Escandell Rico Francisco Miguel, Pérez Fernández Lucía
Docencia en enfermería, Departamento de enfermería, Universidad de Alicante, Alicante, España.
Coordinación en enfermería, Centro de Salud Almoradí, Departamento de Salud, Alicante, España.
Aten Primaria. 2022 May;54(5):102348. doi: 10.1016/j.aprim.2022.102348. Epub 2022 Apr 22.
The purpose of this study was to know the perception of nurses about safety in the preparation and administration of medications in a primary care health department of the Spanish national health system. Cross-sectional descriptive study. Carried out in the Health Department 21 (Alicante, Spain) in the months of September to November 2021. 66 nurses, with a predominance of women (88.9%). A semi-structured interview with ten questions was used. The inclusion criterion took into account nurses with more than two years of experience working in the health center. The perception of nurses about the degree of safety in the preparation and administration of medications was evaluated. 81.9% of the sample did not report adverse events. The steps for secure administration were varied. A significant association was observed in the correct time of medication (p < 0.031) and antisepsis (p < 0.026) according to the number of nurses in the basic health areas. Our results indicate the perceptions of nurses about improvements in the degree of implementation of standards or tools for the safe administration of medications, with special attention to lack of knowledge, care overload (high patient/nurse ratio) and associated dilemmas with the notification.
本研究的目的是了解西班牙国家卫生系统基层医疗健康部门的护士对药物配制和给药安全性的看法。横断面描述性研究。于2021年9月至11月在第21卫生部门（西班牙阿利坎特）开展。66名护士，以女性为主（88.9%）。采用了包含十个问题的半结构化访谈。纳入标准考虑了在健康中心工作超过两年的护士。评估了护士对药物配制和给药安全程度的看法。81.9%的样本未报告不良事件。安全给药的步骤各不相同。根据基层健康领域护士的数量，在正确给药时间（p < 0.031）和消毒（p < 0.026）方面观察到显著关联。我们的结果表明了护士对安全给药标准或工具实施程度改进的看法，特别关注知识缺乏、护理负担过重（高患者/护士比例）以及与报告相关的困境。
