A multi-disciplinary approach to medication safety and the implication for nursing education and practice

Adhikari, Radha; Tocher, Jennifer; Smith, Pam; Corcoran, Janet; MacArthur, Juliet

doi:10.1016/j.nedt.2013.10.008

Cited by 64 publications

(67 citation statements)

References 15 publications

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“…10 Thus, when identifying the risks that can result from a fall, the nurse can evaluate them, with a systematic process of identification, analysis and treatment of the causes. 23 The risk assessment of the falls in hospital admission is a daily practice and aided by decision-making aiming to improve the clinical outcomes and allow more patients to benefit from the knowledge of the best available practices which favor care. 24 Planning is aimed at the development of measurable and objective goals in response to needs assessment and identification of strategies based on theory, evidence and practice.…”

Section: Discussionmentioning

confidence: 99%

Competências Do Enfermeiro Na Prevenção De Quedas Em Crianças À Luz Do Consenso De Galway

Gurgel

Ferreira²,

Sandoval³

et al. 2017

Texto contexto - enferm.

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Objective: to analyze nurses' abilities regarding the prevention of falls in hospitalized children in light of the Galway Consensus.Method: a cross-sectional study was conducted with 40 nurses who worked in the open hospitalization units of a pediatric hospital. Data collection was performed through the application of a questionnaire with validated content. The actions performed by the nurses, according to the fall prevention protocol, were related to the eight domains of the Galway health promotion competency model. Statistical analysis and professional performance analysis were performed.Result: the domain of competence leadership was present in all actions (15). The other areas of competence were presented in the following frequencies: advocacy (9 actions), catalyzing changes (6 actions), implementation (6 actions), planning (3 actions), partnerships (3 actions), needs assessment (2 actions) and impact assessment (2 actions).Conclusion: the competence domains were considered in at least two fall prevention actions. The importance of the identification of nurses' competences in the prevention of falls of hospitalized children is highlighted, aiming to improve the quality of care and, consequently, to reduce unsafe actions. COMPETÊNCIAS DO ENFERMEIRO NA PREVENÇÃO DE QUEDAS EM CRIANÇAS À LUZ DO CONSENSO DE GALWAY RESUMOObjetivo: analisar as competências do enfermeiro na prevenção de quedas de crianças hospitalizadas, à luz do Consenso de Galway.Método: estudo transversal, realizado com 40 enfermeiras que atuavam nas unidades abertas de internação de um hospital pediátrico. Coleta dos dados realizada mediante aplicação de um questionário com conteúdo validado. Foram relacionadas as ações executadas pelas enfermeiras, segundo o protocolo de prevenção de quedas, com os oito domínios do modelo de competências para promoção da saúde de Galway. Procedeu-se à análise estatística e análise do desempenho dos profissionais.Resultado: o domínio de competência liderança esteve presente em todas as ações (15). Os demais domínios de competência apresentaramse na nas seguintes frequências: defesa (9 ações), catalisar mudanças (6 ações), implementação (6 ações), planejamento (3 ações), parcerias (3 ações), avaliação das necessidades (2 ações) e avaliação do impacto (2 ações).Conclusão: os domínios de competência foram contemplados em pelo menos duas ações de prevenção de quedas. Destaca-se a importância da identificação das competências de enfermeiros na prevenção de quedas de crianças hospitalizadas, visando melhoria da qualidade assistencial e, consequentemente, redução de atos inseguros. DESCRITORES: COMPETENCIAS DEL ENFERMERO EN LA PREVENCIÓN DE CAÍDAS EN NIÑOS A LA LUZ DEL CONSENSO DE GALWAY RESUMENObjetivo: analizar las competencias del enfermero en la prevención de caídas de niños hospitalizados, a la luz del Consenso de Galway.Método: estudio transversal, realizado con 40 enfermeras que actuaban en las unidades abiertas de internación de un hospital pediátrico. La recolección de los datos realizada mediante la...

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Section: Discussionmentioning

confidence: 99%

Competências Do Enfermeiro Na Prevenção De Quedas Em Crianças À Luz Do Consenso De Galway

Gurgel

Ferreira²,

Sandoval³

et al. 2017

Texto contexto - enferm.

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“…Focus group discussions with final year students in a study completed by Adhikari et al (2014) revealed limited knowledge, insufficient understanding, lack of confidence and a need for more learning sessions on medication management and applied pharmacology. A lack of knowledge in pharmacology may be attributed to a lack of in-service training and integration of theory and practical (Lim and Honey, 2006;Ndosi and Newell, 2009;Davis, 2010) and has implications for patient safety (Andrew and Mansour, 2014).…”

Section: Discussionmentioning

confidence: 99%

Final year nursing students self-reported understanding of the relevance of bioscience

Rafferty¹,

Kyriacos²

2016

Int. J. Nurs. Midwifery

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Student nurses' competence in applying bioscience to practice is under-researched in South Africa. This paper reports on two objectives of a longer study: (1) to describe final year nursing students' selfreported depth of understanding of six bioscience subjects; and (2) their perceptions of relevance of the bioscience subjects to their practice using descriptions of personal critical incidents and picture interpretations of three nursing activities. A descriptive observational survey was employed using a self-administered questionnaire at one time point in a classroom in a nursing college in Cape Town, South Africa in 2013. A sample of 76/236 (32.2%) fourth year students participated. Results showed that the majority of responses (n=252/456, 55.3%) across six subjects indicated self-reported adequate understanding of bioscience, but deep understanding for anatomy (n=35, 46.1%), physiology (n=32, 42.1%) and pharmacology (n=30, 39.5%). Respondents self-rated their understanding of biophysics, biochemistry and microbiology as superficial (n=31, 40.8%; n=32, 42.1%; n=16, 21.1%) respectively. Most respondents considered anatomy, physiology and pharmacology to be relevant for practice and microbiology to some extent but not biophysics and biochemistry. Most respondents' (23/56, 41.1%) descriptions of their interventions in clinical situations aligned with Akinsanya's Bionursing Model level two (task specific) and none at task level four (personal and professional development). The mismatch between self-reported adequate knowledge and a task approach to practice may be ameliorated by a practice model to guide an undergraduate biosciences curriculum.

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“…This study showed that the discussions on AE were considered positive in seeking improvements, and by understanding that the detection of these events can serve as a basis for decision making and planning of patient safety from the analysis, monitoring, minimization and prevention of incidents that may cause AE (18)(19) . In order to face the AE, errors and incidents in health services that put patient safety at risk, it is necessary to know the scope and magnitude of their occurrences (20) , which go far beyond the creation of a computerized system for notification of events.…”

Section: Discussionmentioning

confidence: 99%

Patient safety management from the perspective of nurses

Françolin¹,

Gabriel

Bernardes

et al. 2015

Rev. esc. enferm. USP

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Objective:To evaluate the actions of patient safety management developed in hospitals, from the perspective of nurses. Method: This is a cross-sectional, descriptive study of the survey type. Participants were seven hospitals, in which seven nurse managers and 49 sector coordinator nurses (n = 56) answered the instrument prepared by the author. Results:The results showed that 100% of hospitals have an adverse event reporting system, 71.4% have a Risk Management Committee and 80% have discussions about the events. There is agreement that these discussions lead to favorable changes for patient safety in the surveyed institutions. The employees' fear of punishment for their faults, and the underreporting of events were the aspects of greatest weakness found. Conclusion: The institutions should develop organizational policies focused on stimulating event notification and on the implementation of measures directed to a non-punitive organizational culture.

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A multi-disciplinary approach to medication safety and the implication for nursing education and practice

Cited by 64 publications

References 15 publications

Competências Do Enfermeiro Na Prevenção De Quedas Em Crianças À Luz Do Consenso De Galway

Competências Do Enfermeiro Na Prevenção De Quedas Em Crianças À Luz Do Consenso De Galway

Final year nursing students self-reported understanding of the relevance of bioscience

Patient safety management from the perspective of nurses

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