VA Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham, NC.
Pennsylvania State University, University Park, PA.
Nurse Educ Pract. 2022 Jan;58:103274. doi: 10.1016/j.nepr.2021.103274. Epub 2021 Dec 10.
The purpose of this study was to explore and describe pre-licensure nursing students' perceptions of risk for medication administration errors in fourth-year baccalaureate student nurses from three campuses at a large central Pennsylvania university.
Medication administration errors continue to be a significant safety concern in healthcare settings. Pre-licensure nursing education is a critical time period during which to have an impact on future medication administration practices. Perception of risk influences decision making and behavior, including nursing clinical decision making.
This descriptive, exploratory study involved a qualitative design.
A thematic analysis of the qualitative data resulting from 60 individual, in-depth semi-structured interviews was conducted.
The participants offered rich, detailed narratives which revealed the following themes: (1) the nature of risk perceptions, (2) more opportunities to learn, (3) experiences with medication administration error, and (4) intrinsic characteristics influence errors.
The findings provide a broad description of the nature of student nurse risk perceptions for future medication administration errors. Recommendations for nursing education practice and pedagogy include additional clinical experiences, modified pharmacology curricula and instruction, and expanded simulations involving medication administration error.
本研究旨在探索和描述宾夕法尼亚州中部一所大型大学三个校区的四年级护理本科学生对给药错误风险的认知。
给药错误仍然是医疗保健环境中的一个重大安全问题。在获得执照之前的护理教育是对未来给药实践产生影响的关键时期。风险认知影响决策和行为，包括护理临床决策。
这是一项描述性、探索性研究，采用了定性设计。
对 60 名个体进行深入半结构化访谈的定性数据进行了主题分析。
参与者提供了丰富、详细的叙述，揭示了以下主题：（1）风险认知的本质，（2）更多的学习机会，（3）给药错误的经历，以及（4）内在特征影响错误。
这些发现提供了对未来给药错误风险认知的学生护士的广泛描述。护理教育实践和教学的建议包括增加临床经验、修改药理学课程和教学、以及扩大涉及给药错误的模拟。
