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一项针对养老院护士进行用药管理及差错教育的质量改进项目的成果

Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes.

作者信息

Tenhunen Monica L, Tanner Elizabeth K, Dahlen Rebecca

出版信息

J Contin Educ Nurs. 2014 Jul;45(7):306-11. doi: 10.3928/00220124-20140528-02. Epub 2014 May 28.

DOI:10.3928/00220124-20140528-02
PMID:24877549
Abstract

BACKGROUND

The Institute of Medicine has provided recommendations for preventing medication errors in nursing homes that include nursing education. Support for education on medication administration is derived from evidence, primarily in settings other than nursing homes. This quality improvement project implemented an educational program for licensed nurses to increase knowledge of medication administration and to decrease medication-related errors.

METHOD

A descriptive study of 72 licensed nurses in two nursing homes was used for this project. Medication resources were provided at nursing stations in both facilities. Licensed nurses took a pretest and then watched a 35-minute education presentation. One month later, they took a posttest.

RESULTS

Percentage scores on the tests were calculated. Paired t tests demonstrated an increase in nursing knowledge in one facility (p = 0.04) and no significant increase in nursing knowledge in the second.

CONCLUSION

Mandatory participation by all staff members who administer medications would increase participation in the project. Multiple factors influence knowledge and medication administration in nursing homes and need further study.

摘要

背景

美国医学研究所已针对疗养院预防用药错误提出了包括护理教育在内的建议。对用药管理教育的支持来源于证据,主要是在疗养院以外的环境中。这个质量改进项目为执业护士实施了一个教育项目,以增加用药管理知识并减少与用药相关的错误。

方法

本项目对两家疗养院的72名执业护士进行了描述性研究。在两家机构的护理站都提供了用药资源。执业护士先进行了一次预测试,然后观看了一场35分钟的教育演示。一个月后,他们进行了一次后测试。

结果

计算了测试的百分比分数。配对t检验表明,在一个机构中护理知识有所增加(p = 0.04),而在第二个机构中护理知识没有显著增加。

结论

所有给药工作人员的强制参与将增加项目的参与度。多种因素影响疗养院的知识和用药管理,需要进一步研究。

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