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药物错误鼓励培训:一项准实验研究。

Medication error encouragement training: A quasi-experimental study.

机构信息

Department of Nursing, Hannam University, Daejeon, South Korea.

Department of Nursing, Hannam University, Daejeon, South Korea.

出版信息

Nurse Educ Today. 2020 Jan;84:104250. doi: 10.1016/j.nedt.2019.104250. Epub 2019 Oct 23.

Abstract

BACKGROUND

Medication errors are the most common clinical errors in healthcare practice and can lead to serious consequences. Medication error encouragement training (MEET) brings students face-to-face with potential errors in the medication process, in a safe environment where they are encouraged to understand both the error and the context in which it occurred.

OBJECTIVES

The study aimed to examine the effects of a MEET intervention on medication safety confidence among nursing undergraduates.

DESIGN

This was a quasi-experimental study with a nonequivalent control group design.

PARTICIPANTS

Our sample was recruited from the nursing education department of a university, with 47 participants randomly assigned to the experimental group, and 50 to the control group.

METHODS

Both groups received theoretical training, followed by applied training. The experimental group received the MEET intervention developed specifically for this study, while the control group received traditional error avoidance training. Participants' medication administration confidence was measured pre- and post-intervention.

RESULTS

Following training, the experimental group's confidence was significantly higher than that of the control group. With regard to individual medication administration procedures, the experimental groups' medication safety confidence increased significantly after training compared to the control group in patient identification, drug information confirmation, and drug preparation.

CONCLUSIONS

Introducing MEET into nursing curricula could reduce medication errors and related complications in healthcare institutions. Further studies are needed to investigate the long-term effects of MEET interventions, as well as the generalizability of our findings.

摘要

背景

药物错误是医疗保健实践中最常见的临床错误,可能导致严重后果。药物错误鼓励培训(MEET)使学生在安全的环境中直面药物处理过程中的潜在错误,并鼓励他们理解错误及其发生的背景。

目的

本研究旨在考察 MEET 干预对护理本科生药物安全信心的影响。

设计

这是一项准实验研究,采用非等同对照组设计。

参与者

我们的样本是从一所大学的护理教育系招募的,共有 47 名参与者被随机分配到实验组,50 名参与者被分配到对照组。

方法

两组都接受了理论培训,然后是应用培训。实验组接受了专门为此研究开发的 MEET 干预,而对照组接受了传统的错误避免培训。在干预前后测量了参与者的药物管理信心。

结果

培训后,实验组的信心明显高于对照组。在个别药物管理程序方面,实验组在患者识别、药物信息确认和药物准备方面的药物安全信心在培训后显著高于对照组。

结论

将 MEET 引入护理课程可以减少医疗机构中的药物错误和相关并发症。需要进一步研究 MEET 干预的长期效果以及我们研究结果的普遍性。

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