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实习护生和教师对用药错误的认知:一项描述性定性研究。

Internship nursing students and faculty perception of medication errors: A descriptive qualitative study.

作者信息

Shahzeydi Amir, Moghimian Maryam, Farzi Sedigheh, Farzi Ziba, Sabouhi Fakhri, Alimohammadi Nasrollah

机构信息

Pediatric Cardiovascular Research Center, Cardiovascular Research Institute Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.

Nursing and Midwifery Sciences Development Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

出版信息

J Educ Health Promot. 2025 Jul 4;14:238. doi: 10.4103/jehp.jehp_2018_23. eCollection 2025.

Abstract

BACKGROUND

Medication safety is an integral dimension of patient safety and one of the 11 principles in the World Health Organization Patient Safety Curriculum Guide. Medication errors can occur by all members of the health care provider; however, they are prevalent in nurses and nursing students. This study aimed to explore and describe medication errors from the perspective of Iranian internship nursing students and faculty.

MATERIALS AND METHODS

The present study was done in 2023 using a descriptive qualitative method. Seventeen internship nursing students and five faculty were selected using a purposeful sampling method. Data were collected through in-depth, semi-structured interviews. We used qualitative content analysis for data analysis.

RESULTS

Data analysis revealed three categories, namely, determinants of error, disclosing/conceal, and psychological consequences of the error, and 12 subcategories.

CONCLUSION

Inadequate medication knowledge and students' inattention to the principles of medication administration have paved the ground for medication errors by internship nursing students, thus threatening patient safety. Effective clinical supervision and training by instructors experienced in teaching and clinical practice can help address this challenge. Reassuring the students and creating a safe and anonymous reporting climate encourages students to report errors.

摘要

背景

用药安全是患者安全的一个重要方面,也是世界卫生组织患者安全课程指南中的11项原则之一。医疗保健提供者的所有成员都可能发生用药错误;然而,这些错误在护士和护理专业学生中很普遍。本研究旨在从伊朗实习护理学生和教师的角度探讨和描述用药错误。

材料与方法

本研究于2023年采用描述性定性方法进行。采用目的抽样法选取了17名实习护理学生和5名教师。通过深入的半结构化访谈收集数据。我们使用定性内容分析法进行数据分析。

结果

数据分析揭示了三个类别,即错误的决定因素、披露/隐瞒以及错误的心理后果,以及12个子类别。

结论

用药知识不足以及学生对用药原则的疏忽为实习护理学生的用药错误埋下了隐患,从而威胁到患者安全。由教学和临床实践经验丰富的教师进行有效的临床监督和培训有助于应对这一挑战。安抚学生并营造一个安全且匿名的报告氛围可鼓励学生报告错误。

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