Patient safety and technology-driven medication - A qualitative study on how graduate nursing students navigate through complex medication administration
Patient safety and technology-driven medication - A qualitative study on how graduate nursing students navigate through complex medication administration
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DOI：
10.1016/j.nepr.2014.11.015
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发表时间：
2015-05-01
影响因子：
3.2
通讯作者：
Moller, Tom
中科院分区：
文献类型：
--
作者：
Orbaek, Janne;Gaard, Mette;Moller, Tom
背景：技术驱动的用药过程很复杂，涉及先进技术、患者参与和增强的安全措施。药物管理错误经常被报道，26-38% 的住院病例中护士受到牵连。这表明在当今的药物管理中需要新的教育护生的方法。目的：探索护生在技术驱动的药物管理过程中的经验和能力。方法：16名预科护生接受两次焦点小组访谈，使用系统的水平现象学解释模板方法进行记录、转录和分析。结果：访谈发现，了解技术；专业精神和患者安全是用药过程中的三个关键要素。学生们表达了对使用技术的积极和信心，但担心犯下严重的用药错误。从护生的角度来看，经验丰富的护士偏离了现有的指导方针，使他们在实际学习情境中感到孤立。结论：由于技术驱动的用药过程的护理角色模型不明确，护生在识别和采用最佳实践方面面临困难。使用技术对用药错误的频率、类型和严重程度的影响；该技术对护理专业精神和护士确保患者坚持用药过程的能力的影响仍有待研究。 (C) 2014 Elsevier Ltd. 保留所有权利。
Background: The technology-driven medication process is complex, involving advanced technologies, patient participation and increased safety measures. Medication administration errors are frequently reported, with nurses implicated in 26-38% of in-hospital cases. This points to the need for new ways of educating nursing students in today's medication administration.Aim: To explore nursing students' experiences and competences with the technology-driven medication administration process.Methods: 16 pre-graduate nursing students were included in two focus group interviews which were recorded, transcribed and analyzed using the systematic horizontal phenomenological-hermeneutic template methodology.Results: The interviews uncovered that understanding the technologies; professionalism and patient safety are three crucial elements in the medication process. The students expressed positivity and confidence in using technology, but were fearful of committing serious medication errors. From the nursing students' perspective, experienced nurses deviate from existing guidelines, leaving them feeling isolated in practical learning situations.Conclusion: Having an unclear nursing role model for the technology-driven medication process, nursing students face difficulties in identifying and adopting best practices. The impact of using technology on the frequency, type and severity of medication errors; the technologies implications on nursing professionalism and the nurses ability to secure patient adherence to the medication process, still remains to be studied. (C) 2014 Elsevier Ltd. All rights reserved.