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重症监护护士对用药错误的认知:一项横断面描述性研究。

Medication Administration Error Perceptions Among Critical Care Nurses: A Cross-Sectional, Descriptive Study.

作者信息

Alzoubi Majdi M, Al-Mahasneh Asmaa, Al-Mugheed Khalid, Al Barmawi Marwa, Alsenany Samira Ahmed, Farghaly Abdelaliem Sally Mohammed

机构信息

Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan.

College of Nursing, Riyadh Elm University, Riyadh, Saudi Arabia.

出版信息

J Multidiscip Healthc. 2023 May 30;16:1503-1512. doi: 10.2147/JMDH.S411840. eCollection 2023.

Abstract

PURPOSE

This study aimed to investigate the medication administration error perceptions among Jordanian critical care nurses.

METHODS

A cross-sectional, descriptive design was used among Jordanian critical care nurses. The total number of completed questionnaires submitted for analysis was 340. Data were collected between July and August 2022 in two health sectors (governmental hospitals and educational hospital) in the middle and north region in Jordan through a self-administered questionnaire on medication administration errors which includes 65 items with three parts.

RESULTS

Nurses showed negative perceptions toward medication administration errors. The majority of participants agreed that "The packaging of many medications is similar" (76.7%), followed by "different medications look alike" (76.2%), as the main reasons for medication error occurrence. Two thirds of participants agreed that "when med errors occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error" (74.1%). Similarly, 73.5% of them believed nurses were blamed if something happens to the patient as a result of the medication error was the main reason for underreporting of MAEs. The highest reported levels of medication errors were in a range between 41% and 70%, for both types intravenous (IV) medication errors and non-intravenous (non-IV) medication errors.

CONCLUSION

Implement interventions centered on MAEs in particular among critical care nurses, owing to the proven significance of it in foretelling their crucial role in delivering safe care to patients, which will lead to quantifiable returns on both patient outcomes and nurse health, as well as the overall efficiency and image of the organization.

摘要

目的

本研究旨在调查约旦重症监护护士对用药错误的认知情况。

方法

对约旦重症监护护士采用横断面描述性设计。提交分析的完整问卷总数为340份。2022年7月至8月期间,通过一份关于用药错误的自填式问卷,在约旦中部和北部地区的两个卫生部门(政府医院和教学医院)收集数据。该问卷包括65个项目,分为三个部分。

结果

护士对用药错误持负面看法。大多数参与者认为“许多药物的包装相似”(76.7%),其次是“不同药物外观相似”(76.2%),是用药错误发生的主要原因。三分之二的参与者认为“用药错误发生时,护理管理关注的是个人而非将系统视为错误的潜在原因”(74.1%)。同样,73.5%的人认为,如果因用药错误导致患者出现问题,护士会受到指责,这是用药错误报告不足的主要原因。报告的静脉注射(IV)用药错误和非静脉注射(非IV)用药错误的最高发生率在41%至70%之间。

结论

实施以用药错误为中心的干预措施,尤其是在重症监护护士中,因为这已被证明对于预测他们在为患者提供安全护理方面的关键作用具有重要意义,这将在患者结局、护士健康以及组织的整体效率和形象方面带来可量化的回报。

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