Asefa Kokebie Kefelegn, Dagne Deguale, Mekonnen Wassie Negash
DebreBerhan University College of Health Science, Department of Nursing, Debre Berhan, Ethiopia.
DebreBerhan University College of Health Science, Department of Public Health, Debre Berhan, Ethiopia.
Nurs Res Pract. 2021 May 5;2021:1384168. doi: 10.1155/2021/1384168. eCollection 2021.
Medication administration error is one of the most common errors that occur when a discrepancy occurs between the drugs received by the patient and the drug intended by the prescriber. A lot of studies were conducted on medication administration error. But there were a few studies on whether those medication administration errors are reported or not among nurses in Ethiopia. So this study is aimed at assessing the magnitude of medication administration error reporting and the associated factors among nurses.
To assess the magnitude of reported medication administration error and associated factors among nurses working in public hospitals, Ethiopia.
An institutional-based cross-sectional study design was employed from March to April 2019. Simple random sampling technique was used. A structured self-administered questionnaire was used to collect the data. Data were entered using EpiData version 3.1 and descriptive analysis, bivariate, and multivariate logistic regression analyses were carried out using SPSS version 21 software.
The magnitude of medication administration error reporting was found to be 37.9%. Being female [adjusted odds ratio (AOR) = 2.91; confidence interval (CI) (1.45-5.85)]; belief that errors should not be reported [AOR = .3; CI (.15-.61)]; having work experience of greater than 15 years [AOR = 3.4; CI (1.11-13.85)]; having bachelor science degree [AOR = 3.27; CI (1.61-6.66)]; and caring for greater than 10 patients [(AOR = .4; CI (.16-.96)] were factors associated with nurses medication administration error reporting.
The magnitude of medication administration error reporting among nurses was found to be low. To increase medication administration error reporting, efforts should be made to change the attitude of nurses on the belief that errors should be reported, retaining staffs that have longer experience, upgrading staffs educational status, and limiting the number of patients cared by a single nurse.
用药差错是患者所接受药物与开方者预期药物之间出现差异时最常见的差错之一。针对用药差错开展了大量研究。但在埃塞俄比亚，关于护士是否报告这些用药差错的研究较少。因此，本研究旨在评估护士中用药差错报告的发生率及相关因素。
评估埃塞俄比亚公立医院护士报告的用药差错发生率及相关因素。
采用基于机构的横断面研究设计，研究时间为2019年3月至4月。使用简单随机抽样技术。采用结构化自填问卷收集数据。数据使用EpiData 3.1版本录入，并使用SPSS 21软件进行描述性分析、双变量和多变量逻辑回归分析。
发现用药差错报告的发生率为37.9%。女性[调整优势比（AOR）=2.91；置信区间（CI）（1.45 - 5.85）]；认为不应报告差错[AOR = 0.3；CI（0.15 - 0.61）]；工作经验超过15年[AOR = 3.4；CI（1.11 - 13.85）]；拥有理学学士学位[AOR = 3.27；CI（1.61 - 6.66）]；护理超过10名患者[（AOR = 0.4；CI（0.16 - 0.96）]是与护士用药差错报告相关的因素。
发现护士中用药差错报告的发生率较低。为提高用药差错报告率，应努力改变护士对差错报告的态度，留住经验更丰富的员工，提升员工教育水平，并限制单个护士护理的患者数量。
