1
|
Meginniss A, Coffey C, Clark KD. Simulated medication administration for vulnerable populations using scanning technology: a quasi-experimental pilot study. BMC Nurs 2024; 23:576. [PMID: 39160515 PMCID: PMC11334313 DOI: 10.1186/s12912-024-02248-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2024] [Accepted: 08/09/2024] [Indexed: 08/21/2024] Open
Abstract
BACKGROUND Medication errors may occur due to shortcuts and pressures on time and resources on nurses. Nursing students are enculturated into these environments where their perceptions of norms around reporting and responding to medication errors are formative, yet simulated medication administration experiences are rarely reflective of the real-world environment. such as the standard use of medication scanning technology. The purpose of the present study is to test a pilot intervention, Medication Quick Response (QR) code scanning, and evaluate its effect on medication errors during simulation when compared to traditional simulation medication administration practices and to assess the students' perceptions of the intervention. METHODS We conducted a quasi-experimental, observational study involving Junior and Senior (3rd and 4th year) undergraduate, pre-licensure nursing students from Spring 2022 until Fall 2023. Seven simulations were conducted in pediatric and obstetric courses. The intervention group used non-patented, low cost QR scanning during medication administration. The control group used standard manual administration. Medication errors were measured based on the quantity, type of error, and degree of patient risk. A Qualtrics survey was used to assess the students' perceptions of the intervention following simulation participation. RESULTS A total of 166 students participated in the study. In each course, 7 groups were assigned to the intervention and 8 were assigned to the control. More than half of the groups made at least one medication error (n = 17), one-third of groups (n = 10) made a high-risk medication error. There was no statistically meaningful difference in the rate, type, or potential patient risk of medication errors between the intervention and control groups. The majority of participants (n = 53) felt that QR scanning more closely mimicked medication administration in clinical settings. Half of the participants responded that it improved their safety practices (n = 37). CONCLUSIONS The results of this pilot study indicate that while there is a high risk for error among pre-licensure nursing students, the use of QR scanning did not increase the risk of medication errors. The next study iteration will build upon these pilot findings to integrate the use of embedded medication errors, time management tasks, and a multi-site implementation.
Collapse
Affiliation(s)
- Anne Meginniss
- Department of Nursing, University of New Hampshire, Durham, NH, USA
| | - Courtney Coffey
- Department of Nursing, University of New Hampshire, Durham, NH, USA
| | - Kristen D Clark
- Department of Nursing, University of New Hampshire, Durham, NH, USA.
- Department of Medical Sciences, Uppsala University, Akademiska sjukhuset, ingång 10, plan 3, Uppsala, 751 85, Sweden.
| |
Collapse
|
2
|
Kleib M, Nagle LM, Furlong KE, Paul P, Duarte Wisnesky U, Ali S. Are Future Nurses Ready for Digital Health?: Informatics Competency Baseline Assessment. Nurse Educ 2022; 47:E98-E104. [PMID: 35324499 PMCID: PMC9398510 DOI: 10.1097/nne.0000000000001199] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/07/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND Research continues to show significant gaps in nursing graduates' preparedness in digital health. PURPOSE The aim of this study was to explore nursing students' self-perceived nursing informatics competency and preparedness in digital health, describe learning opportunities available, and identify perceived learning barriers and facilitators to developing informatics competency. METHODS A sequential mixed-methods design, using a cross-sectional survey and interviews, was used. Senior undergraduate students (n = 221) in BScN programs in a Western Canadian Province participated. RESULTS Participants self-reported being somewhat competent in nursing informatics. Three themes were identified: struggling to make sense of informatics nursing practice; learning experiences; and preparedness for future practice. CONCLUSION Addressing inconsistencies in informatics education is an urgent priority so that nursing graduates are competent upon joining the workforce. Implications for nursing education, practice, and policy are discussed.
Collapse
Affiliation(s)
- Manal Kleib
- Assistant Professor (Dr Kleib) and Professor (Dr Paul), Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada; Adjunct Professor (Dr Nagle), Faculty of Nursing, University of New Brunswick, Fredericton, New Brunswick, Canada; Senior Teaching Associate (Dr Furlong), Department of Nursing and Health Sciences, University of New Brunswick, Saint John, New Brunswick, Canada; Postdoctoral Fellow (Dr Wisnesky), Faculty of Medicine, University of Alberta, Edmonton, Alberta, Canada; and MScN Graduate, Faculty of Nursing, University of Alberta, Edmonton, Alberta (Ms Ali)
| | - Lynn M. Nagle
- Assistant Professor (Dr Kleib) and Professor (Dr Paul), Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada; Adjunct Professor (Dr Nagle), Faculty of Nursing, University of New Brunswick, Fredericton, New Brunswick, Canada; Senior Teaching Associate (Dr Furlong), Department of Nursing and Health Sciences, University of New Brunswick, Saint John, New Brunswick, Canada; Postdoctoral Fellow (Dr Wisnesky), Faculty of Medicine, University of Alberta, Edmonton, Alberta, Canada; and MScN Graduate, Faculty of Nursing, University of Alberta, Edmonton, Alberta (Ms Ali)
| | - Karen E. Furlong
- Assistant Professor (Dr Kleib) and Professor (Dr Paul), Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada; Adjunct Professor (Dr Nagle), Faculty of Nursing, University of New Brunswick, Fredericton, New Brunswick, Canada; Senior Teaching Associate (Dr Furlong), Department of Nursing and Health Sciences, University of New Brunswick, Saint John, New Brunswick, Canada; Postdoctoral Fellow (Dr Wisnesky), Faculty of Medicine, University of Alberta, Edmonton, Alberta, Canada; and MScN Graduate, Faculty of Nursing, University of Alberta, Edmonton, Alberta (Ms Ali)
| | - Pauline Paul
- Assistant Professor (Dr Kleib) and Professor (Dr Paul), Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada; Adjunct Professor (Dr Nagle), Faculty of Nursing, University of New Brunswick, Fredericton, New Brunswick, Canada; Senior Teaching Associate (Dr Furlong), Department of Nursing and Health Sciences, University of New Brunswick, Saint John, New Brunswick, Canada; Postdoctoral Fellow (Dr Wisnesky), Faculty of Medicine, University of Alberta, Edmonton, Alberta, Canada; and MScN Graduate, Faculty of Nursing, University of Alberta, Edmonton, Alberta (Ms Ali)
| | - Uira Duarte Wisnesky
- Assistant Professor (Dr Kleib) and Professor (Dr Paul), Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada; Adjunct Professor (Dr Nagle), Faculty of Nursing, University of New Brunswick, Fredericton, New Brunswick, Canada; Senior Teaching Associate (Dr Furlong), Department of Nursing and Health Sciences, University of New Brunswick, Saint John, New Brunswick, Canada; Postdoctoral Fellow (Dr Wisnesky), Faculty of Medicine, University of Alberta, Edmonton, Alberta, Canada; and MScN Graduate, Faculty of Nursing, University of Alberta, Edmonton, Alberta (Ms Ali)
| | - Shamsa Ali
- Assistant Professor (Dr Kleib) and Professor (Dr Paul), Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada; Adjunct Professor (Dr Nagle), Faculty of Nursing, University of New Brunswick, Fredericton, New Brunswick, Canada; Senior Teaching Associate (Dr Furlong), Department of Nursing and Health Sciences, University of New Brunswick, Saint John, New Brunswick, Canada; Postdoctoral Fellow (Dr Wisnesky), Faculty of Medicine, University of Alberta, Edmonton, Alberta, Canada; and MScN Graduate, Faculty of Nursing, University of Alberta, Edmonton, Alberta (Ms Ali)
| |
Collapse
|
3
|
Sandra PC, Alba CP, Cristina MM. Use of simulation to improve nursing students' medication administration competence: a mixed-method study. BMC Nurs 2022; 21:117. [PMID: 35578199 PMCID: PMC9112449 DOI: 10.1186/s12912-022-00897-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 05/06/2022] [Indexed: 11/10/2022] Open
Abstract
Background Medication administration errors are among the most important adverse events in healthcare systems. To minimise the risk of this occurring, nursing training programmes should emphasise the overriding priority of patient safety. In this respect, simulation can be a valuable resource in teaching procedures, for patient safety in general and safe medication administration in particular. In this study, we evaluate the use of a simulation-based activity for students to acquire skills in safe medication administration, and consider the students’ perceptions of this activity. Methods Second-year nursing students enrolled in the subject of pharmacology at a Spanish university during the academic year 2018–2019 were invited to participate in this mixed-method study. Their acquisition of professional competencies via a simulation exercise was evaluated according to the ‘six rights’. Before the simulation, each student completed a researcher-developed online questionnaire. The simulation was evaluated by the students’ tutor, using a checklist. A descriptive analysis was made of the data obtained from the questionnaire and during the simulation. At the end of the semester, the students' opinions were recorded in the questionnaire, in response to an open question. A content analysis was made of the responses to the open question. Results The simulation exercise was performed by 179 students, of whom 73 had previously completed the questionnaire. Analysis showed that, in comparison with the pre-simulation questionnaire results, compliance with the six rights improved in all dimensions except data documentation: right patient (from 64.4% to 83.3%); right medication (from 60.3% to 95.8%); right dose (from 60.3% to 100%); right route (from 54.8% to 95.8%); right time (from 24.7% to 70.8%); the right documentation result fell from 54.8% to 45.8%. The students expressed their satisfaction with the simulation method, affirming that it brought them closer to the reality of health care. Conclusions Simulation is a useful tool for the acquisition of skills in medication administration. The students were satisfied with the simulation capacity to bridge the gap between theory and practice. Moreover, simulation represents an added teaching resource in the nursing degree curriculum and is expected to enhance patient safety.
Collapse
Affiliation(s)
- Pol-Castañeda Sandra
- Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Balearic Islands, Spain.,Care, Chronicity and Health Evidences Research Group, Health Research Institute of the Balearic Islands (IdISBa), 07010, Palma, Spain
| | - Carrero-Planells Alba
- Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Balearic Islands, Spain. .,Care, Chronicity and Health Evidences Research Group, Health Research Institute of the Balearic Islands (IdISBa), 07010, Palma, Spain.
| | - Moreno-Mulet Cristina
- Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Balearic Islands, Spain.,Care, Chronicity and Health Evidences Research Group, Health Research Institute of the Balearic Islands (IdISBa), 07010, Palma, Spain
| |
Collapse
|
4
|
Sahay A, Willis E, Kerr D, Rasmussen B. NURSE LEADER AGENCY: CREATING AN ENVIRONMENT CONDUCIVE TO SUPPORT FOR GRADUATE NURSES. J Nurs Manag 2022; 30:643-650. [PMID: 35172390 PMCID: PMC9313836 DOI: 10.1111/jonm.13561] [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: 12/22/2021] [Revised: 02/13/2022] [Accepted: 02/14/2022] [Indexed: 12/01/2022]
Abstract
Aim The aim of the study was to gain insight on how nurse leaders manage a culture of safety for graduate nurses. Background Current theoretical approaches to safety culture tend towards a checklist approach that focuses on institutional characteristics, failing to examine the quality of interpersonal relationships. These interpersonal interactions are often seen as separate from the institutional realities of resource allocation, nurse–patient ratios, patient acuity or throughput. A theoretical approach is required to illuminate the dialectic between the structure of an organisation and the agency created by nurse leaders to promote patient safety. Design Qualitative exploratory descriptive study. Methods Semi‐structured interviews were undertaken with 24 nurse leaders from hospital and aged care settings. Thematic analysis and Giddens structuration theory was used to describe the findings. Results Nurse leaders identified a range of reciprocal communicative and cultural norms and values, decision‐making processes, personal nursing philosophies, strategies and operational procedures to foster patient safety and mentor graduate nurses. The mentoring of graduate nurses included fostering critical thinking, building and affirming formal structural practices such as handover, teamwork, medication protocols and care plans. Conclusions The study provides insight into how nurse leaders foster a culture of safety. Emphasis is placed on how agency in nurse leaders creates an environment conducive to learning and support for graduate nurses. Implications for Nursing Management Nurse leadership functions and decision‐making capacity hinges on multiple factors including practicing agency and aspects of the social structure such as the rules for safe communication, and the various institutional protocols. Nurse leaders enforce these forms of engagement and practice through their legitimation as leaders. They have both allocative and authoritative resources; they can command resources, direct staff to attend to patients and/or clinical tasks, mentor, guide, assign, correct and encourage with the authority vested in them by the formal structure of the organisation. In doing so, they sustain the structure and reinforce it.
Collapse
Affiliation(s)
- Ashlyn Sahay
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Australia, Mackay, Queensland
| | - Eileen Willis
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Australia, Mackay, Queensland.,College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Debra Kerr
- School of Nursing and Midwifery, Faculty of Health, Deakin University, Victoria, Australia
| | - Bodil Rasmussen
- School of Nursing and Midwifery, Faculty of Health, Deakin University, Victoria, Australia
| |
Collapse
|
5
|
Gao J, Rae AJ, Dekker SWA. Intervening in Interruptions: What Exactly Is the Risk We Are Trying to Manage? J Patient Saf 2021; 17:e684-e688. [PMID: 28953051 DOI: 10.1097/pts.0000000000000429] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
ABSTRACT Interruptions are thought to be significantly associated with medication administration errors. Researchers have tried to reduce medication errors by decreasing or eliminating interruptions. In this article, we argue that interventions are often (perhaps unreflectively) based on one particular model of risk reduction-that of barriers placed between the source of risk and the object-to-be-protected. Well-intentioned interventions can lead to unanticipated effects because the assumptions created by the risk model are not critically examined. In this article, we review the barrier model and the assumptions it makes about risk and risk reduction/prevention, as well as the model's incompatibility with work in healthcare. We consider how these problems lead to interruptions interventions with unintended negative consequences. Then, we examine possible alternatives, viz organizing work for high reliability, preventing safety drift, and engineering resilience into the work activity. These all approach risks in different ways, and as such, propose interruptions interventions that are vastly different from interventions based on the barrier model. The purpose of this article is to encourage a different approach for designing interruptions interventions. Such reflection may help healthcare communities innovate beyond old, ineffective, and often counterproductive interventions to handle interruptions.
Collapse
Affiliation(s)
- Jonathan Gao
- From the Safety Science Innovation Laboratory, Griffith University, Nathan, Queensland, Australia
| | | | | |
Collapse
|
6
|
Rossler KL, Sankaranarayanan G, Hurutado MH. Developing an immersive virtual reality medication administration scenario using the nominal group technique. Nurse Educ Pract 2021; 56:103191. [PMID: 34534723 PMCID: PMC8595690 DOI: 10.1016/j.nepr.2021.103191] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Revised: 08/13/2021] [Accepted: 08/31/2021] [Indexed: 01/05/2023]
Abstract
AIM This paper aims to describe how the Nominal Group Technique was applied to obtain focused content to develop medication administration error scenarios for future use to educate practicing RNs with immersive virtual reality simulation. BACKGROUND In the United States, medication errors account for up to $46 million in daily loss to hospital operational budgets. Each phase of prescribing, dispensing, administration, monitoring, and reconciliation is crucial in reducing potentially life-threatening outcomes associated with medication errors. Registered Nurses are responsible for safely administering diverse classifications of medications to patients in various healthcare settings. However, human and system factors can contribute to the exposure of hospitalized patients to a medication error. Virtual reality simulation-based education can be a methodology to educate practicing Registered Nurses on safe medication practices. DESIGN A Nominal Group Technique process was used to generate consensus from participating Registered Nurses on human and system factors that can contribute to medication administration errors. METHODS The process consisted of (a) preparation, (b) running the group with an introduction of the subject, (c) generation of ideas, (d) listing of ideas, (e) discussion of ideas, (f) ranking of top ideas, (g) voting on top ideas, (h) discussion of the vote outcome, and (i) re-ranking and rating the top items. Human and system factor idea items encompassed medication errors during ordering, prescribing, or administering medications. Both novice and experienced Registered Nurses rank-ordered these factors as those most likely to encounter or which would most likely occur during one working shift. RESULTS Descriptive statistics of frequencies and percentages were used to analyze the findings when grouped by human and system factor categories. Non-parametric testing with a Kruskal-Wallis test was conducted to compare the human and system factors by categories and years of Registered Nurse experience. Findings revealed that the factors of Time Management: getting behind, hurried, urgent (KW-H 11.2, df 4, p = .025) and Right Medication: medications have similar look and sound-alike names (KW-H 11.1, df 4, p = .025) impacted safe medication administration for both the novice and experienced nurse. CONCLUSION The NGT process identified human and system factors contributing to errors and impacting safe medication administration practices. Findings will support the creation of medication administration scenarios for use with immersive virtual reality simulation.
Collapse
Affiliation(s)
- Kelly L Rossler
- Baylor University Louise Herrington School of Nursing, 333N. Washington Ave., Dallas, TX 75246, USA.
| | - Ganesh Sankaranarayanan
- Department of Surgery, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390, USA.
| | - Mariana H Hurutado
- Baylor Scott and White Health, University Medical Center, 3535 Worth St., Dallas, TX 75204, USA.
| |
Collapse
|
7
|
Sahay A, Willis E. Graduate nurse views on patient safety: Navigating challenging workplace interactions with senior clinical nurses. J Clin Nurs 2021; 31:240-249. [PMID: 34114276 DOI: 10.1111/jocn.15902] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Revised: 05/14/2021] [Accepted: 05/18/2021] [Indexed: 11/30/2022]
Abstract
AIM AND OBJECTIVE To explore and understand the negative experiences of graduate nurses' interaction with senior nurses and the implications for safe patient care. BACKGROUND Patient safety is dependent on the nursing care they receive. Working in environments where there is reduced collegial support and increased emotional distress, increases the likelihood of nurses making errors that may negatively impact on patient outcomes. Insights drawn from graduate nurses' negative interactions with senior nurses may provide an understanding of the impact of nurse-to-nurse interactions on patient safety outcomes. METHODS A qualitative exploratory descriptive design was used. A purposive sample of 18 graduate registered nurses participated in this study. Semi-structured interviews were conducted, audio-recorded and transcribed verbatim. Data were thematically analysed. The COREQ checklist was followed. RESULTS The overarching theme, 'Navigating workplace challenges' was identified with two sub-themes: Processing unsupportive nurse behaviour and responding to nurse deviations from best practice. Common deviations in practice included erosion of safe medication practice, wound care and non-compliance with universal precautions. Graduate nurses also observed unsafe workplace practice, however, were hesitant to speak up due to fear of retribution. Unsupportive behaviours impacted on their critical thinking ability, follow-up interactions with other nurses and subsequent delivery of patient care. CONCLUSION Quality and safety strategies should not ignore and/or overlook the impact of interpersonal relationships on patient safety and risk. Strategies for delivering evidence-based, safe and quality care to patients go beyond the establishment of standards and technically focussed management strategies. RELEVANCE TO CLINICAL PRACTICE It is vital to examine the quality of working relationships between all levels of healthcare professionals including graduate nurses and their supervisors to ensure supportive behaviours prevail in advancing delivery of quality care within the practice environment. The study alludes to the fact that disruptive workplace behaviours are more hierarchical than horizontal (i.e., graduate nurse-to-graduate nurse).
Collapse
Affiliation(s)
- Ashlyn Sahay
- School of Nursing Midwifery and Social Sciences, Central Queensland University, Mackay, Australia
| | - Eileen Willis
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| |
Collapse
|
8
|
Santos APS, Tavares MFM, Duarte ACM, Sousa FAMDR. Supervisors' perceptions on errors of nursing students in clinical clerkship: a qualitative research. Rev Bras Enferm 2021; 74:e20200675. [PMID: 34076223 DOI: 10.1590/0034-7167-2020-0675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Accepted: 10/09/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to compare pedagogical supervisors' and clinical supervisors' perceptions about the errors made by nursing students in clinical clerkship. METHODS a qualitative exploratory-descriptive study developed with 105 participants. Data collection was performed with a questionnaire with open-ended questions. Content analysis performed according to the conceptual model of student errors in clinical teaching. RESULTS pedagogical supervisors perceive, in descending order, errors in transversal competencies, in the execution of care and medication. Clinical supervisors perceive, in descending order, the execution of care, medication, and transversal competencies. FINAL CONSIDERATIONS there was coincidence and complementarity in clinical supervisors' and pedagogical supervisors' perceptions, although not in the same order, regarding the errors made. This study presents contributions related to the existing knowledge in relation to medication errors, which are not the most perceived, and those of transversal competencies, which take on a prominent position.
Collapse
|
9
|
Senior Nursing Studentsʼ Perceptions of Their Readiness for Oral Medication Administration Prior to Final Year Internship. Dimens Crit Care Nurs 2020; 39:23-32. [DOI: 10.1097/dcc.0000000000000401] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
|
10
|
Teal T, Emory J, Patton S. Analysis of Medication Errors and near Misses Made by Nursing Students. Int J Nurs Educ Scholarsh 2019; 16:ijnes-2019-0057. [DOI: 10.1515/ijnes-2019-0057] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Accepted: 10/01/2019] [Indexed: 11/15/2022]
Abstract
Abstract
Despite extensive research and technological advancements, errors related to medication administration continue to rise annually. The body of evidence surrounding medication errors has focused largely on licensed practicing nurses. Nursing students can offer a unique perspective regarding medication administration as their foundation for professional psychomotor skills and cognitive abilities are developed. The purpose of this study was to explore the variables related to medication errors made by pre-licensure nursing students. Data were collected from 2013–2015 in a pre-licensure program. Students completed a post-error survey available in Google Forms. One hundred thirteen responses to the error report were completed. By exploring the factors related to medication errors among nursing students, teaching and learning strategies forming the foundations of medication administration can improve professional nursing practice and improve safety and quality of care.
Collapse
Affiliation(s)
- Tabatha Teal
- Nursing , Univ Arkansas , 606 N Razorback Road , Fayetteville , AR 72701 , USA
| | - Jan Emory
- Nursing , Univ Arkansas , 606 N Razorback Road , Fayetteville , AR 72701 , USA
| | - Susan Patton
- Nursing , Univ Arkansas , 606 N Razorback Road , Fayetteville , AR 72701 , USA
| |
Collapse
|
11
|
Safe medication administration: Perspectives from an appreciative inquiry of the practice of registered nurses in regional Australia. Nurse Educ Pract 2019; 34:111-116. [DOI: 10.1016/j.nepr.2018.11.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2018] [Revised: 09/20/2018] [Accepted: 11/15/2018] [Indexed: 11/23/2022]
|
12
|
Stevanin S, Causero G, Zanini A, Bulfone G, Bressan V, Palese A. Adverse events witnessed by nursing students during clinical learning experiences: Findings from a longitudinal study. Nurs Health Sci 2018; 20:438-444. [DOI: 10.1111/nhs.12430] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2017] [Revised: 03/15/2018] [Accepted: 03/23/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Simone Stevanin
- Department of Medical Science; Udine University; Udine Italy
| | - Giulia Causero
- Department of Medical Science; Udine University; Udine Italy
| | | | | | | | - Alvisa Palese
- Department of Medical Science; Udine University; Udine Italy
| |
Collapse
|
13
|
Quattromani E, Hassler M, Rogers N, Fitzgerald J, Buchanan P. Smart Pump App for Infusion Pump Training. Clin Simul Nurs 2018. [DOI: 10.1016/j.ecns.2017.11.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
|
14
|
Gaard M, Orbæk J. Supervising nursing students in a technology-driven medication administration process in a hospital setting: a systematic review protocol. JBI DATABASE OF SYSTEMATIC REVIEWS AND IMPLEMENTATION REPORTS 2016; 14:52-57. [PMID: 27635745 DOI: 10.11124/jbisrir-2016-003051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The objective of this review is to identify, describe and synthesize the experiences of nurse supervisors and the factors that influence the supervision of pre-graduate nursing students in undertaking technology-driven medication administration in hospital settings.The current review seeks to answer the following questions.
Collapse
Affiliation(s)
- Mette Gaard
- 1Department of Medicine: University Amager-Hvidovre Hospital, Hvidovre, Denmark 2Department of Gastroenterology: University Amager-Hvidovre Hospital, Hvidovre, Denmark
| | | |
Collapse
|
15
|
Farre A, Cummins C. Understanding and evaluating the effects of implementing an electronic paediatric prescribing system on care provision and hospital work in paediatric hospital ward settings: a qualitatively driven mixed-method study protocol. BMJ Open 2016; 6:e010444. [PMID: 26842275 PMCID: PMC4746465 DOI: 10.1136/bmjopen-2015-010444] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2015] [Revised: 12/23/2015] [Accepted: 01/15/2016] [Indexed: 01/24/2023] Open
Abstract
INTRODUCTION Electronic prescribing systems can improve the quality and safety of healthcare services, but their implementation is not straightforward and may create unexpected change. However, the added complexity of paediatric prescribing (eg, dose calculations, dilutions, manipulations) may pose additional challenges. This study will aim to (1) understand the complex organisational reality of a paediatric hospital in which a new electronic paediatric prescribing (ePP) system will be introduced; (2) describe ePP-related change, over time, in paediatric hospital ward settings; (3) explore staff perspectives in relation to currently established practices and processes; and (4) assess the impact of ePP on care provision and hospital work from the perspective of paediatricians, paediatric nurses and managers. METHODS AND ANALYSIS A qualitatively driven mixed-method approach will be adopted, including 3 inter-related substudies. The core component of the study will be qualitative (substudy 1): we will use ethnographic research methods, including non-participant observation in wards and informal conversational interviews with members of staff. In addition, the design will include 2 embedded supplementary components: a qualitative 1 (substudy 2) based on in-depth interviews and/or focus groups with paediatricians, paediatric nurses, paediatric pharmacists/pharmacy technicians and managers; and a quantitative 1 (substudy 3) in which a staff survey will be developed and administered before and after the ePP implementation. Analytic themes will be identified from ethnographic field notes and interview data. Survey data will be analysed using descriptive statistics and baseline and follow-up data compared to establish impact evaluation measures. ETHICS AND DISSEMINATION A favourable ethical opinion has been obtained from a National Health Service (NHS) Research Ethics Committee (15/SS/0157). NHS research governance approval has been obtained at the relevant hospital site. The results of the study will be disseminated through conferences and peer-reviewed journals, as well as fed back to those involved in clinical practice and policy development at the study site.
Collapse
Affiliation(s)
- Albert Farre
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
- Research and Development, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK
| | - Carole Cummins
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| |
Collapse
|