Alrasheeday Awatif M, Alkubati Sameer A, Alrubaiee Gamil G, Alqalah Talal A, Alshammari Bushra, Abdullah Saleh O, Loutfy Ahmed
Nursing Administration Department, University of Hail, Hail, Saudi Arabia.
Department of Medical Surgical Nursing, University of Hail, Hail, Saudi Arabia.
J Multidiscip Healthc. 2024 May 23;17:2601-2612. doi: 10.2147/JMDH.S466339. eCollection 2024.
Determining the proportion of nurses reporting medication errors (MEs) and identifying the barriers they perceive in ME reporting are crucial to encourage nurses to actively report MEs.
This study aimed to determine the proportion of nurses experiencing and reporting MEs, perceived barriers to reporting MEs and their association with nurses' sociodemographic and work-related characteristics.
A cross-sectional study was conducted among 350 nurses from June to November 2023. Data about sociodemographic and work-related characteristics, and ME reporting, were collected using a validated self-administered questionnaire.
The study found that 34.3% of nurses reported MEs, while 11.1% reported experiencing MEs during their practice. ME reporting was higher proportion among nurses who were older than 40 years (52.1%), males (41.4%), held a master's degree (58.7%), Saudi nationals (37.8%), experienced for more than 10 years (43.1%), working in intensive care units (44.3%), working for 48 hours or more per week (39.7%), working in hospitals with a nurse-to-patient ratio of 1:3 (44.9%) and having a system for incident reporting (37.7%) and with no training on patient safety (44.6%) compared to their counterparts. The rate of experiencing MEs was higher proportion among nurses who were older than 40 years (16.7%), males (17.3%), married (14.8%), Saudi nationals (13.4%), experienced for more than 10 years (15.6%) and with no training on patient safety (15.3%) compared to their counterparts. Lack of knowledge of the person responsible for reporting MEs was the most frequent perceived barrier to ME reporting (66.6%), followed by fears of blame (65.4%).
In this study, nurses reported and experienced MEs during their practice. Most nurses perceive the lack of knowledge and fear of blame or disciplinary actions as barriers to reporting. Healthcare administrators should implement educational programs and workshops to increase nurses' awareness of ME reporting.
确定报告用药错误（MEs）的护士比例，并找出他们在ME报告中所感知到的障碍，对于鼓励护士积极报告MEs至关重要。
本研究旨在确定经历并报告MEs的护士比例、报告MEs时所感知到的障碍，以及这些障碍与护士社会人口学和工作相关特征之间的关联。
2023年6月至11月对350名护士进行了一项横断面研究。使用经过验证的自填式问卷收集有关社会人口学和工作相关特征以及ME报告的数据。
研究发现，34.3%的护士报告了MEs，而11.1%的护士报告在执业期间经历过MEs。40岁以上的护士（52.1%）、男性护士（41.4%）、拥有硕士学位的护士（58.7%）、沙特籍护士（37.8%）、工作经验超过10年的护士（43.1%）、在重症监护病房工作的护士（44.3%）、每周工作48小时或以上的护士（39.7%）、在护士与患者比例为1:3的医院工作的护士（44.9%）、拥有事件报告系统的护士（37.7%）以及未接受过患者安全培训的护士（44.6%）中，ME报告的比例高于其同行。40岁以上的护士（16.7%）、男性护士（17.3%）、已婚护士（14.8%）、沙特籍护士（13.4%）、工作经验超过10年的护士（15.6%）以及未接受过患者安全培训的护士（15.3%）中，经历MEs的比例高于其同行。对负责报告MEs的人员缺乏了解是ME报告中最常被感知到的障碍（66.6%），其次是担心受到责备（65.4%）。
在本研究中，护士在执业期间报告并经历了MEs。大多数护士认为缺乏了解以及担心受到责备或纪律处分是报告的障碍。医疗保健管理人员应实施教育计划和研讨会，以提高护士对ME报告的认识。
