Nurses’ Awareness Regarding Patients’ Safety Receiving Vasoactive Medication in Critical Care Units

Gehad Diaa Abdelrhman, Hanan Sobeih Sobeih, Sara Fathy Mahmoud
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Abstract

Background : Critical care nurses are responsible for managing the preparation, timing of initiation, administration, titration, and weaning of vasoactive infusions based on the prescriptions of the physician so; to ensure patient safety, they must have adequate knowledge about medication, goals of drug therapy, and interventions to minimize adverse reactions. Aim of the study : This study was conducted to assess nurses’ awareness regarding patients’ safety receiving vasoactive medication in critical care units Design : A descriptive exploratory was utilized to achieve the aim. Setting : This study was conducted at two ICUs as follows (Cardiovascular Care Unit, and Chest Care Unit) affiliated with Ain Shams University Hospital. Sample : A convince sample (50) of all available nurses working in critical care units as mentioned previously. Tools : Data was collected using three tools 1) Nurses’ Knowledge Interview Questionnaire.2) Nurses’ level of Practice Observational Checklist.3) Nurses’ Awareness of Medication Safety Scale. Results : The majority of the studied nurses had an unsatisfactory level of total knowledge and about a fifth had an incompetent level of practice. Meanwhile, most of the studied nurses had an unsafe level regarding patients’ medication safety receiving vasoactive medication in critical care units. Conclusion : There was a statistically significant correlation between the total studied nurses’ knowledge, practice, and their total patients’ medication safety receiving vasoactive medication in critical care units. Recommendations : Provide educational and training programs to improve nurses’ awareness regarding patients’ medication safety receiving vasoactive medication in critical care units supported with evidence-based practices and guidelines.
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护士对重症监护病房患者接受血管活性药物的安全意识
背景:重症监护护士负责根据医生的处方管理血管活性输液的准备、起始时间、给药、滴定和断奶;为了确保患者的安全,他们必须对药物、药物治疗目标和干预措施有足够的了解,以尽量减少不良反应。研究目的:本研究旨在评估重症监护病房护士对患者接受血管活性药物治疗的安全意识。设计:采用描述性探索性研究来达到目的。环境:本研究在艾因沙姆斯大学附属医院的两个icu(心血管监护室和胸部监护室)进行。样本:如前所述,在重症监护病房工作的所有可用护士(50人)的令人信服的样本。工具:采用3种工具收集数据:1)护士知识访谈问卷;2)护士执业水平观察量表;3)护士用药安全意识量表。结果:大多数护士的总体知识水平不令人满意,约五分之一的护士的执业水平不合格。同时,大多数护士对重症监护病房患者接受血管活性药物的用药安全存在不安全水平。结论:在重症监护病房接受血管活性药物治疗的总护士的知识、行为与其总患者用药安全之间存在统计学意义的相关。建议:提供教育和培训计划,以提高护士对重症监护病房接受血管活性药物的患者用药安全的认识,并提供循证实践和指南。
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