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药物错误及其与护士满意度的相关性。克里特岛拉西锡医院的案例。

Medication Errors and Their Correlation with Nurse's Satisfaction. The Case of the Hospitals of Lasithi, Crete.

机构信息

General Hospital of Nikaia "Agios Panteleimon.", Nikaia, Greece.

General Hospital of Lasithi. Lasithi, Crete, Greece.

出版信息

Adv Exp Med Biol. 2021;1337:195-203. doi: 10.1007/978-3-030-78771-4_22.

Abstract

BACKGROUND

Medication errors have been recognized as a real problem for all health systems worldwide and are the most common category of nursing errors. The aim of this study was to investigate the prevalence of medication errors and their correlation with the job satisfaction of nurses.

METHOD

A prospective cross-sectional study was carried out and the sample of the study consisted of 189 nurses. To investigate medication errors, an anonymous structured questionnaire of 34 questions was used and Job Satisfaction Survey (JSS) questionnaire was used to measure job satisfaction. The IBM SPSS 25.0 program was used for statistical analysis of the data.

RESULTS

63.0% of nurses have been errors in the administration of medication, more often by the wrong time of administration (34.4%), missed dose (22.8%), and wrong dose (21.7%). The likelihood of an error is similar in all shifts, its devaluation is a non-reference reason, and if reported to a greater frequency in the attending physician. A significant difference in the frequency of errors was found only in the marital status and the job, while under the working conditions no significant variation was recorded. Job satisfaction is statistically significantly low for financial earnings and high for the management supervision. Based on the findings, the correlation between total job satisfaction and medication errors was not significant.

CONCLUSIONS

Nursing medication errors continue to happen. Continuing education, formal recording, and improvement of working conditions could help prevent and minimize errors and at the same time increase the job satisfaction of nurses.

摘要

背景

药物错误已被认为是全球所有卫生系统的一个真正问题,也是护理错误中最常见的类别。本研究的目的是调查药物错误的发生率及其与护士工作满意度的相关性。

方法

进行了一项前瞻性的横断面研究,研究样本由 189 名护士组成。为了调查药物错误,使用了一份 34 个问题的匿名结构化问卷和工作满意度调查(JSS)问卷来衡量工作满意度。使用 IBM SPSS 25.0 程序对数据进行统计分析。

结果

63.0%的护士在给药时出现了错误,更常见的错误是给药时间错误(34.4%)、漏服(22.8%)和剂量错误(21.7%)。所有班次发生错误的可能性相似,其贬值不是参考原因,如果向主治医生报告的频率更高。仅在婚姻状况和工作方面发现错误频率存在显著差异,而工作条件方面没有记录到显著变化。护士的工作满意度在经济收入方面统计上显著较低,而在管理监督方面则较高。根据研究结果,总工作满意度与药物错误之间没有显著相关性。

结论

护理药物错误仍在继续发生。继续教育、正式记录和改善工作条件有助于预防和最小化错误,同时提高护士的工作满意度。

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