Adherence to Medication administration guidelines among Nurses in a Mission Hospital in Meru, Kenya

Mumbi, Mary; Mutunga-Mwenda, Catherine S.; Njoroge, George; Njau, Stanley Kiarie

doi:10.29322/ijsrp.9.09.2019.p9352

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Nigeria, for instance, administration errors constituted over 60% of reported medication errors, with nurses responsible for the majority (85%) [13], while nurse-prepared medications showed an error rate of 19.7%, primarily involving incorrect doses [14]. Kenya reported an overall medication administration error rate of 15.1% among nurses, with omission and wrong dose being the most common errors [15].…”

Section: Introductionmentioning

confidence: 99%

Nurses’ Refusal to Report Medication Administration Errors in a Ghanaian Municipality: Uncovering the Barriers with a Quantitative Approach

Boakye,

Konadu,

Boateng

et al. 2024

Nursing Forum

View full text Add to dashboard Cite

Introduction. Effective self-reporting of medication administration errors (MAEs) is crucial for patient safety globally, yet underreporting persists as a significant challenge, hindering policy interventions. Despite extensive studies on barriers to MAE reporting by nurses, limited attention has been given to this issue in Ghana. This study aimed to explore the reasons behind nurses’ reluctance to report MAEs, contributing to a broader understanding of this critical issue. Methods. A cross-sectional study was conducted among registered nurses at two public health facilities in the Ashanti Region, Ghana. Self-administered questionnaires were distributed to 153 respondents using stratified and simple random sampling. Descriptive and inferential statistics, including chi-square and logistic regression, were employed to analyze 150 completed questionnaires using SPSS version 23, with a significance level set at P<0.05. Results. The majority (60.7%) of nurses reported MAEs, primarily to the ward in-charge (72.0%) and documented in the incidence book (54.3%), while only 9% reported to patients. Reasons for nonreporting included fear of criticism (34.5%), litigation (19.5%), losing practice licenses (18.6%), and stigma (17.7%). Significant correlations were found between nurses’ sociodemographic characteristics (age, marital status, years of practice, and rank) and their self-reporting of MAEs (P<0.05). Conclusion. Despite high levels of self-reported MAEs among nurses, fear remains a pervasive barrier to reporting. Addressing the culture of blame, criticism, and stigma is imperative to enhance nurses’ confidence in reporting MAEs globally, transcending geographical boundaries and fostering patient safety on a broader scale.

show abstract

Section: Introductionmentioning

confidence: 99%

Nurses’ Refusal to Report Medication Administration Errors in a Ghanaian Municipality: Uncovering the Barriers with a Quantitative Approach

Boakye,

Konadu,

Boateng

et al. 2024

Nursing Forum

View full text Add to dashboard Cite

show abstract

“…In Kenya, up to 20% prevalence of medication errors has been reported (13). This has been attributed to the inability to follow the medication administration guidelines due to poor medication administration knowledge.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of the administration of medications among undergraduate nursing students in selected clinical sites in Kenya

Mtuankure¹,

Kyalo²,

Githemo³

2023

ajhs

View full text Add to dashboard Cite

BACKGROUNDMedication administration is one of the critical competencies in nursing to ensure patient safety. Globally, a lack of competence in medication administration has been associated with high morbidity and mortality rates and poor patient outcomes. This study focused on assessing knowledge of medication administration among undergraduate nursing students.MATERIALS AND METHODSThis descriptive cross-sectional study was conducted between June and August 2021 in two County Referral Hospitals in Kenya. The study aimed to establish the level of knowledge on medication administration among second-year nursing students starting their clinical rotations, mainly in the medical/surgical wards. The census method was used to recruit 147 participants based on the pre-defined inclusion criteria. The data was collected using a pretested interviewer-administered knowledge questionnaire based on the World Health Organization (WHO) training curriculum on medication safety. The data was then cleaned, coded and analysed using SPSS version 26. Descriptive and inferential statistics were used to summarise and compare the results.RESULTSThe average score for the medication administration knowledge was 64.8 %, S.D=5.8. The highest score was 79%, whereas the lowest was 43 %. Poor performance was noted in five of the six categories of medication administration, whereby the total number of participants who passed the knowledge assessment with a score of 70% and above was 43 (29.3%) per the international recommendations. The proportion of those who passed differed significantly from those who failed the knowledge assessment, χ2 (1, n=147) =25.31, p<0.05. The results of one sample chi-square test indicated that most students failed the knowledge assessment in the various categories (p<0.05).CONCLUSION AND RECOMMENDATIONSThe pass mark for high-risk skills such as medication administration is 70%. Therefore, the participants’ knowledge was below the recommended pass mark. Nurse educators must identify the gaps in teaching and consider including the WHO medication safety curriculum guidelines and teaching strategies in the existing institutional undergraduate nursing curriculums to enhance the medication administration process and patient safety.

show abstract

Adherence to Medication administration guidelines among Nurses in a Mission Hospital in Meru, Kenya

Cited by 2 publications

References 0 publications

Nurses’ Refusal to Report Medication Administration Errors in a Ghanaian Municipality: Uncovering the Barriers with a Quantitative Approach

Nurses’ Refusal to Report Medication Administration Errors in a Ghanaian Municipality: Uncovering the Barriers with a Quantitative Approach

Knowledge of the administration of medications among undergraduate nursing students in selected clinical sites in Kenya

Contact Info

Product

Resources

About