Iranian Nurses’ Experiences on Obstacles of Safe Drug Administration: A Qualitative Study

Soltanian, Mitra; Molazem, Zahra; Mohammadi, Eesa; Sharif, Farkhondeh; Rakhshan, Mahnaz

doi:10.5539/gjhs.v8n10p88

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…14 Researchers have mentioned high workload, understaffed wards, assignment of multiple tasks, lack of knowledge and experience, lack of space and equipment, 38 wrong medical decisions, administration of wrong drug or wrong dosage, lack of education for inexperienced nurses, 39 and type of work shift for this problem. 40 The fact that our subjects had relatively desirable conditions in terms of medication administration is an indicative of problems in administration of medicines by nurses.…”

Section: Discussionmentioning

confidence: 96%

Assessing Safety Status of Pediatric Intensive Care Units of Tehran, Iran according to the World Health Organization’s Safety Standards

et al. 2022

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Introduction: Given that children in pediatric intensive care units (PICUs) are more vulnerable to safety risks, health care officials are required to identify the weaknesses and strengths of care and ensure the safety of these children. In this study, the safety status in PICUs of selected educational children’s hospitals in Tehran, Iran, was examined and compared with standards proposed by the World Health Organization (WHO). Methods: In this descriptive study, the performance of nurses with a bachelor’s degree or higher and minimum work experience of six months in the PICU was examined. The study environment included four selected educational hospitals located in Tehran, Iran. Data collection tools were eight safety observation checklists based on the safety standards of WHO. Data collection took five months and the nurses’ performance was categorized into three groups of undesirable, relatively desirable, and desirable. The data were analyzed using SPSS software version 13, descriptive statistics, and regression analysis. Results: Consistency of nursing care for the safety of hospitalized children was found undesirable in hand hygiene in accordance with the WHO standards. Nurses’ performance was relatively desirable in the fields of being more cautious about drugs with similar names or spelling to avoid medication errors, communication during patient hand-over, and performance of correct procedure at correct body site. Regarding other fields, the consistency was at a desirable level. Conclusion: Children’s safety in the PICUs is not desirable in terms of observing health codes and there is a long way to go to meet the international standards.

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Section: Discussionmentioning

confidence: 96%

Assessing Safety Status of Pediatric Intensive Care Units of Tehran, Iran according to the World Health Organization’s Safety Standards

et al. 2022

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“…Mixed methodology studies have not been considered (Jones & Treiber, ; Linnard‐Palmer & Ngo, ). Studies that explored nurses' experiences of the medication administration process without analysing specifically MEs (Pirinen et al, ; Verity, Wiseman, Ream, Teasdale, & Richardson, ), examined nurses' experiences from the perspective of years working in clinical areas and not as a phenomenon or lived condition (Westbrook et al, ) and explored nurses' experiences of nursing errors in general (Soltanian, Molazem, Mohammadi, Sharif, & Rakhshan, ) have not met the criteria to enter the present meta‐synthesis.…”

Section: Discussionmentioning

confidence: 99%

A meta‐synthesis of how registered nurses make sense of their lived experiences of medication errors

Athanasakis

2019

Journal of Clinical Nursing

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Background: Medication errors are a frequent phenomenon in nursing, as the nurses are primarily responsible for preparation and administration of medications to patients. Little is known about how nurses make sense of their experiences of medication errors as a lived phenomenon.Objective: To aggregate, synthesise and interpret the qualitative evidence of studies which explored nurses' lived experiences of medication errors. Method:A meta-synthesis is presented with thematic analysis by Thomas & Harden (BMC Medical Research Methodology, 8, 2008, 45). Qualitative studies (January 1980-June 2018) retrieved from PubMed, BNI, CINAHL, EMBASE, AMED, PsycINFO, ProQuest, ScienceDirect and Wiley Online Library. The PRISMA flow chart, CASP tool and COREQ checklist are integrated in the meta-synthesis. Findings:Eight primary research studies were included with the follow themes: "moral impact," "emotional impact," "constructive learning," "impact on professional registration and employment," "nurses' coping strategies with the experience," "patient and family," "identification of contributing factors to medication errors" and "preventive measures for medication errors." Conclusion:The moral and emotional impact of medication errors to nurses was devastating for themselves. Yet, they detected strategies to cope with their error and its consequences and even more translated their experience into a constructive lesson and identified ways to prevent future errors. Relevance for clinical practice: The meta-synthesis provides a holistic perspective about how registered nurses made sense of their lived experiences of medication errors. Its findings reveal that the experience has both positive impact and negative impact to the nurses. Its findings should inform mainly the clinical nursing practice, clinical nurses, nurse educators, nurse leaders and policymakers of medication administration. K E Y W O R D S interviews, medication errors, nurses' experience, nursing, phenomenology, qualitative methodology, qualitative research, registered nurse, systematic review S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Athanasakis E. A meta-synthesis of how registered nurses make sense of their lived experiences of medication errors. J Clin Nurs. 2019;28:3077-3095. https ://doi.

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“…Distribution of medicine is one the main responsibilities of nurses, which is naturally vital. Its compensations and legal consequences are fateful and can create numerous legal problems for nurses ( 21 – 23 ). Therefore, nurses are very careful in recording medicines and regarding standards since the task is repeated during all shifts and evaluated by physicians during their visits and during every monitoring.…”

Section: Discussionmentioning

confidence: 99%

Effect of electronic report writing on the quality of nursing report recording

Heidarizadeh¹,

Rassouli²,

Manoochehri³

et al. 2017

Electron Physician

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Background and AimRecording performed nursery actions is one of the main chores of nurses. The findings have shown that recorded reports are not qualitatively valid. Since electronic reports can be regarded as a base to write reports, this study aims at determining the effect of utilizing electronic nursing reports on the quality of the records.MethodsThis quasi-experimental study was conducted with the aim of applying an electronic system of nursing recording in the heart department of Shahid Rahimi Medical Center, Lorestan University of Medical Science. The samples were nursing reports on the hospitalized patients in the heart department, the basis of complete enumeration (census) during the fall of 2014. The subjects were sixteen employed nurses. To do the study, the software of nursing records was set based on the Clinical Care Classification system (CCC). The research’s tool was the checklist of the Standards of Nursing Documentation.ResultsThe findings indicated that before and after the intervention, the amount of reports’ adaption with the written standards, respectively, was (21.8%) and (71.3%), and the most complete recording was medicine status (58%) and (100%). The worst complete recording before the intervention, acute changes was (99.1%) and nursing processes was (78%) and after, the medicine status, intake and output status and patient’s education (100%); while the nursing report structure was regarded in all cases (100%). The results showed that there is a significant difference in the quality of reporting before and after using CCC (p<0.001).ConclusionsSince the necessary parameters for recording a standard report do exist in electronic reporting (CCC), from one point, nurses are reminded to record the necessary parts and from the other point, the system does not allow the user to shut it down unless the necessary parameters are recorded. For this reason, the quality of recorded reports with electronic reporting improves.

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Iranian Nurses’ Experiences on Obstacles of Safe Drug Administration: A Qualitative Study

Cited by 4 publications

References 29 publications

Assessing Safety Status of Pediatric Intensive Care Units of Tehran, Iran according to the World Health Organization’s Safety Standards

Assessing Safety Status of Pediatric Intensive Care Units of Tehran, Iran according to the World Health Organization’s Safety Standards

A meta‐synthesis of how registered nurses make sense of their lived experiences of medication errors

Effect of electronic report writing on the quality of nursing report recording

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