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与医院环境中静脉药物配制和给药相关的用药错误因素。

Factors related to medication errors in the preparation and administration of intravenous medication in the hospital environment.

机构信息

Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, Almería, Spain.

Research Group for Health Sciences, University of Almería, Almería Spain.

出版信息

PLoS One. 2019 Jul 24;14(7):e0220001. doi: 10.1371/journal.pone.0220001. eCollection 2019.

DOI:10.1371/journal.pone.0220001
PMID:31339914
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6655641/
Abstract

BACKGROUND

Medication errors have long been associated with low-quality medical care services and significant additional medical costs.

OBJECTIVE

The aim of this study was to culturally adapt and validate the questionnaire on knowledge, attitudes and behaviors in the administration of intravenous medication, as well as to explore these factors in a hospital setting.

METHODS

The study was divided into two phases: 1) validation and cross-cultural adaptation, and 2) cross-sectional study. A total of 276 hospital-based nursing professionals participated in the study.

RESULTS

A Cronbach's alpha value of 0.849 was found, indicating good internal consistency. In the multivariate analysis, statistically significant differences were found between knowledge and attitudes, demonstrating that having greater suitable knowledge correlates with having a more positive attitude. It was also discovered that having a positive attitude as well as the necessary knowledge increases the possibility of engaging in adequate behaviors.

CONCLUSIONS

The knowledge, attitudes and behavior questionnaire has a satisfactory internal consistency in order to be applied to the Spanish context. Implications for nursing management: Knowledge acquisition and positive attitude are both factors which promote adequate behavior, which in turn seems to have an impact on medication errors prevention. Health institutions must encourage continuous education for their employees.

摘要

背景

用药错误长期以来一直与低质量的医疗服务和显著增加的医疗费用有关。

目的

本研究旨在对静脉给药知识、态度和行为问卷进行文化调适和验证,并在医院环境中探讨这些因素。

方法

该研究分为两个阶段:1)验证和跨文化调适,2)横断面研究。共有 276 名医院护理专业人员参与了这项研究。

结果

Cronbach's alpha 值为 0.849,表明内部一致性良好。在多变量分析中,知识和态度之间存在统计学上的显著差异,表明拥有更多合适的知识与更积极的态度相关。还发现,积极的态度和必要的知识增加了采取适当行为的可能性。

结论

知识、态度和行为问卷在西班牙环境中具有令人满意的内部一致性。对护理管理的意义:知识的获取和积极的态度都是促进适当行为的因素,而适当的行为似乎又会影响用药错误的预防。卫生机构必须鼓励其员工接受持续教育。

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