力取决于评估用药风险的足够知识以及她们的工作环境。
安全用药管理需要一个学习氛围和专业实践环境，以促进专业护理技能和知识的进一步发展。
