Faculty of Health Sciences, Recanati School for Community Health Professions, Department of Nursing, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Nurs Health Sci. 2024 Sep;26(3):e13161. doi: 10.1111/nhs.13161.
Healthcare institutions are dedicated to minimizing medication errors and promoting their reporting. This study investigates the impact of simulation on nursing students' attitudes toward and intention to report medication errors. A quasi-experimental one-group pre-post-test study was conducted. Third-year nursing students (N = 63) participated in a scenario-based simulation for medication administration. Participants' errors were documented. Participants self-reported attitudes toward medication administration safety and intention to report errors. The most reported error was "contraindicated in disease" (61%). The simulation increased attitudes of preparedness by the training program received (p < 0.01) and belief in the patient's involvement in preventing errors (p < 0.01), and decreased the belief that professional incompetence reveals errors (p = 0.015). Intention to report errors was influenced by medication error training received (p = 0.045), confidence in error reporting (p < 0.001), and a sense of responsibility to disclose errors (p = 0.001). Simulation effectively shapes attitudes and intentions regarding medication error reporting. Improving nursing students' awareness, skills, and clinical judgment can foster a safety culture and potentially reduce patient harm. Future research should examine the long-term effects of simulation and its impact on reducing medication errors.
医疗机构致力于最大限度地减少用药错误，并促进其报告。本研究调查了模拟对护理学生对用药错误的态度和报告意向的影响。采用准实验性单组前后测研究设计。63 名三年级护理学生参加了基于情景的用药管理模拟。记录参与者的错误。参与者自我报告对用药管理安全的态度和报告错误的意向。报告最多的错误是“疾病禁忌”（61%）。模拟增加了对所接受培训方案的准备程度（p<0.01）和对患者参与预防错误的信念（p<0.01），同时降低了对专业能力不足揭示错误的信念（p=0.015）。报告错误的意向受用药错误培训（p=0.045）、对错误报告的信心（p<0.001）和披露错误的责任感（p=0.001）的影响。模拟有效地塑造了护理学生对用药错误报告的态度和意向。提高护理学生的意识、技能和临床判断能力可以培养安全文化，并可能减少患者伤害。未来的研究应检验模拟的长期效果及其对减少用药错误的影响。
