Hung Chang-Chiao, Chu Tsui-Ping, Lee Bih-O, Hsiao Chia-Chi
Nursing Department, Chronic Diseases and Health Promotion Research Center, ChiaYi Campus, Chang Gung University of Science and Technology, Chiayi, Taiwan.
Department of Nursing, ChiaYi Chang Gung Memorial Hospital, Chiayi, Taiwan.
J Clin Nurs. 2016 Feb;25(3-4):445-53. doi: 10.1111/jocn.13071. Epub 2015 Oct 29.
The Aims of this study were to explore the effects of nurses' attitudes and intentions regarding medication administration error reporting on actual reporting behaviours.
Underreporting of medication errors is still a common occurrence. Whether attitude and intention towards medication administration error reporting connect to actual reporting behaviours remain unclear.
This study used a cross-sectional design with self-administered questionnaires, and the theory of planned behaviour was used as the framework for this study.
A total of 596 staff nurses who worked in general wards and intensive care units in a hospital were invited to participate in this study. The researchers used the instruments measuring nurses' attitude, nurse managers' and co-workers' attitude, report control, and nurses' intention to predict nurses' actual reporting behaviours. Data were collected from September-November 2013. Path analyses were used to examine the hypothesized model.
Of the 596 nurses invited to participate, 548 (92%) completed and returned a valid questionnaire. The findings indicated that nurse managers' and co-workers' attitudes are predictors for nurses' attitudes towards medication administration error reporting. Nurses' attitudes also influenced their intention to report medication administration errors; however, no connection was found between intention and actual reporting behaviour.
The findings reflected links among colleague perspectives, nurses' attitudes, and intention to report medication administration errors. The researchers suggest that hospitals should increase nurses' awareness and recognition of error occurrence.
Regardless of nurse managers' and co-workers' attitudes towards medication administration error reporting, nurses are likely to report medication administration errors if they detect them. Management of medication administration errors should focus on increasing nurses' awareness and recognition of error occurrence.
本研究旨在探讨护士对用药错误报告的态度和意愿对实际报告行为的影响。
用药错误报告不足仍是常见现象。用药错误报告的态度和意愿与实际报告行为之间是否存在关联尚不清楚。
本研究采用横断面设计，通过自填式问卷进行调查，并以计划行为理论作为研究框架。
邀请了一家医院普通病房和重症监护病房的596名注册护士参与本研究。研究人员使用测量护士态度、护士长和同事态度、报告控制以及护士报告意愿的工具来预测护士的实际报告行为。数据于2013年9月至11月收集。采用路径分析检验假设模型。
在邀请参与的596名护士中，548名（92%）完成并返回了有效问卷。研究结果表明，护士长和同事的态度是护士对用药错误报告态度的预测因素。护士的态度也影响了他们报告用药错误的意愿；然而，未发现意愿与实际报告行为之间存在关联。
研究结果反映了同事观点、护士态度以及报告用药错误意愿之间的联系。研究人员建议医院应提高护士对错误发生的认识和认知。
无论护士长和同事对用药错误报告的态度如何，如果护士发现用药错误，他们很可能会报告。用药错误管理应侧重于提高护士对错误发生的认识和认知。
