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护士报告用药错误态度和信念的探索

An Exploration of Nurses' Attitudes and Beliefs on Reporting Medication Errors.

机构信息

Author Affiliations: Quality Department, Orlando Health South Seminole Hospital, Longwood, Florida (Ms Schuermann); Orlando Health Jewett Orthopedic Institute, Orlando, Florida (Ms Arkin); and University of Central Florida College of Nursing, Orlando, Florida (Dr Loerzel).

出版信息

J Nurs Care Qual. 2024;39(3):279-285. doi: 10.1097/NCQ.0000000000000770. Epub 2024 May 3.

DOI:10.1097/NCQ.0000000000000770
PMID:38704643
Abstract

BACKGROUND

Medication errors in health care are prevalent. Nurses play an important role in reporting; however errors remain underreported in incident reporting systems. Understanding the perspective of nurses will inform strategies to improve reporting and build systems to reduce errors.

PURPOSE

The purpose of this study was to explore nurses' perceptions and attitudes of medication error reporting practices.

METHODS

This qualitative study used direct content analysis to analyze interview sessions with 21 total nurses.

RESULTS

Participant's description of medication error reporting practices fell into 2 themes. Internal factors described circumstances within nurses themselves that affect reporting. External factors described outside influences from processes or places.

CONCLUSIONS

Medication error reporting is a multidimensional phenomenon with internal and external factors impacting nurses' attitudes and willingness to report errors. Nurses need support from leadership to understand that reporting medication errors can improve practice and impact patient outcomes.

摘要

背景

医疗保健中的用药错误普遍存在。护士在报告中起着重要作用,但在事件报告系统中,错误仍未得到充分报告。了解护士的观点将为改进报告和建立减少错误的系统提供信息。

目的

本研究旨在探讨护士对用药错误报告实践的看法和态度。

方法

这项定性研究使用直接内容分析对 21 名护士的访谈进行了分析。

结果

参与者对用药错误报告实践的描述分为 2 个主题。内部因素描述了影响报告的护士自身内部情况。外部因素描述了来自过程或地点的外部影响。

结论

用药错误报告是一个多维度的现象,内部和外部因素影响着护士的态度和报告错误的意愿。护士需要领导的支持,以了解报告用药错误可以改善实践并影响患者结局。

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