Paediatric Emergency Nurses' Perception of Medication Errors: A Qualitative Study.

IF 2.4 Q1 NURSING Nursing Reports Pub Date : 2024-10-17 DOI:10.3390/nursrep14040223
Blanca Collado-González, Ignacio Fernández-López, Valentina Urtubia-Herrera, Ana María Palmar-Santos, Eva García-Perea, María Victoria Navarta-Sánchez
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Abstract

Patient safety is fundamental to healthcare. Adverse events, particularly medication errors, cause harm to patients, especially the paediatric population in the emergency department.

Aim: To explore paediatric emergency nurses' perceptions of medication administration errors.

Method: A qualitative, ethnomethodological, descriptive study. The participants were nurses working in the paediatric emergency department. Data were collected through in-depth individual interviews with paediatric emergency nurses. The study excluded nurses employed for less than six months. Ten individual interviews were carried out. All interviews were face-to-face and audio-recorded with the participant's consent. Interviews took between 52 min and 1 h 25 min. A questions guide was followed during the interviews. The analysis of the data was carried out according to the scheme proposed by Taylor and Bogdan.

Results: The participants' discourse revealed three main categories: Safety culture, transmitted by supervisors and safety groups. Teamwork, with good communication and a positive relationship. Error management, the lack of formal support and negative feelings despite an understanding of the multifactorial nature of errors. The study identifies several challenges in the healthcare system. Emphasis was placed on the perception of errors in terms of patient harm, while near misses or dose delays or omissions are not treated as errors.

Conclusions: Although institutions have implemented safety culture strategies, nurses have not fully embraced them. There is a need to promote a positive safety culture and a safe working environment that encourages communication within the team. The hospital should provide training in safe management and patient safety and develop effective protocols. This study was not registered.

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儿科急诊护士对用药错误的看法:定性研究。
患者安全是医疗保健的基础。不良事件,尤其是用药错误,对患者造成伤害,尤其是急诊科的儿科患者。目的:探讨儿科急诊护士对用药错误的看法:方法:定性、人种学、描述性研究。参与者为儿科急诊室的护士。通过对儿科急诊护士进行深入的个别访谈收集数据。研究排除了聘用时间不足六个月的护士。共进行了 10 次个别访谈。所有访谈都是面对面进行的,并在征得受访者同意后进行了录音。访谈时间为 52 分钟至 1 小时 25 分钟。访谈过程中使用了问题指南。根据泰勒和博格丹提出的方案对数据进行了分析:结果:从参与者的谈话中可以看出三个主要类别:由主管和安全小组传播的安全文化。团队合作,良好的沟通和积极的关系。错误管理,尽管了解错误的多因素性质,但缺乏正式支持和消极情绪。研究指出了医疗系统面临的几项挑战。重点强调了从伤害患者的角度来看待差错,而近乎失误或剂量延误或遗漏则不被视为差错:尽管医疗机构已经实施了安全文化战略,但护士们并没有完全接受这些战略。有必要促进积极的安全文化和安全的工作环境,鼓励团队内部的沟通。医院应提供安全管理和患者安全方面的培训,并制定有效的规程。本研究未经注册。
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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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