巴勒斯坦护士对高警示药品管理与监管的认知：一项横断面研究。
Knowledge about the administration and regulation of high alert medications among nurses in Palestine: a cross-sectional study.
作者信息
Zyoud Sa'ed H, Khaled Samar M, Kawasmi Baraa M, Habeba Ahed M, Hamadneh Ayat T, Anabosi Hanan H, Fadel Asma'a Bani, Sweileh Waleed M, Awang Rahmat, Al-Jabi Samah W
机构信息
1Poison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839 Palestine.
2Division of Clinical and Community Pharmacy, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839 Palestine.
出版信息
BMC Nurs. 2019 Mar 20;18:11. doi: 10.1186/s12912-019-0336-0. eCollection 2019.
BACKGROUND
Medication errors (MEs) are unintended failures in the drug treatment process that can occur during prescription, dispensing, storing, preparation or administration of medications. High alert medications (HAMs) are defined as those medications that bear the highest risk of causing significant patient harm when used incorrectly, either due to their serious adverse events or to a narrow therapeutic window. Nurses are responsible for administration of HAMs; incorrect administration can have a significant clinical outcome. This study aimed to assess the level of knowledge of HAMs among nurses in government hospitals in West Bank, Palestine.
METHODS
A cross-sectional study was conducted in 2015, in West Bank, Palestine. Data were collected via a face to face interview questionnaire, which was taken from a previous study. Data were collected by convenient sampling. The questionnaire consisted of four parts: demographic characteristics of the nurses, drug administration knowledge (10 true-false questions), drug regulation knowledge (10 true-false questions), and self-evaluation.
RESULTS
A total of 280 nurses participated in the study; these nurses were working in the emergency room (ER), intensive care unit (ICU), paediatric or medical ward. The response rate was 93%. Nurses were found to have insufficient knowledge about HAMs; 67.1% of participants had a score of less than 70%, with a mean total score of 59.9 ± 15.1. Factors associated with sufficient knowledge among nurses were HAMs training and ICU training, both with -values of 0.002. Nurses with a master degree, those working in the ICU ward, head nurses, and male nurses were the most knowledgeable groups, with a p-values < 0.001. 81.8% of respondents hoped to obtain additional training. The leading obstacles reported were inconsistent opinions between doctors and nurses (37.9%), and no established standard operating procedure for HAMs (37.1%).
CONCLUSIONS
Lack of knowledge was one of the obstacles that nurses encountered during administration of HAMs which might result in MEs. Nurses reported that they would like to have additional training to update their pharmacology knowledge. Nurses could benefit from additional continuing education and training programs.
背景
用药错误（MEs）是指在药物治疗过程中发生的意外失误，可发生在处方、配药、储存、制剂或给药过程中。高警示药品（HAMs）是指那些因严重不良事件或治疗窗狭窄，使用不当会对患者造成重大伤害风险最高的药物。护士负责高警示药品的给药；给药不当会产生重大临床后果。本研究旨在评估巴勒斯坦约旦河西岸政府医院护士对高警示药品的知识水平。
方法
2015年在巴勒斯坦约旦河西岸进行了一项横断面研究。数据通过面对面访谈问卷收集，该问卷取自先前的一项研究。通过方便抽样收集数据。问卷包括四个部分：护士的人口统计学特征、给药知识（10道是非题）、药品监管知识（10道是非题）和自我评估。
结果
共有280名护士参与了该研究；这些护士在急诊室（ER）、重症监护病房（ICU）、儿科或内科病房工作。应答率为93%。发现护士对高警示药品的知识不足；67.1%的参与者得分低于70%，平均总分59.9±15.1。与护士具备充分知识相关的因素是高警示药品培训和重症监护病房培训，两者的P值均为0.002。拥有硕士学位的护士、在重症监护病房工作的护士、护士长和男护士是知识最丰富的群体，P值<0.001。81.8%的受访者希望获得额外培训。报告的主要障碍是医生和护士之间意见不一致（37.9%），以及没有既定的高警示药品标准操作规程（37.1%）。
结论
知识缺乏是护士在高警示药品给药过程中遇到的障碍之一，这可能导致用药错误。护士报告说他们希望接受额外培训以更新药理学知识。护士可以从额外的继续教育和培训项目中受益。
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