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Tosin Anthony A, Olukayode AF, Olusoji Abidemi S, Azeez Oyemomi I, Adefunke BO, Ayodeji OJ, Babatope Ebenezer A, Adekoya Joshua I, Joseph Olusesan F. Prevalence, practice, determinants and adverse effects of self-medication among young people living in a suburban community of Ekiti, Nigeria: A community-based cross-sectional study. SAGE Open Med 2024; 12:20503121241261002. [PMID: 38911442 PMCID: PMC11193929 DOI: 10.1177/20503121241261002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Accepted: 05/26/2024] [Indexed: 06/25/2024] Open
Abstract
Objectives Health hazards such as adverse drug reactions and prolonged morbidity are fallouts of self-medication among young people in sub-Saharan Africa. The aim of this study was to assess the prevalence, practice, determinants, and adverse effects of self-medication among young people living in a suburban community of Ekiti, Nigeria. Methods This survey was a descriptive, cross-sectional study of 602 young people aged 16-24 years., who were randomly selected in the community. A predesigned self-administered questionnaire was used for data collection. The study was conducted from 1st March to 31st May 2023. The independent variables measured include the sociodemographic characteristics, while the dependent variables are the practice of self-medication and factors that predisposes to self-medication. The general characteristics of the participants were analyzed using descriptive statistics. The categorical variables were reported as frequency distribution and proportions with 95% confidence intervals and were compared using the Chi-square test or Fisher's exact test. A p-value of <0.05 was considered statistically significant. Results Over 30% (31.7%) of the participants engage in self-medication. A larger proportion of the people who practiced self-medication lived a trekking distance of less than 1 km from the nearest health facility with a doctor (p = 0.044). The practice of self-medication was statistically related with being a student when compared with gainfully employed and unemployed people (p = 0.006). Fever (39.8%), abdominal pain (17.3%) and headaches (16.2%) were the topmost three ailments that necessitated self-medication. Antimalarials (44.0%), antibiotics (25.1%), and antipyretics (16.8%) were high on the list of drugs used for self-medication. Headache (34.0%) was the most common adverse reaction from self-medication among the participants studied. Conclusion Adverse reactions and drug addiction were negative fallouts of self-medication, which can affect the health of young people as they grow into adulthood. Therefore, monitoring of drug outlets must be taken seriously by government agencies to prevent the worsening of the negative effects of self-medication.
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Affiliation(s)
- Agbesanwa Tosin Anthony
- Agbesanwa Tosin Anthony, Department of Family Medicine, College of Medicine, Ekiti State University, PMB 5363, Ado Ekiti, Ekiti, Nigeria. Emails: ;
| | - Aina Felixelix Olukayode
- Department of Family Medicine, College of Medicine, Ekiti State University, Ado Ekiti, Ekiti, Nigeria
| | - Solomon Olusoji Abidemi
- Department of Family Medicine, College of Medicine, Ekiti State University, Ado Ekiti, Ekiti, Nigeria
| | - Ibrahim Azeez Oyemomi
- Department of Family Medicine, College of Medicine, Afe Babalola University, Ado Ekiti, Ekiti, Nigeria
| | | | - Owoyemi John Ayodeji
- Department of Family Medicine, College of Medicine, Ekiti State University, Ado Ekiti, Ekiti, Nigeria
| | | | - Inubile Adekoya Joshua
- Department of Research and Statistics, Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti, Nigeria
| | - Fadare Joseph Olusesan
- Department of Family Medicine, College of Medicine, Ekiti State University, Ado Ekiti, Ekiti, Nigeria
- Department of Pharmacology and Therapeutics, College of Medicine, Ekiti State University, Ado Ekiti, Ekiti, Nigeria
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Ottosen K, Bucknall T. Understanding an epidemiological view of a retrospective audit of medication errors in an intensive care unit. Aust Crit Care 2024; 37:429-435. [PMID: 37280136 DOI: 10.1016/j.aucc.2023.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2023] [Revised: 04/14/2023] [Accepted: 04/15/2023] [Indexed: 06/08/2023] Open
Abstract
BACKGROUND Medication errors in the intensive care setting continue to occur at significant rates and are often associated with adverse events and potentially life-threatening repercussions. AIM/OBJECTIVE The aim of this study was to (i) determine the frequency and severity of medication errors reported in the incident management reporting system; (ii) examine the antecedent events, their nature, the circumstances, risk factors, and contributing factors leading to medication errors; and (iii) identify strategies to improve medication safety in the intensive care unit (ICU). METHOD A retrospective, exploratory, descriptive design was selected. Retrospective data were collected from the incident report management system and electronic medical records over a 13-month period from a major metropolitan teaching hospital ICU. RESULTS A total of 162 medication errors were reported during a 13-month period, of which, 150 were eligible for inclusion. Most medication errors occurred during the administration (89.4%) and dispensing phases (23.3%). The highest reported errors included incorrect doses (25.3%), incorrect medications (12.7%), omissions (10.7%), and documentation errors (9.3%). Narcotic analgesics (20%), anaesthetics (13.3%), and immunomodifiers (10.7%) were the most frequently reported medication classes associated with medication errors. Prevention strategies were found to be focussed on active errors (67.7%) as opposed to latent errors (32.3%) and included various and infrequent levels of education and follow-up. Active antecedent events included action-based errors (39%) and rule-based errors (29.5%), whereas latent antecedent events were most associated with a breakdown in system safety (39.3%) and education (25%). CONCLUSION This study presents an epidemiological view and understanding of medication errors in an Australian ICU. This study highlighted the preventable nature of most medication errors in this study. Improving administration-checking procedures would prevent the occurrence of many medication errors. Approaches aimed at both individual- and organisational-level improvements are recommended to address administration errors and inconsistent medication-checking procedures. Areas for further research include determining the most effective system developments for improving administration-checking procedures and verifying the risk and prevalence of immunomodifier administration errors in the ICU as this is an area not reported previously in the literature. In addition, the impact of single- versus two-person checking procedures on medication errors in the ICU should be prioritised to address current evidence gaps.
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Affiliation(s)
- Kelly Ottosen
- Alfred Health Partnership, Melbourne, VIC, Australia.
| | - Tracey Bucknall
- Alfred Health Partnership, Melbourne, VIC, Australia; Centre for Quality and Patient Safety Research (QPS), Alfred Health Partnership, Melbourne, VIC, Australia; School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, VIC, Australia
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Giannetta N, Trapani J, Dionisi S, De Leo A, Petrone F, D'Agostino F, Liquori G, Di Simone E, Cassar M, Di Muzio M. Medication administration error prevention among nurses working in intensive care units: A secondary analysis. Nurs Crit Care 2024; 29:335-346. [PMID: 37283277 DOI: 10.1111/nicc.12932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 02/12/2023] [Accepted: 05/02/2023] [Indexed: 06/08/2023]
Abstract
BACKGROUND The intensive care unit (ICU) brings together high-risk patients and interventions in a complex environment. Based on this consideration, medication administration error is the most common type of error that occurs in ICUs. Literature confirms that human factors (lack of knowledge, poor practices and negative attitudes) of nurses are the main contributors to the occurrence of medication administration errors in ICUs. AIM To examine and compare the knowledge, attitudes and behaviour scores on medication administration error according to nurses' sociodemographic and professional variables. STUDY DESIGN This is a secondary analysis of data from a cross-sectional international study based on a survey. Descriptive statistics were computed for all items of the questionnaire. Non-parametric tests (Kruskal Wallis and Mann Whitney U tests) were used to carry out the comparison between groups. RESULTS The international sample consisted of 1383 nurses in 12 different countries. Statistically significant changes were seen in knowledge, attitudes and behaviour scores among several subgroups of the international population. Eastern nurses were more likely to show adequate knowledge about medication administration error prevention than Western nurses; concurrently, Western nurses were significantly more likely to show positive attitudes than Eastern nurses. No statistically significant differences in the behaviour scale were found in this study. CONCLUSIONS The findings show a difference between knowledge and attitudes in relation to cultural background. RELEVANCE TO CLINICAL PRACTICE Decision makers in ICUs should consider cultural background when planning and implementing prevention strategies for medication administration errors. Further research is needed to investigate the effectiveness of educational systems on the decrease of the incidence of medication administration errors in ICU.
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Affiliation(s)
- Noemi Giannetta
- UniCamillus-Saint Camillus International University of Health and Medical Sciences, Rome, Italy
| | - Josef Trapani
- Department of Nursing, University of Malta, L-Imsida, Malta
| | - Sara Dionisi
- AUSL Bologna, Area DATeR Integration of Continuity of Care, Bologna, Italy
| | - Aurora De Leo
- Department of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, Italy
- Nursing, Technical, Rehabilitation, Assistance and Research Direction, IRCCS Istituti Fisioterapici Ospitalieri-IFO, Rome, Italy
| | - Fabrizio Petrone
- Nursing, Technical, Rehabilitation, Assistance and Research Direction, IRCCS Istituti Fisioterapici Ospitalieri-IFO, Rome, Italy
| | - Fabio D'Agostino
- UniCamillus-Saint Camillus International University of Health and Medical Sciences, Rome, Italy
| | - Gloria Liquori
- Department of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, Italy
| | - Emanuele Di Simone
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy
| | - Maria Cassar
- Department of Nursing, University of Malta, L-Imsida, Malta
| | - Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy
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Dionisi S, Muñoz-Alonso A, Giannetta N, Aranburu-Imatz A, López-Soto PJ, Galey-Chica PA, Escribano-Villanueva F, Leo AD, Liquori G, Di Muzio M, Di Simone E. Knowledge, Attitudes, and Behavior in the administration of medication in the home care setting: Cross-cultural Spanish adaptation. Public Health Nurs 2023; 40:817-825. [PMID: 37526412 DOI: 10.1111/phn.13235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2023] [Revised: 07/11/2023] [Accepted: 07/21/2023] [Indexed: 08/02/2023]
Abstract
OBJECTIVE The aim of the study is to validate and adapt the "Knowledge Attitute and Behaviour in the administration of medication in the home care setting questionnaire" in the home care setting in Cordoba, Spain, through a cross-validation process. DESIGN Cross-sectional study SAMPLE: 106 community nurses provide home care in Cordoba, and are involved in the management of the medication process in the patient's home. MEASUREMENTS Community nurses' knowledge, attitudes, and behaviors toward medication error prevention strategies in-home care. RESULTS For the evaluation of psychometric properties, Cronbach's α was calculated, which returned a value of 0.639, showing good internal consistency. Most participants agreed that the home care setting increases the risk of medication errors. CONCLUSION The study, underscores the importance of analyzing the phenomenon of medication errors in the home care setting. The characteristics and peculiarities of a home care setting are different from a hospital setting, which means that factors such as the environment, the figures involved in the care process (caregivers and/or family members), and the way in which they communicate with the rest of the multi-professional team can influence both the type of errors and the likelihood of their occurrence.
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Affiliation(s)
- Sara Dionisi
- Nursing, Technical and Rehabilitation Department - DaTeR Azienda Unità Sanitaria Locale di Bologna, Bologna, Italy
| | - Adoración Muñoz-Alonso
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- UGC Huerta dela Reina. Distrito Sanitario Córdoba y Guadalquivir, Córdoba, Spain
- Department of Nursing, Pharmacology and Physiotherapy. Universidad de Córdoba, Córdoba, Spain
| | | | - Alejandra Aranburu-Imatz
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- UGC Huerta dela Reina. Distrito Sanitario Córdoba y Guadalquivir, Córdoba, Spain
- Outpatient Clinic, Hospital Giovanni Paolo II, ULSS1 Dolomiti, Veneto, Italy
| | - Pablo J López-Soto
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- UGC Huerta dela Reina. Distrito Sanitario Córdoba y Guadalquivir, Córdoba, Spain
- Department of Nursing, Hospital Universitario Reina Sofía de Córdoba, Córdoba, Spain
| | - Pedro A Galey-Chica
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- UGC Huerta dela Reina. Distrito Sanitario Córdoba y Guadalquivir, Córdoba, Spain
| | - Francisco Escribano-Villanueva
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- UGC Huerta dela Reina. Distrito Sanitario Córdoba y Guadalquivir, Córdoba, Spain
| | - Aurora De Leo
- Biomedicine and Prevention - University of Rome Tor Vergata, Roma, Italy
- Technical, Rehabilitation, Assistance and Research Direction-IRCCS Istituti Fisioterapici Ospitalieri-IFO, Rome, Italy
| | - Gloria Liquori
- Biomedicine and Prevention - University of Rome Tor Vergata, Roma, Italy
| | - Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy
| | - Emanuele Di Simone
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy
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Christel H, Aubry SC, Florence T, Nora EB, Lisa W, Tomislav P, Frédéric L. Optimization of intravenous administration of hydroxocobalamin in pediatric emergencies - HYDROX-OPTIMIS study. Int Emerg Nurs 2023; 71:101353. [PMID: 37871551 DOI: 10.1016/j.ienj.2023.101353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 08/28/2023] [Accepted: 09/10/2023] [Indexed: 10/25/2023]
Abstract
INTRODUCTION Procedures to prepare and infuse intravenous drugs are poorly documented. OBJECTIVE To determinate the optimal mode of hydroxocobalamin administration in children in emergency care. METHODS We identified three modes of administration: (1) connect infusion tubing to the vial, start the infusion and interrupt it when the desired dose has been delivered; (2) remove from the vial the volume corresponding to the excessive dose and connect infusion tubing and (3) extract from the vial the required volume to be delivered and infuse directly. EXPERIMENTAL STUDY 25 nurses performed each of these three procedures for children weighting 15 and 30 kg. Speed and precision were primary end-points; ease, safety and drug economy were secondary end-points. RESULTS Mode 3 was the fastest (42[37-61] sec) followed by modes 1 and 2 (p < 0.05). Mode 3 was the most precise (100[100-100]%) followed by modes 1 and 2 (p = 0.001). Mode 3 was the easiest (10.0[9.0-10.0]) followed by modes 2 and 3 (p = 0.001). Modes 1 and 3 allowed administration of a second dose whereas mode 2 did not. CONCLUSION Taking the required volume from the vial and infuse directly was the fastest, the most precise, the easiest and most economical mode of administration. It should be recommended.
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Affiliation(s)
- Hilaire Christel
- SAMU 93 - UF Research-Teaching-Quality University Paris 13, Sorbonne Paris Cité, Inserm U942 Avicenne Hospital, 125, rue de Stalingrad, 93009 Bobigny, France.
| | - Saint-Cast Aubry
- SAMU 93 - UF Research-Teaching-Quality University Paris 13, Sorbonne Paris Cité, Inserm U942 Avicenne Hospital, 125, rue de Stalingrad, 93009 Bobigny, France.
| | | | - El Barrak Nora
- SAMU 93 - UF Research-Teaching-Quality University Paris 13, Sorbonne Paris Cité, Inserm U942 Avicenne Hospital, 125, rue de Stalingrad, 93009 Bobigny, France.
| | - Weisslinger Lisa
- SAMU 93 - UF Research-Teaching-Quality University Paris 13, Sorbonne Paris Cité, Inserm U942 Avicenne Hospital, 125, rue de Stalingrad, 93009 Bobigny, France.
| | - Petrovic Tomislav
- SAMU 93 - UF Research-Teaching-Quality University Paris 13, Sorbonne Paris Cité, Inserm U942 Avicenne Hospital, 125, rue de Stalingrad, 93009 Bobigny, France.
| | - Lapostolle Frédéric
- SAMU 93 - UF Research-Teaching-Quality University Paris 13, Sorbonne Paris Cité, Inserm U942 Avicenne Hospital, 125, rue de Stalingrad, 93009 Bobigny, France.
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Shahzeydi A, Kalhor F, Khaksar S, Sabzghabaee AM, Joonbakhsh F, Ajoodanian N. Evaluation of nurses' knowledge and performance regarding preparation and injection of intravenous drugs in pediatric wards in Iran. BMC Pediatr 2023; 23:531. [PMID: 37884932 PMCID: PMC10601159 DOI: 10.1186/s12887-023-04336-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 09/30/2023] [Indexed: 10/28/2023] Open
Abstract
BACKGROUND A error in intravenous injection in pediatric wards can cause irreparable injuries. This study aimed to determine the level of knowledge and performance of nurses in terms of preparation and injection of intravenous drugs in pediatric wards of hospitals affiliated to Isfahan University of Medical Sciences. METHODS This cross-sectional study was conducted in 2022 on 156 nurses working in pediatric wards. The data was collected with demographic information questionnaire and the knowledge and performance of the participants were determined using a researcher-made questionnaire, including the five rights of medication administration (preparation and injection, medication error, drug side effects, family empowerment, and documentation) using self-reporting and observation methods. Formal and content validity was calculated using the opinions of 10 experts and Cronbach's alpha with 40 samples. RESULTS The mean and standard deviation of total nurses' knowledge and performance scores were 58.31 + 10.1 and 66.1 + 14.4, respectively. Moreover, the mean and standard deviation of nurses' knowledge scores were 63.55 + 14.3 for documentation, 46.1 + 7.9 for preparation and injection, 73.9 + 12.3 for drug side effects, 58.4 + 10.2 for medication error, and 69.4 + 9.4 for family empowerment. Besides, the mean performance was 69.1 + 17.6 for documentation, 61.3 ± 9.9 for preparation and injection, 78.21 + 12 for drug side effects, 58.6 + 15 for medication error, and 65.4 + 17.7 for family empowerment. CONCLUSION The results showed that the mean knowledge and pharmacological performance of nurses working in pediatric wards in different areas of the principles of medicine were not at the desired level, and this can affect children adversely.
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Affiliation(s)
- Amir Shahzeydi
- Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Faramarz Kalhor
- Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
- Trauma Center Care, Faculty of Nursing and Midwifery, Kashan University of Medical Science, Kashan, Iran
| | - Sajjad Khaksar
- Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ali Mohammad Sabzghabaee
- Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fatemeh Joonbakhsh
- Faculty Member of Pediatrics Nursing, School of Nursing and Midwifery, Isfahan University of Medical, Isfahan, Iran
| | - Najmeh Ajoodanian
- Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
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Knowledge, Attitude, and Behaviour with Regard to Medication Errors in Intravenous Therapy: A Cross-Cultural Pilot Study. Healthcare (Basel) 2023; 11:healthcare11030436. [PMID: 36767011 PMCID: PMC9914852 DOI: 10.3390/healthcare11030436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Revised: 01/21/2023] [Accepted: 01/31/2023] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Literature on the prevention of medication errors is growing, highlighting that knowledge, attitude and behavior with regard to medication errors are strategic to planning of educational activities and evaluating their impact on professional practice. In this context, the present pilot study aims to translate and validate nursing professionals' knowledge, attitudes and behavior (KAB theory) concerning medication administration errors in ICU from English into Persian. Furthermore, two main objectives of the project were: performing a pilot study among Iranian nurses using the translated questionnaire and carrying out a cultural measurement of the KAB theory concerning medication administration errors in an ICU questionnaire across two groups of Italian and Iranian populations. METHODS A cross-cultural adaptation of an instrument, according to the Checklist for reporting of survey studies (CROSS), was performed. The convenience sample was made up of 529 Iranian and Italian registered nurses working in ICU. An exploratory factor analysis was performed and reliability was assessed. A multi-group confirmatory factor analysis was conducted to test the measurement invariance. Ethical approval was obtained. RESULTS There was an excellent internal consistency for the 19-item scale. Results regarding factorial invariance showed that the nursing population from Italy and Iran used the same cognitive framework to conceptualize the prevention of medication errors. CONCLUSIONS Findings from this preliminary translation and cross-cultural validation confirm that the questionnaire is a reliable and valid instrument within Persian healthcare settings. Moreover, these findings suggest that Italian and Persian nurses used an identical cognitive framework or mental model when thinking about medication errors prevention. The paper not only provides, for the first time, a validated instrument to evaluate the KAB theory in Iran, but it should promote other researchers in extending this kind of research, supporting those countries where attention to medical error is still increasing.
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Giuliano KK, Blake JW, Bittner NP, Gamez V, Butterfield R. Intravenous Smart Pumps at the Point of Care: A Descriptive, Observational Study. J Patient Saf 2022; 18:553-558. [PMID: 35948318 PMCID: PMC9422768 DOI: 10.1097/pts.0000000000001057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This study was conducted to advance understanding of intravenous (IV) smart pump medication administration practices using the Baxter Spectrum IQ. The primary objective was to observe adherence with manufacturer required IV smart pump system setup at the point of care during actual clinical use. METHODS The study was conducted in a 285-bed acute care community hospital near Boston, Massachusetts. The study design was observational and noninterventional, and all data were collected by a single observer. Observations included measurement and documentation of adherence with the Baxter Spectrum IQ system setup requirements. RESULTS A total of 200 primary and secondary IV medication administration observations were included: 101 in critical care and 99 in medical-surgical. Overall adherence was found to be: 6.5% with IV smart pump position relative to the patient (aim 1); 6.5% with required position of the primary infusion bag (aim 2); and 69.5% adherence with required position of the secondary medication infusion bag (aim 3). Additional exploratory data were also collected. CONCLUSIONS These results add to the emerging body of knowledge, which support that adherence to required system setup for head-height dependent IV smart pumps is low and difficult to achieve during actual clinical use. Consideration of alternative human factors-designed technology to replace the current manual setup requirements is needed to improve the process of acute care IV medication administration in this very important area of patient safety.
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Affiliation(s)
- Karen K. Giuliano
- From the Elaine Marieb Center for Nursing and Engineering Innovation, Institute for Applied Life Sciences and Elaine Marieb College of Nursing, University of Massachusetts Amherst
| | - Jeannine W.C. Blake
- From the Elaine Marieb Center for Nursing and Engineering Innovation, Institute for Applied Life Sciences and Elaine Marieb College of Nursing, University of Massachusetts Amherst
| | - Nancy Phoenix Bittner
- Education, Melrose-Wakefield Healthcare
- Lawrence Memorial Regis College, Melrose, Massachusetts
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Hamdan KM, Albqoor MA, Shaheen AM. Intravenous Medication Errors Among ICU Nurses: Differences In Knowledge Attitudes And Behavior. Open Nurs J 2022. [DOI: 10.2174/18744346-v16-e2206201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background:
Intravenous (IV) medication errors can lead to serious complications for ICU patients. ICU nurses' knowledge, training, attitudes, and behaviors toward medication errors are insufficiently investigated.
Objectives:
This study aims at investigating knowledge, behaviors, training, and attitudes among ICU nurses during the preparation and administration of IV medications and examining their differences according to certain variables.
Methods:
A cross-sectional-correlational design was used in this study. A convenience sampling technique included 206 ICU nurses from different types of hospitals in Jordan. The knowledge, attitudes and behavior related to medication errors questionnaire were used to collect data. Descriptive statistics, t-test, Pearson correlation, and Kruskal-Wallis H test were used to analyze the data.
Results:
ICU nurses showed adequate knowledge regarding IV medication preparation and administration, with gaps in basic professional behaviors. About 81.6% of the ICU nurses considered dosage calculation of intravenous drugs to reduce preparation errors. 81.1% of respondents agreed that clinical skills about the safe management of drug therapy should be regularly evaluated. Only (87.9%) of the ICU nurses agreed that handwashing is necessary before drug preparation and administration. Despite that 90.8% received training related to the preparation and administration of IV medications during undergraduate study, about 23.3% didn’t receive topics related to the preparation and administration of IV drugs treated during the POST-basic courses. This study showed a strong positive correlation between ICU nurses' knowledge, attitudes, and behaviors.
Conclusion:
Education is essential to nurses’ feeling safe at administering medications, especially in critical care units, which may affect their attitudes and behaviors. Continuous education that meets the needs of nurses is essential, along with continuous monitoring and evaluation of clinical practices to maintain safe and efficient medication practices and reduce related errors.
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Blake JWC, Fiske SM, Giuliano KK. A qualitative analysis of intravenous smart pump usability. Nurs Open 2022; 9:2171-2178. [PMID: 35591755 PMCID: PMC9190672 DOI: 10.1002/nop2.1227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 02/25/2022] [Accepted: 04/03/2022] [Indexed: 11/05/2022] Open
Abstract
AIM To understand the experience of critical care nurses when performing common, yet error-prone, programming tasks on two unfamiliar intravenous smart pumps. DESIGN A qualitative descriptive study using data collected during a previous quantitative pilot study. METHODS Following completion of common intravenous programming tasks each participant was interviewed using a semi-structured interview guide. All interview data were coded line-by-line and thematic analysis revealed themes across all participants' interviews. RESULTS The following four themes were identified: appreciation for attractive design features, the need for efficiency, the importance of intuitive use and concern for patient outcomes. Overall, these themes provide evidence that nurses strongly prefer a more usable intravenous smart pump interface that integrates safeguards to efficiently improve patient outcomes. Findings support the need for intravenous smart pump technology to be developed with an intuitive interface that decreases the level of cognitive demand and will lead to improved patient safety.
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Affiliation(s)
- Jeannine W C Blake
- Elaine Marieb Center for Nursing and Engineering Innovation, Elaine Marieb College of Nursing & Institute for Applied Life Sciences, University of Massachusetts Amherst, Amherst, Massachusetts, USA
| | - Sarah M Fiske
- Elaine Marieb College of Nursing, University of Massachusetts Amherst, Amherst, Massachusetts, USA
| | - Karen K Giuliano
- Elaine Marieb Center for Nursing and Engineering Innovation, Elaine Marieb College of Nursing & Institute for Applied Life Sciences, University of Massachusetts Amherst, Amherst, Massachusetts, USA
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Dionisi S, Giannetta N, Maselli N, Di Muzio M, Di Simone E. Medication errors in homecare setting: An Italian validation study. Public Health Nurs 2021; 38:1116-1125. [PMID: 34231262 DOI: 10.1111/phn.12946] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 06/09/2021] [Accepted: 06/25/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Medication errors are a concern in overall the world. Although there are studies that investigate what may be the main causes that lead to the genesis of the medication error in the home care setting, there is no tool that correlates knowledge, attitudes, and behavior to medication errors in the context of home care. This study aimed to psychometrically test to the questionnaire on knowledge, attitudes, and behaviors in the administration of medication in the new setting: home care setting. DESIGN This observational study was reported according to the STROBE checklist. SAMPLE Sixty two nurses working in home care setting responded to the online survey. MEASUREMENT The face and content validity of the items generated was assessed. An Exploratory Factorial Analysis descriptive statistical analysis was conducted. The final questionnaire is composed of 20 items. RESULTS The results of the statistical analyses allowed to validate the questionnaire, ensuring good internal consistency and reliability. Most of the sample pointed out that the use of electronic health record, medication reconciliation and the pharmacist's figure are all useful strategies for reducing the risk of medication errors. CONCLUSION The questionnaire is reliable to measure knowledge, attitude, and behavior about medication errors prevention in home care settings.
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Affiliation(s)
- Sara Dionisi
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Lazio, Italy
| | - Noemi Giannetta
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Lazio, Italy.,Vita-Salute San Raffaele University, Milan, Italy
| | - Nicoletta Maselli
- Provincial Agency for Health Services of the Autonomous Province of Trento, Trento, Italy
| | - Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Lazio, Italy
| | - Emanuele Di Simone
- Nursing, Technical, Rehabilitation, Assistance and Research Department, IRCCS Istituti Fisioterapici Ospitalieri, IFO, Rome, Italy
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Kerari A, Innab A. The Influence of Nurses' Characteristics on Medication Administration Errors: An Integrative Review. SAGE Open Nurs 2021; 7:23779608211025802. [PMID: 34222653 PMCID: PMC8223601 DOI: 10.1177/23779608211025802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2021] [Accepted: 05/28/2021] [Indexed: 11/15/2022] Open
Abstract
Background Medication administration errors (MAEs) are a frequent cause of morbidity and mortality in acute care settings and can result in a prolonged hospital stay. The WHO estimated that medication errors cost up to $42 billion globally per a year. Therefore, MAEs was among the most common medical errors to occur in acute care settings. Studies of medication error usually focus on system factors, thus creating a gap between what researchers know about the causes of MAEs, and what frontline nurses actually do in the clinical setting. The purpose of this review is to fill a gap in the existing literature by focusing on the relationship between nurses' characteristics and MAEs. Methods Online databases were accessed, including CINAHL, PsycINFO, PubMed, Scopus, and Google Scholar from 2007-2020 period. This review was guided by the methods described by Whittemore and Knafl. Studies that addressed the occurrence of medication errors based on RN demographics were included in this review. The included studies were reviewed and analyzed by the two authors. Results Of the 1141 publications retrieved, 19 studies met inclusion criteria. The result provided strong evidence that nurses' level of education, length of experience, and attendance at training courses, are directly associated with the occurrence of MAEs. There is weak evidence of MAEs being influenced by the age and gender of nurses. Other nurse characteristics, such as cognitive load, frustration with technology, negligence, lack of attentiveness, and nurse ethnicity, are not adequately examined across the reviewed studies necessitates further research. Conclusion Focusing on nurses' characteristics might facilitate other researchers to suggest appropriate interventions that may reduce the incidence of MAEs. Interventional studies may provide convincing evidence as to whether one variable has a causal effect on another variable, and control the influence of confounding variables to enhance the generalizability of the findings.
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Affiliation(s)
- Ali Kerari
- Medical Surgical Department, School of Nursing, King Saud University, Riyadh, Saudi Arabia
| | - Adnan Innab
- Nursing Administration and Education Department, School of Nursing, King Saud University, Riyadh, Saudi Arabia
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Giannetta N, Dionisi S, Tonello M, Cappadona R, Di Muzio M, Di Simone E. Educational intervention to improve the safety medication process: a review using the GRADE approach. JOURNAL OF PHARMACEUTICAL HEALTH SERVICES RESEARCH 2021. [DOI: 10.1093/jphsr/rmab014] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Objectives
Medication errors are frequent and affect patient safety in all the world. This review using the GRADE approach aims to identify the educational intervention which improves nursing medication competences and knowledge.
Methods
According to PRISMA statement, a review was conducted.
Key findings
In this review of nine studies, we determined that there is a lot of educational intervention aimed to improve nursing knowledge, such as traditional classroom training, simulation, e-learning, slide show presentations and the use of posters and pamphlets or mobile application. All of these can improve the medication process and nursing skills. Only three studies reached moderate, and two studies reached low-quality ratings.
Conclusions
Our findings show that all educational interventions can lead to medication without harm. This work will inform regulators, public health initiatives and policy makers considering the nursing educational intervention for increasing patient safety and improve medication competence and knowledge.
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Affiliation(s)
- Noemi Giannetta
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
- Vita-Salute San Raffaele University, Milan, Italy
| | - Sara Dionisi
- Department of Biomedicine and Prevention – University of Rome Tor Vergata, Rome, Italy
| | - Monica Tonello
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
| | - Rosaria Cappadona
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy
| | - Emanuele Di Simone
- Technical, Rehabilitation, Assistance and Research Departement, IRCCS Istituti Fisioterapici Ospitalieri, IFO, Rome, Italy
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Dionisi S, Di Simone E, Franzoso V, Caldarola E, Cappadona R, Di Muzio F, Giannetta N, Di Muzio M. The application of the Theory of Planned Behaviour to prevent medication errors: a scoping review. ACTA BIO-MEDICA : ATENEI PARMENSIS 2020; 91:28-37. [PMID: 32573504 PMCID: PMC7975831 DOI: 10.23750/abm.v91i6-s.9290] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Accepted: 02/13/2020] [Indexed: 11/23/2022]
Abstract
BACKGROUND AND AIM OF THE WORK A safer drug therapy is a relevant aspect of nursing care and an essential component of the clinical governance function. Nurses are key players in the identification and prevention of medication errors that could occur in the drug management process. In the literature there is a particular interest to environmental and organizational factors, while, as we know, the subjective components are little considered. In psychology, the theory that prefers individual factor, at the expense of the environmental one, is Theory of Planned Behavior (TPB), although it has been little applied in the health field. The aim is to search the existing literature on the medication errors and the TPB to predict the intentions that foreshadow risk behaviours of nursing interns. METHODS This scoping review is grounded by Arksey and O'Malley's framework. RESULTS Attitude is the most determining predictor of intention. For many students reporting an error would lead to a loss of trust in the nursing profession and this could prevent the report. Nevertheless, some of them affirmed to be positively judged when they did it. It was then observed that a better education on safety raised the level of self-confidence and the sense of responsibility of the students, making them more inclined to the drug therapy management. CONCLUSIONS The Theory of planned behaviour is essential to forerun the behavioural intention of students on the pharmacological safety and the collaborative practice through predictive factors, as attitude, subjective norms and perceived behavioural control.
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Affiliation(s)
| | - Emanuele Di Simone
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy.
| | - Valeria Franzoso
- Policlinico Umberto I of Rome, Sapienza University of Rome, Italy.
| | - Elena Caldarola
- Policlinico Umberto I of Rome, Sapienza University of Rome, Italy.
| | - Rosaria Cappadona
- Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, Italy.
| | | | - Noemi Giannetta
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy.
| | - Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Italy.
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Di Muzio M, Napoli C, Fiorinelli M, Orsi GB. Nurses distracted by smartphone use during clinical practice: Italian validation of the "Nurses' use of Personal Communication Devices (PCD) questionnaire". Appl Nurs Res 2019; 49:23-28. [PMID: 31495415 DOI: 10.1016/j.apnr.2019.07.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Revised: 04/23/2019] [Accepted: 07/27/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Via di Grottarossa 1035 - 00189 Rome, Italy.
| | - Christian Napoli
- Department of Surgical and Medical Sciences and Translational Medicine
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Márquez-Hernández VV, Fuentes-Colmenero AL, Cañadas-Núñez F, Di Muzio M, Giannetta N, Gutiérrez-Puertas L. Factors related to medication errors in the preparation and administration of intravenous medication in the hospital environment. PLoS One 2019; 14:e0220001. [PMID: 31339914 PMCID: PMC6655641 DOI: 10.1371/journal.pone.0220001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Accepted: 07/06/2019] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Medication errors have long been associated with low-quality medical care services and significant additional medical costs. OBJECTIVE The aim of this study was to culturally adapt and validate the questionnaire on knowledge, attitudes and behaviors in the administration of intravenous medication, as well as to explore these factors in a hospital setting. METHODS The study was divided into two phases: 1) validation and cross-cultural adaptation, and 2) cross-sectional study. A total of 276 hospital-based nursing professionals participated in the study. RESULTS A Cronbach's alpha value of 0.849 was found, indicating good internal consistency. In the multivariate analysis, statistically significant differences were found between knowledge and attitudes, demonstrating that having greater suitable knowledge correlates with having a more positive attitude. It was also discovered that having a positive attitude as well as the necessary knowledge increases the possibility of engaging in adequate behaviors. CONCLUSIONS The knowledge, attitudes and behavior questionnaire has a satisfactory internal consistency in order to be applied to the Spanish context. Implications for nursing management: Knowledge acquisition and positive attitude are both factors which promote adequate behavior, which in turn seems to have an impact on medication errors prevention. Health institutions must encourage continuous education for their employees.
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Affiliation(s)
- Verónica V. Márquez-Hernández
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, Almería, Spain
- Research Group for Health Sciences, University of Almería, Almería Spain
| | | | | | - Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy
| | - Noemi Giannetta
- Department of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, Italy
| | - Lorena Gutiérrez-Puertas
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, Almería, Spain
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Mikomangwa WP, Kaaya C, Kilonzi M, Mlyuka H, Marealle AI, Mutagonda R. Level of knowledge among health care providers on preparation of injectable artesunate for treatment of severe malaria in public health facilities in Tanzania. BMC Res Notes 2019; 12:224. [PMID: 30975198 PMCID: PMC6460724 DOI: 10.1186/s13104-019-4257-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2019] [Accepted: 04/03/2019] [Indexed: 11/10/2022] Open
Abstract
Objective In Tanzania, seminars and training on the preparation and administration of injectable artesunate were given to health care providers (HCP) during its introduction in 2013. Published evidence on knowledge of its preparation among HCP in public health facilities is scarce. The study determined level of knowledge of health care providers (HCP) in public health facilities on the preparation of injectable artesunate for severe malaria. Results Most (82.5%) of HCP had low knowledge on preparation of injectable artesunate; 78.8% of HCP did not know what to do if the mixture do not mix-up correctly, 73.7% did not know when to discard the preparation if not used and half (50.1%) of them knew how to correctly calculate the dose based on body weight.
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Affiliation(s)
| | - Calvin Kaaya
- Muhimbili University of Health & Allied Sciences, Dar-es-Salaam, Tanzania
| | - Manase Kilonzi
- Muhimbili University of Health & Allied Sciences, Dar-es-Salaam, Tanzania
| | - Hamu Mlyuka
- Muhimbili University of Health & Allied Sciences, Dar-es-Salaam, Tanzania
| | | | - Ritah Mutagonda
- Muhimbili University of Health & Allied Sciences, Dar-es-Salaam, Tanzania
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Di Muzio M, Reda F, Diella G, Di Simone E, Novelli L, D'Atri A, Giannini A, De Gennaro L. Not only a Problem of Fatigue and Sleepiness: Changes in Psychomotor Performance in Italian Nurses across 8-h Rapidly Rotating Shifts. J Clin Med 2019; 8:jcm8010047. [PMID: 30621274 PMCID: PMC6352064 DOI: 10.3390/jcm8010047] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 12/26/2018] [Accepted: 12/29/2018] [Indexed: 02/05/2023] Open
Abstract
Although many studies have detailed the consequences of shift work in nurses concerning health, fatigue, sleepiness, or medical errors, no study has been carried out trying to disentangle the contribution of sleepiness and fatigue associated to shift work from the attentional performance. The aim of this pilot study is (A) to investigate the effects of an 8-h rapidly rotating shift on fatigue and sleepiness among staff nurses and (B) how these factors affect their psychomotor performance. Fourteen nurses were selected for a within-subject cross-sectional study according to this sequence of shifts: morning⁻afternoon⁻night, which were compared as function of tiredness, sleepiness, and performance at the Psychomotor Vigilance Task (PVT). Subsequently, a within-subject Analysis of Covariance (ANCOVA) evaluated if the observed differences between shifts persist when the contribution of sleepiness is controlled. Our results clearly indicate that night shifts are associated with significant greater sleepiness and tiredness, and worsened performance at the PVT. As hypothesized, ANCOVA showed that these differences disappear when the contribution of sleepiness is controlled. Results point to a lower psychomotor performance in night compared to day shifts that depends on sleepiness. Hence, interventions to minimize the consequences of the night shift should consider a reduction of sleepiness.
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Affiliation(s)
- Marco Di Muzio
- Department of Clinical and Molecular Medicine, St. Andrea Hospital, University of Rome "Sapienza", I-00118 Rome, Italy.
| | - Flaminia Reda
- Department of Psychology, University of Rome "Sapienza", I-00185 Rome, Italy.
| | - Giulia Diella
- Department of Clinical and Molecular Medicine, St. Andrea Hospital, University of Rome "Sapienza", I-00118 Rome, Italy.
| | - Emanuele Di Simone
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, I-00133 Rome, Italy.
| | - Luana Novelli
- Department of Psychology, University of Rome "Sapienza", I-00185 Rome, Italy.
| | - Aurora D'Atri
- Department of Psychology, University of Rome "Sapienza", I-00185 Rome, Italy.
| | - Annamaria Giannini
- Department of Psychology, University of Rome "Sapienza", I-00185 Rome, Italy.
| | - Luigi De Gennaro
- Department of Psychology, University of Rome "Sapienza", I-00185 Rome, Italy.
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Assessment of Self-Medication Practices and Its Associated Factors among Undergraduates of a Private University in Nigeria. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2018; 2018:5439079. [PMID: 30671097 PMCID: PMC6317103 DOI: 10.1155/2018/5439079] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Revised: 11/14/2018] [Accepted: 12/05/2018] [Indexed: 11/17/2022]
Abstract
Background Self-medication is the use of drugs to treat self-diagnosed disorders or symptoms or the intermittent or continued use of prescribed drug for chronic or recurrent disease or symptoms, and it is mostly common in developing countries. This study therefore assessed the practice of self-medication among undergraduate students of a private university in Nigeria. Methods The study employed a descriptive cross-sectional design. A pretested questionnaire was self-administered to 384 undergraduate students of the university. Data were analysed and summarised using descriptive and inferential statistics such as chi-squared and Fisher's exact tests. Results Overall, 297 (81.8%) undergraduate students practiced self-medication. About 71% of the students had used analgesic, antibiotics (10.5%), and antimalarial drugs (33%) without prescription within one month prior to the survey. The most commonly used drug for self-medication was paracetamol (75.1%). Furthermore, self-medication was found to be significantly associated with age (p=0.021), gender (p < 0.001), college (p=0.025), and year of study (p=0.004). Some of the reasons why undergraduate students practiced self-medication were because of the unfriendly attitude of health care workers (27.7%), lack of time to go to school clinic (26.7%), school clinic is too far from hostel (15.3%), and drugs prescribed in the school clinic do not improve health condition (15.3%). Conclusion Majority of the students attributed the practice of self-medication to unfriendly attitude of health care workers in the university clinic.
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Di Simone E, Giannetta N, Auddino F, Cicotto A, Grilli D, Di Muzio M. Medication Errors in the Emergency Department: Knowledge, Attitude, Behavior, and Training Needs of Nurses. Indian J Crit Care Med 2018; 22:346-352. [PMID: 29910545 PMCID: PMC5971644 DOI: 10.4103/ijccm.ijccm_63_18] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Aim: The aim was to describe which elements of nurses' knowledge, training needs, behavior, and attitude can prevent Medication errors (Acronym MEs) in the emergency department during all steps of the administration of intravenous (IV) medications. Methods: An anonymous questionnaire made up of 43 items has been drafted and delivered to a sample of 103 nurses of a university hospital in Rome. The study has been supported by specific literature review. Results: Majority of the sample (94%) answered that topics related to the preparation and administration of IV medications were covered during the basic course while 63.2% only during the postbasic course. Only 15.6% of nurses judged excellent their level of knowledge about preparation and administration of IV medications while 89.3% considered that it is important to improve their knowledge; 85.6% said that the teaching about the use of IV medications should be increased during the degree course they attended; 30.3% agreed that specific postgraduate courses on the use of IV drugs should be designed. Moreover, only 22% of the sample believed that the coaching of new recruit nurses is critical to prevent errors. Conclusion: The sample showed appropriate knowledge, positive attitudes, and right behavior related to the preparation and administration of IV medications. The skills that nurses must have in pharmacology are still rising, both due to the safety of drug therapy and to the increasing number of drugs available; the result is that nurses have to update their knowledge regularly.
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Affiliation(s)
- Emanuele Di Simone
- Department of Biomedicine and Prevention - University of Rome Tor Vergata, Italy
| | - Noemi Giannetta
- Department of Biomedicine and Prevention - University of Rome Tor Vergata, Italy
| | | | | | | | - Marco Di Muzio
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
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