Nurses’ perceptions of medication administration safety in public hospitals in the Gauteng Province: A mixed method study

Blignaut, Alwiena Johanna; Coetzee, Siedine K.; Klopper, Hester C.; Ellis, Suria

doi:10.1016/j.ijans.2022.100504

Cited by 2 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionmentioning

confidence: 99%

“…When experienced nurses can earn more knowledge and enhance their skills on medication administration practice it may contribute to the quality of nursing care improvement and reduce MAEs. [37][38][39] The logistic regression analysis shows that only working shift hours was considered an important predictor of medication administration errors. Similar to our study findings 40 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Medication Administration Error Perceptions Among Critical Care Nurses: A Cross-Sectional, Descriptive Study

Alzoubi,

Al-Mahasneh,

Al-Mugheed

et al. 2023

JMDH

View full text Add to dashboard Cite

Purpose This study aimed to investigate the medication administration error perceptions among Jordanian critical care nurses. Methods A cross-sectional, descriptive design was used among Jordanian critical care nurses. The total number of completed questionnaires submitted for analysis was 340. Data were collected between July and August 2022 in two health sectors (governmental hospitals and educational hospital) in the middle and north region in Jordan through a self-administered questionnaire on medication administration errors which includes 65 items with three parts. Results Nurses showed negative perceptions toward medication administration errors. The majority of participants agreed that “The packaging of many medications is similar” (76.7%), followed by “different medications look alike” (76.2%), as the main reasons for medication error occurrence. Two thirds of participants agreed that “when med errors occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error” (74.1%). Similarly, 73.5% of them believed nurses were blamed if something happens to the patient as a result of the medication error was the main reason for underreporting of MAEs. The highest reported levels of medication errors were in a range between 41% and 70%, for both types intravenous (IV) medication errors and non-intravenous (non-IV) medication errors. Conclusion Implement interventions centered on MAEs in particular among critical care nurses, owing to the proven significance of it in foretelling their crucial role in delivering safe care to patients, which will lead to quantifiable returns on both patient outcomes and nurse health, as well as the overall efficiency and image of the organization.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Medication Administration Error Perceptions Among Critical Care Nurses: A Cross-Sectional, Descriptive Study

Alzoubi,

Al-Mahasneh,

Al-Mugheed

et al. 2023

JMDH

View full text Add to dashboard Cite

show abstract

“…Previous studies on appropriate antibiotic treatment in low-resource settings focused on poor-quality products, antibiotic prescribing, accurate dosing, or biosafety. 32 , 41 , 42 , 44 – 47 , 79 , 95 Here, conversely, we provide a bottom-up and comprehensive overview of product, process, and practice challenges faced during antibiotic treatment of bloodstream infections in children under 5 in a low-resource setting. The combination of data collection by a dedicated, trained, and supervised research team, with regular transparent and open-minded discussions with hospital staff and children’s caretakers, facilitated insights in the relations between the observed challenges.…”

Section: Discussionmentioning

confidence: 99%

Challenges of Antibiotic Formulations and Administration in the Treatment of Bloodstream Infections in Children Under Five Admitted to Kisantu Hospital, Democratic Republic of Congo

Tack,

Vita,

Ntangu

et al. 2023

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Severe bacterial infections in children need prompt, appropriate antibiotic treatment. We report challenges observed within a prospective, cohort study on antibiotic efficacy in non-typhi Salmonella bloodstream infection (NCT04850677) in Kisantu district hospital (Democratic Republic of Congo). Children (aged > 28 days to < 5 years) admitted with suspected bloodstream infection (August 1, 2021 through July 31, 2022) were enrolled and followed until day 3 or discharge for non-typhi Salmonella patients. Antibiotics were administered to 98.4% (1,838/1,867) of children, accounting for 2,296 antibiotic regimens (95.7% intravenous, 4.3% oral). Only 78.3% and 61.8% of children were, respectively, prescribed and administered antibiotics on the admission day. At least one dose was not administered in 3.6% of children, mostly because of mismatch of the four times daily cefotaxime schedule with the twice-daily administration rounds. Inappropriate intravenous administration practices included multidose use, air-venting, and direct injection instead of perfusion. There was inaccurate aliquoting in 18.0% (32/178) of intravenous ciprofloxacin regimens, and thus administered doses were > 16% below the intended dose. Dosing accuracy of oral suspensions was impaired by lack of instructions for reconstitution, volume indicators, and/or dosing devices. Adult-dose tablets were split without/beyond scoring lines in 84.4% (27/32) of tablets. Poor availability and affordability of age-appropriate oral formulations contributed to low proportions of intravenous-to-oral switch (33.3% (79/237) of non-typhi Salmonella patients). Other quality issues included poor packaging, nonhomogeneous suspensions, and unsafe water for reconstitution. In conclusion, poor antibiotic products (no age-appropriate formulations, poor quality and access), processes (delayed prescription/administration, missed doses), and practices (inaccurate doses, [bio]safety risks) must be urgently addressed to improve pediatric antibiotic treatment.

show abstract

Nurses’ perceptions of medication administration safety in public hospitals in the Gauteng Province: A mixed method study

Cited by 2 publications

References 20 publications

Medication Administration Error Perceptions Among Critical Care Nurses: A Cross-Sectional, Descriptive Study

Medication Administration Error Perceptions Among Critical Care Nurses: A Cross-Sectional, Descriptive Study

Challenges of Antibiotic Formulations and Administration in the Treatment of Bloodstream Infections in Children Under Five Admitted to Kisantu Hospital, Democratic Republic of Congo

Contact Info

Product

Resources

About