Faculty of Nursing and Health Sciences, Nord University, PO Box 474, 7801 Namsos Norway.
Centre for Care Research Mid-Norway, Faculty of Nursing and Health Sciences, Nord University, PO Box 474, 7801 Namsos, Norway.
Geriatr Nurs. 2022 Mar-Apr;44:229-236. doi: 10.1016/j.gerinurse.2022.02.019. Epub 2022 Feb 28.
Nurses are key professionals in ensuring safe drug management in nursing homes, and their practice is regulated by a number of guidelines. The present study aimed to explore nurses' experiences of dispensing drugs to older people in nursing homes by using an exploratory qualitative design. Focus group interviews were conducted in three nursing homes in central Norway; the data were analyzed using qualitative content analysis. The results indicated that drug dispensing was perceived as a complicated process during which both anticipated and unforeseen challenges arose that influenced the nurses' abilities to follow professional standards. In these situations, the nurses had to apply their knowledge and make various adjustments based on conditions in the organization and the needs of individual patients. The findings have implications for facilitating nurses' working conditions and resources to avoid drug administration that limit the discretion of nurses and threaten patient safety in nursing homes.
护士是确保养老院安全药物管理的关键专业人员，他们的实践受到许多准则的规范。本研究旨在通过探索性定性设计，探讨护士在养老院为老年人配药的经验。在挪威中部的三家养老院进行了焦点小组访谈；使用定性内容分析对数据进行了分析。结果表明，配药被认为是一个复杂的过程，在此过程中会出现预期和意外的挑战，影响护士遵守专业标准的能力。在这些情况下，护士必须运用他们的知识，并根据组织的条件和个别患者的需求进行各种调整。这些发现对于改善护士的工作条件和资源具有重要意义，以避免限制护士裁量权并威胁养老院患者安全的药物管理。
