Developing an immersive virtual reality medication administration scenario using the nominal group technique.
Developing an immersive virtual reality medication administration scenario using the nominal group technique.
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DOI：
10.1016/j.nepr.2021.103191
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发表时间：
2021-10
影响因子：
3.2
通讯作者：
Hurutado MH
中科院分区：
文献类型：
--
作者：
Rossler KL;Sankaranarayanan G;Hurutado MH
本文旨在描述如何应用命名组技术来获取焦点内容，以开发给药错误场景，以用于通过沉浸式虚拟现实模拟来教育实践中的RN。在美国，每天给医院运营预算造成的损失中，用药差错最高可达4600万美元。处方、配药、管理、监测和对账的每个阶段对于减少与用药错误相关的潜在危及生命的后果至关重要。注册护士负责在不同的医疗保健环境中为患者安全地使用不同类别的药物。然而，人为和系统因素可能会导致住院患者暴露在用药错误中。虚拟现实模拟教育可以作为一种方法来教育执业注册护士的安全用药实践。使用名义团体技术过程从参与的注册护士那里获得关于可能导致用药错误的人和系统因素的共识。这一过程包括a)准备，b)管理小组，介绍主题，c)产生想法，d)列出想法，e)讨论想法，f)对顶级想法进行排名，g)对顶级想法进行投票，h)讨论投票结果，以及i)对顶级项目进行重新排序和评级。人为和系统因素的想法项目包括在订购、开药或给药过程中的用药错误。新手和有经验的注册护士都将这些因素排序为最有可能在一个轮班中遇到或最有可能发生的因素。当按人为因素和系统因素类别分组时，使用频率和百分比的描述性统计来分析结果。使用Kruskal-Wallis检验进行非参数检验，比较不同类别和注册护士年限的人为因素和系统因素。研究发现，时间管理的因素：落后、匆忙、紧急(KW-H 11.2，DF4，p=.025)和正确的用药：药物具有相似的外观和发音相似的名称(KW-H11.1，DF4，p=.025)影响新手和有经验护士的安全用药。NGT过程确定了导致差错并影响安全用药实践的人为和系统因素。研究结果将支持创建与沉浸式虚拟现实模拟一起使用的药物管理场景。
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. 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. 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. 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. 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. 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.
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影响因子：
2.6
作者：
Bryant, Rebecca;Miller, Char L.;Henderson, Deborah
通讯作者：
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DOI：
10.1111/j.1440-172x.2012.02017.x
发表时间：
2012-04-01
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