Satakunta Hospital District, Pori, Finland.
University of Eastern Finland, Kuopio, Finland.
Scand J Caring Sci. 2022 Dec;36(4):935-946. doi: 10.1111/scs.12989. Epub 2021 May 6.
To describe nursing staff's assessments of medication management process in the psychiatric and operative domains after introduction of an electronic medication chart.
The medication management process includes all structures and practices within the organisation that guide and support medication administration and related procedures.
A cross-sectional survey.
A Finnish version of the Medication Administration System - Nurses Assessment of Satisfaction (modified MAS-NAS) paper-based questionnaire was sent to all nursing staff (N = 855) working in operative (n = 498) and psychiatric (n = 357) domains in one central hospital. Data were analysed using statistical methods.
In total, 324 nursing staff members participated. More than half agreed that medication management is efficient (64%), safe for patients (76%), and that the current medication administration system provides the necessary medical treatment information (e.g. prescriptions by physicians, medication data) (64%). Respondents' overall satisfaction with medication management process was slightly above average on a scale from 1 to 10 (mean = 6.2; SD = 1.8; median = 7, range 2-9). Respondents who used electronic medication chart reported higher overall satisfaction with medication management process (median = 7, mean = 6.1, SD = 1.8 and range 2-9) than those not using it (median = 6.5, mean = 6.3, SD = 1.6 and range 2-9). No statistically significant difference was found (U = 8552.000, p = 0.33).
This study revealed several problems in the medication management process. The results can be used in developing the medication management process.
Electronic medication chart should be used and developed further in terms of efficacy, safety and access. One year after the electronic medication chart was introduced, only half of the respondents had used it. That is why implementation of electronic systems or technological applications should be carefully considered as a whole.
描述引入电子医嘱系统后，精神科和外科领域护理人员对药物管理流程的评估。
药物管理流程包括组织内指导和支持药物管理及相关程序的所有结构和实践。
横断面调查。
在一家中心医院，向精神科（n=357）和外科（n=498）领域的所有护理人员（n=855）发放芬兰版药物管理系统-护士满意度评估（改良 MAS-NAS）纸质问卷。采用统计方法进行数据分析。
共 324 名护理人员参与了调查。超过一半的人认为药物管理有效（64%），对患者安全（76%），当前的药物管理系统提供必要的治疗信息（如医生的处方、药物数据）（64%）。在 1 到 10 的评分尺度上，受访者对药物管理流程的总体满意度略高于平均水平（平均=6.2；标准差=1.8；中位数=7，范围 2-9）。使用电子医嘱系统的受访者对药物管理流程的总体满意度较高（中位数=7，平均=6.1，标准差=1.8，范围 2-9），而不使用电子医嘱系统的受访者满意度较低（中位数=6.5，平均=6.3，标准差=1.6，范围 2-9）。差异无统计学意义（U=8552.000，p=0.33）。
本研究揭示了药物管理流程中的一些问题。研究结果可用于改进药物管理流程。
应进一步提高电子医嘱系统的效能、安全性和便捷性，并加以推广。电子医嘱系统引入一年后，只有一半的受访者使用过。因此，应全盘考虑电子系统或技术应用的实施。
