Arkin Laura, Schuermann Andrea, Penoyer Daleen, Loerzel Victoria
Center for Nursing Research and Advanced Practice Nursing, Orlando Health, Orlando, Florida (Ms Arkin and Dr Penoyer); Quality Department, Orlando Health South Seminole Hospital, Orlando, Florida (Ms Schuermann); and University of Central Florida College of Nursing, Orlando (Dr Loerzel).
J Nurs Care Qual. 2022;37(4):319-326. doi: 10.1097/NCQ.0000000000000635. Epub 2022 Jul 8.
Medication errors exist within health care systems despite efforts to reduce their incidence. These errors may result in patient harm including morbidity, mortality, and increased health care costs.
The purpose of this study was to explore direct care nurses' attitudes, skills, and beliefs about medication safety practice.
Researchers conducted a descriptive exploratory study using the Nurses' Attitudes and Skills around Updated Safety Concepts (NASUS) scale and the Nurse Beliefs about Errors Questionnaire (NBEQ).
Responses from 191 surveys were analyzed. Of the participants, 70% were bachelor's prepared registered nurses and 88% were female. Results of the NASUS scale revealed the median of means of the Perceived Skills subscale was 79.2 out of 100 and the Attitudes subscale was 65.8 out of 100. The mean of the belief questions related to severity of error was 7.66 out of 10; most participants agreed with reporting of severe errors, reporting errors with moderate or major adverse events, and reporting of incorrect intravenous fluids.
Understanding direct care nurses' attitudes, skills, and beliefs about medication safety practices provides a foundation for development of improvement strategies.
尽管采取了各种措施来降低医疗系统中用药错误的发生率，但此类错误仍然存在。这些错误可能会对患者造成伤害，包括发病、死亡以及增加医疗成本。
本研究旨在探讨直接护理护士对用药安全实践的态度、技能和信念。
研究人员使用“围绕最新安全概念的护士态度与技能”（NASUS）量表和“护士对错误的信念问卷”（NBEQ）进行了一项描述性探索性研究。
对191份调查问卷的回复进行了分析。参与者中，70%拥有护理学学士学位的注册护士，88%为女性。NASUS量表的结果显示，感知技能子量表的平均得分中位数为100分中的79.2分，态度子量表为100分中的65.8分。与错误严重程度相关的信念问题的平均得分为10分中的7.66分；大多数参与者同意报告严重错误、报告伴有中度或重大不良事件的错误以及报告不正确的静脉输液。
了解直接护理护士对用药安全实践的态度、技能和信念为制定改进策略奠定了基础。
