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重症监护病房中的用药错误:护士的培训需求

Medication errors in intensive care units: nurses' training needs.

作者信息

Di Simone Emanuele, Tartaglini Daniela, Fiorini Simona, Petriglieri Simona, Plocco Carolina, Di Muzio Marco

机构信息

Department of public health and infectious diseases, Sapienza University of Rome, Italy.

University Campus Bio-Medico, Rome, Italy.

出版信息

Emerg Nurse. 2016 Jul 6;24(4):24-9. doi: 10.7748/en.2016.11577.

Abstract

AIM

To describe which elements of nurses' knowledge, training, behaviour and attitude can prevent errors in intensive care units during all steps of the administration of intravenous medication.

METHOD

An anonymous questionnaire made up of 43 items was drafted and delivered to a sample of 123 nurses at 2 university hospitals in Rome.

RESULTS

The majority of the sample (96.7%) stated that topics related to the preparation and administration of intravenous medications were covered during the basic nursing course. Just over 95% of the sample considered it important to improve their knowledge about preparation and administration of intravenous medications; 94.3% said that teaching about the use of intravenous medications should be enhanced during the degree course they attended and 91.1% agreed that specific postgraduate courses should be set up on the use of intravenous drugs.

CONCLUSION

Pharmacological knowledge is a prerequisite for the proper administration of drugs and for the clinical evaluation of the effects on the patient. This knowledge implies the understanding of the theoretical and clinical principles of pharmacology, the ability to contextualise medication management according to the complex and changing needs of patients, and it also includes the appropriate skills of drug administration.

摘要

目的

描述护士的知识、培训、行为和态度中的哪些要素能够在静脉用药管理的各个环节预防重症监护病房中的差错。

方法

起草一份由43个项目组成的匿名问卷,并将其发放给罗马2所大学医院的123名护士样本。

结果

大部分样本(96.7%)表示基础护理课程涵盖了与静脉用药配制和给药相关的主题。略超95%的样本认为提高他们关于静脉用药配制和给药的知识很重要;94.3%表示在他们所参加的学位课程中应加强关于静脉用药使用的教学,91.1%同意应开设关于静脉用药使用的特定研究生课程。

结论

药理学知识是正确给药以及对患者用药效果进行临床评估的先决条件。这种知识意味着理解药理学的理论和临床原理,根据患者复杂多变的需求将用药管理情境化的能力,并且还包括适当的给药技能。

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