Farzi Kolsoum, Mohammadipour Fatemeh, Toulabi Tahereh, Heidarizadeh Khadijeh, Heydari Fardin
School of Nursing and Midwifery, Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Medical Surgical, School of Nursing and Midwifery, Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
Iran J Nurs Midwifery Res. 2020 Nov 7;25(6):527-532. doi: 10.4103/ijnmr.IJNMR_188_20. eCollection 2020 Nov-Dec.
Medication error is one of the most important and most common events threatening patient safety. This study was conducted with the aim to determine the effect of asynchronous hybrid/blended learning on the rate of medication administration errors of nurses in medical wards.
This quasi-experimental study was conducted with a pretest-posttest design in 2019. The participants of this study included 57 clinical nurses working in the medical wards of a selected educational hospital affiliated to Lorestan University of Medical Sciences, Khorramabad, Iran. The study participants were selected through census method. An asynchronous hybrid/blended learning program was used in this study. Data collection was performed using a two-section researcher-made checklist. The collected data were analyzed using descriptive [Mean (SD)] and inferential (paired sample -test) statistics in SPSS software. A value of less than 0.05 was considered statistically significant.
The results showed that the mean score of total errors in medication administration in the medical wards after the intervention was significantly lower than before the intervention; the mean score of errors before and after the study was 61.67 and 50.09, respectively (t= 11.41, < 0.001).
Asynchronous hybrid/blended learning as a type of e-learning, simple, relatively inexpensive, and new educational strategy can improve nurses' performance and reduce medication errors.
用药错误是威胁患者安全的最重要且最常见的事件之一。本研究旨在确定异步混合式学习对内科病房护士用药错误率的影响。
本准实验研究采用前测-后测设计，于2019年进行。本研究的参与者包括57名在伊朗霍拉马巴德洛雷斯坦医科大学附属一所选定教学医院内科病房工作的临床护士。研究参与者通过普查法选取。本研究采用了异步混合式学习项目。使用由研究者编制的包含两个部分的清单进行数据收集。在SPSS软件中使用描述性统计（均值[标准差]）和推断性统计（配对样本t检验）对收集到的数据进行分析。P值小于0.05被认为具有统计学意义。
结果显示，干预后内科病房用药总错误的平均得分显著低于干预前；研究前后错误的平均得分分别为61.67和50.09（t = 11.41，P < 0.001）。
异步混合式学习作为一种电子学习方式，简单、相对廉价且是一种新的教育策略，可以提高护士的绩效并减少用药错误。
