Rezaiamin Abdoolkarim, Pazokian Marzieh, Zagheri Tafreshi Mansoureh, Nasiri Malihe
1 Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Clin Nurs Res. 2018 Jul;27(6):660-674. doi: 10.1177/1054773817707290. Epub 2017 May 16.
Incidence of medication errors in intensive care unit (ICU) can cause irreparable damage for ICU patients. Therefore, it seems necessary to find the causes of medication errors in this section. Work commitment and dynamic might affect the incidence of medication errors in ICU. To assess the mentioned hypothesis, we performed a descriptive-analytical study which was carried out on 117 nurses working in ICU of educational hospitals in Tehran. Minick et al., Salyer et al., and Wakefield et al. scales were used for data gathering on work commitment, dynamic, and medication errors, respectively. Findings of the current study revealed that high work commitment in ICU nurses caused low number of medication errors, including intravenous and nonintravenous. We controlled the effects of confounding variables in detection of this relationship. In contrast, no significant association was found between work dynamic and different types of medication errors. Although the study did not observe any relationship between the dynamics and rate of medication errors, the training of nurses or nursing students to create a dynamic environment in hospitals can increase their interest in the profession and increase job satisfaction in them. Also they must have enough ability in work dynamic so that they don't confused and distracted result in frequent changes of orders, care plans, and procedures.
重症监护病房（ICU）用药错误的发生率可能会给ICU患者造成无法弥补的损害。因此，找出该科室用药错误的原因似乎很有必要。工作投入和活力可能会影响ICU用药错误的发生率。为了评估上述假设，我们进行了一项描述性分析研究，该研究针对在德黑兰教学医院ICU工作的117名护士展开。分别使用米尼克等人、萨利耶等人以及韦克菲尔德等人的量表来收集关于工作投入、活力和用药错误的数据。当前研究的结果显示，ICU护士的高工作投入导致了包括静脉用药和非静脉用药在内的用药错误数量减少。我们在检测这种关系时控制了混杂变量的影响。相比之下，未发现工作活力与不同类型用药错误之间存在显著关联。尽管该研究未观察到活力与用药错误发生率之间存在任何关系，但对护士或护生进行培训以在医院营造充满活力的环境，可以提高他们对该职业的兴趣并提升他们的工作满意度。此外，他们在工作活力方面必须具备足够的能力，以免因频繁更改医嘱、护理计划和程序而感到困惑和分心。
