Registered Nurses Perception of Medication Errors: A Cross Sectional Study in Southeast of Iran
|
|
- Benedict Hensley
- 6 years ago
- Views:
Transcription
1 International Journal of Nursing Education. DOI Number: January-June /j , Vol. 6, No.1 19 Registered Nurses Perception of Medication Errors: A Cross Sectional Study in Southeast of Iran Zahra Esmaeli Abdar 1, Haleh Tajaddini 2, Azam Bazrafshan 1, Hadi Khoshab 3, Asghar Tavan 4, Giti Afsharpoor 5, RN Masoud Amiri 6, Hossein Rafiei 7, Mohammad Esmaeili Abdar 8 1 Department of Clinical Research, 2 Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran, 3 Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran, 4 Shafa Hospital, 5 Shahid Bahonar Hospital, 6 Social Health Determinants Research Center, 7 Department of Intensive and Critical Care, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran, 8 Department of Medical- Surgical Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran ABSTRACT Aim: Nurses have an important role in decreasing Medication Errors (MEs). The purpose of this study was to determine registered nurses perception of MEs. Method: In a cross-sectional study conducted in four educational hospitals in southeast of Iran, 238 registered nurses working within these hospitals were studied. Data were collected using Iranian nurses' medication errors questionnaire. Results: Of the 238 nurses, 93.1% were women. Factors such as lack of staff to patients ratio, nurses fatigue from hard work, having difficulty to read physician's writing on the patients file, nurses' heavy workload and work in night shift were the most common causes of MEs development which determined by nurses. Conclusion: MEs may affect negatively on patients' health. Nursing educational systems should have more attention to nurses' perception on MEs and could consider their view in planning and education in order to decline MEs. Keywords: Medication Error, Nurse, Perception, Cross Sectional INTRODUCTION Medication errors (MEs) are of the most important problems in all hospitalized patients 1 which can be used as an indicator for determining the level of patient s safety in hospitals 2. The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) defines a medication error as: any preventable event that may cause or Corresponding author: Mohammad Esmaeli Abdar Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran Mesmaeli87@gmail.com Phone: lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use 3. These errors not only may have adverse influences on patients, 4, 5 but also may negatively affect nurses and organizations 4. Incidence of MEs of hospitals settings in developing countries is high 1, 4. Jennane and colleagues in 2011 surveyed on the incidence of MEs in an intensive care unit (ICU) of an educational hospital in North Africa 1.
2 20 International Journal of Nursing Education. January-June 2014, Vol. 6, No.1 They reported that most of patients in their ICU encountered with MEs especially in time of drug ordering and transcribing 1. They have also found that increasing use of antibiotics and anticoagulants may raise the rate of MEs in ICU 1. In 2012, Seidi and colleagues examined pediatric nurses perceptions on the causes of MEs and potential barriers to report them in the pediatric wards of an educational hospital in Iran 6. Most common causes of MEs reported by Iranian pediatric nurses were being unable to check medicinal orders (73.9%) and errors in the medication administration (64%). Seidi and colleagues also reported that less than half of MEs errors occurred in pediatric wards, had been reported by Iranian pediatric nurses to their supervisor 6. In another study, Tang and colleagues surveyed nurses views on the factors contributing to MEs 7. Main affecting factors on MEs rate determined by Tang were the personal neglect, heavy workload and new staff 7. They also reported that risk of MEs occurrence is higher in some wards such as medical wards and ICU 7. In addition, Koohestani and colleagues focused on the barriers to report the medication administration errors by nursing students 8. They reported that nursing students usually did not report MEs to their instructors. Two main reasons for not reporting ME among nursing students were administrative barriers such as its potential negative feedback and fear of being recognized as inappropriate staff 8. Overcrowding ward and lack of nurses personnel as well as high volumes of activity combined with increased numbers and dosages of medication prescribed could be increase the risk of MEs by nurses 7, 9. Despite the importance of the nurse s task in preventing MEs, 7, 10 very few studies have been performed in this regards in Iranian context. In order to plan for preventing and decreasing rate of MEs, understanding of nurse s perception of MEs could be very helpful. This study was thus designed to examine the Iranian registered nurses perception of MEs. METHOD In a cross-sectional study conducted from September 2012 to January 2013 in four educational hospitals in Kerman, Southeast of Iran, 239 qualified registered nurses working within these hospitals were studied. Nursing, as a general practice, can be studied in universities; however, unlike some western countries, Iran does not differentiate by rank within licensed nursing personnel, and RN is the only professionally recognized rank. On successful completion of nurse education programs, graduates are automatically granted the status of registered nurse, which is the minimum legal and educational requirement for professional nursing practice. Registered nurses must complete a four year bachelor s degree at a nursing college. The written permission was obtained from deputy of research and also the Ethics Board of the Kerman University of Medical Sciences and written consent letters were filled in by all respondents. In addition, all participants were promised that all data would remain anonymous, kept confidential and be stored safely. Participants answered individually and returned the tests to the researcher. Data collection tool was Iranian Nurses Medication Errors Questionnaire developed by Soozani. This questionnaire contains 21 question related tothe nurses perception of MEs. Each question was scored as none=0; low=1; moderate= 3 and high= 4. The questionnaire was divided into three categories including: 1) items related to nurses (questions number 1 to 7), 2) items related to work setting (questions number 8 to 13) and 3) items related to nurses mangers (questions number 14 to 21) 11. Data were presented by mean and standard deviation and SPSS software (version 18.0) were used. RESULT Of 238 nurses participated in this study, 93.1% (n= 213) were women. The mean age of participants was 32± 7.4 years and mean years of experience was 9.3±7.5 years. 47% (n= 112) of participants have worked in acute care setting (ICU, NICU, CCU and emergency department). Nurses responses to 21 questions have been shown in table 1. Nurses reported that items related to category one (items related to nurses) had more effect on MEs compared to other categories. In category 1 (items related to nurses), most common causes determined by nurses were lack of staff to patients ratio and nurses fatigue from hard work. In category 2 (items related to work setting), most common reasons determined by nurses were having difficulty to read physician s writing on the patients file. In category 3 (items related to nurses mangers), most common issue determined by nurses was nurses heavy workload.
3 International Journal of Nursing Education. January-June 2014, Vol. 6, No.1 21 Table 1: Nurses response to questionnaire items Question Without effect Low effect Moderate effect High effect 1. Disappointment and indifference towards the nursing profession 50 (21%) 60 (25.2%) 59 (24.8%) 69 (30%) 2. Unfamiliarity of nurses with medication 22 (9.1%) 62 (26.1%) 60 (25.2%) 94 (39.5%) 3. Nurses financial problems 48 (20.2%) 65 (27.3%) 62 (26.1%) 63 (26.5%) 4. Nurses family problems 40 (16.8%) 63 (26.5%) 75(31.6%) 60 (25.2%) 5. Nurses psychological problems 17 (7.1%) 43 (18.1%) 75 (31.6%) 103 (43.2%) 6. lack of staff to patients ratio 5 (2.1%) 14 (5.9%) 46 (19.3%) 173 (72.7%) 7. Nurses fatigue from hard work 3 (1.3%) 13 (5.5%) 54 (22.7%) 168 (70.6%) 8. Wards environmental noise 10 (4.2%) 71 (29.8%) 96 (40.3%) 61 (25.6%) 9. Methods that used for control and supervising wards 29 (12.2%) 62 (26.1%) 102 (42.9%) 45 (18.9%) 10. Medication room environment (light, physical space, etc.) 15 (6.3%) 59 (24.8%) 106 (44.5%) 58 (24.4%) 11. Type of drugs arrangement in shelves 18 (7.6%) 54 (22.7%) 105 (44.1.8%) 61 (25.6%) 12. Routs of drugs administration (oral, intravenous, etc.) 23 (9.7%) 81 (34%) 84 (35.3%) 50 (21%) 13. Difficult to read physician s writing on the patients file 11 (4.6%) 33 (13.9%) 70 (29.4%) 124 (52.1%) 14. Difficult to read patients drugs forms 15 (6.3%) 47 (19.7%) 77 (32.4%) 99 (41.6%) 15. Lack of enough time because of workload 12 (5%) 48 (20.2%) 102 (42.9%) 76 (31.9%) 16. Nurses heavy workload 6 (2.5%) 23 (9.7%) 75 (31.5%) 134 (56.3%) 17. Type of worked setting 36 (15.1%) 48 (20.2%) 88 (37%) 66 (27.7%) 18. Morning work shift 65 (27.3%) 90 (37.8%) 49 (20.6%) 34 (14.3%) 19. Evening work shift 66 (27.7%) 71 (29.8%) 78 (32.8%) 23 (9.7%) 20. Night work shift 35 (14.7%) 42 (17.6%) 87 (36.6%) 74 (31.1%) 21. Complicated rules of drug administration 32 (13.4%) 63 (26.5%) 90 (37.8%) 53 (22.3%) DISCUSSION Our results revealed that lack of staff to patients ratio, nurses fatigue from hard work, having difficulty to read physician s writing in the patients files, nurses heavy workload and working at night shifts were most common causes of MEs determined by Iranian registered nurses. Medication therapy is an important nursing task of Iranian nurses 11. It should be considered that physicians are responsible for prescribing medications and nurses are only responsible for preparing and administering medications. Having appropriate knowledge about nurses perception on MEs may be effective for planning of decreasing incidence of this problem. Results of present study showed that items related to own characteristics of nurses had more effects on MEs. Unver and colleagues studied perspectives of newly graduated and experienced nurses about MEs in a military hospital in Turkey 12. Similar to our findings, they used modified Gladstone s scale of MEs and found that nurse exhaustion and distraction are two most common causes of MEs 12. For decreasing rate of MEs, they suggested that educational systems have to consider during the training process of nurses the understanding causes of MEs and related prevention methods 12. Using the same questionnaire, Soozani and colleagues studied nurses perception of MEs in Iran 11. They have also reported that lack of staff to patients ratio, nurses fatigue from hard work and having difficulty to read physician s writing on the patients files is most common causes of MEs 11. They have also suggested that lack of trained nurses in medication therapy may affect negatively on patients health and it should be considered by nursing manager 11. Our participants have also reported that some environmental factors such as noise, light and having difficulty to read physician s writing on the patients files may increase the risk of MEs. Mahmood and colleagues in USA examined nurses perceptions of effects of physical environmental factors on occurrence of MEs in acute care settings 13. Some physical environmental factors determined by nurses in Mahmood s study were inadequate space in charting and documentation area, lengthy walking distances to patient rooms, insufficient patient surveillance opportunity, lack of visibility to all parts of the nursing unit, small size of the medication room, inappropriate organization of medical supplies, high noise levels in
4 22 International Journal of Nursing Education. January-June 2014, Vol. 6, No.1 nursing unit, poor lighting, and lack of privacy in the nursing stations 13. Soozani and colleagues have also mentioned environmental factors effect on rate of MEs. Most common environmental cause determined by Soozani was high level of noise 11. With regards to the items related to the manger nurses, working shift (morning, evening and night) was a factor determined as an effective factor in increasing risk of MEs in previous studies. Our nurses reported that risk of MEs development is higher at night shifts. Similar to our finding, Soozani and colleagues reported similar findings 11. However, in contrast to our finding, Kim and colleagues who studied on Nurses perceptions of medication errors and their contributing factors in South Korea reported that most MEs occurred by nurses at day shifts 14. This difference might be due to the differences in nursing systems between Iran and the South Korea hospitals; i.e., in Iran, less number of nurses allocated to work at night shifts in comparison with morning and evening shifts. In addition, in Iran, more experienced nurses usually work at day shifts (Morning and evening). Lack of nurses to patients ratio and lack of experienced nurses at night shifts in Iranian hospitals setting may be increase the risk of MEs development in this work shift. At night shifts, some environmental factors such as poor lighting could also increase the risk of MEs development in this work shift compared to morning and evening shifts. Limitations The respondents were predominantly female, which limits the generalisability of the results to male nurses. As this study was based on a convenience sample and participation was voluntary, there might have been a selection bias which could affect on generalizability of the results to all nurses. Furthermore, use of the self-reported questionnaires may have lead to an overestimation of some of the findings due to the variance observed in different methods. CONCLUSION Nursing educational systems should have more attention to nurses perception on MEs and may consider their view during planning and education towards decreasing MEs. Lack of staff to patients ratio, nurses fatigue from hard work, having difficulty to read physician s writing on the patients files, nurses heavy workload, working at night shift, nurses financial problems and lack of knowledge about medication therapy are the most important factors which may affect on the increasing risk of MEs development by nurses. REFERENCES 1. Jennane N, Madani N, Oulderrkhis R, Abidi K, Khoudri I, Belayachi J, Dendane T, Zeggwagh AA, Abouqal R. Incidence of medication errors in a Moroccan medical intensive care unit. Int Arch Med 2011;4: Cheraghi MA, Nikbakhat Nasrabadi AR, Mohammad Nejad M, Salari A. Medication Errors Among Nurses in Intensive Care Units (ICU). J Mazand Univ Med Sci 2012; 22(Supple 1): MedErrors. html. 4. Mrayyan MT, Shishani K, Al-Faouri I. Rate, causes and reporting of medication errors in Jordan: nurses perspectives. J Nurs Manag 2007;15(6): Schelbred AB, Nord R. Nurses experiences of drug administration errors. J Adv Nurs 2007;60(3): Seidi M, Zardosht R. Survey of nurses viewpoints on causes of medicinal errors and barriers to reporting in pediatric units in hospitals of Mashhad University of medical sciences. Journal of Fasa University of Medical Sciences 2012;3: Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. Nurses relate the contributing factors involved in medication errors. J Clin Nurs 2007;16(3): Koohestani HR, Baghcheghi N. Barriers to the reporting of medication administration errors among nursing students. Aust JAN 2009; 27(1): Chang Y, Mark B. Effects of learning climate and registered nurse staffing on medication errors. J Nurs Adm 2011;41(7-8 Suppl):S Mark BA, Belyea M. Nurse staffing and medication errors: cross-sectional or longitudinal relationships? Res Nurs Health 2009;32(1):18-30.
5 International Journal of Nursing Education. January-June 2014, Vol. 6, No Soozani A, Bagheri H, Poorhydari M. Survey nurses view about factors affects medication errors in different care units of Imam Hossein hospital in Shahroud. Knowledge and Health Journal 2007; 3: Unver V, Tastan S, Akbayrak N. Medication errors: perspectives of newly graduated and experienced nurses. Int J Nurs Pract 2012;18(4): Mahmood A, Chaudhury H, Valente M. Nurses perceptions of how physical environment affects medication errors in acute care settings. Appl Nurs Res 2011;24(4): Kim KS, Kwon SH, Kim JA, Cho S. Nurses perceptions of medication errors and their contributing factors in South Korea. J Nurs Manag 2011;19(3):
Nurses Perception of Medication Administration Errors
American Journal of Nursing Research, 2014, Vol. 2, No. 4, 63-67 Available online at http://pubs.sciepub.com/ajnr/2/4/2 Science and Education Publishing DOI:10.12691/ajnr-2-4-2 Nurses Perception of Medication
More informationJOB SATISFACTION AMONG CRITICAL CARE NURSES IN AL BAHA, SAUDI ARABIA: A CROSS-SECTIONAL STUDY
GMJ ORIGINAL ARTICLE JOB SATISFACTION AMONG CRITICAL CARE NURSES IN AL BAHA, SAUDI ARABIA: A CROSS-SECTIONAL STUDY Ziad M. Alostaz ABSTRACT Background/Objective: The area of critical care is among the
More informationRunning head: MEDICATION ERRORS 1. Medications Errors and Their Impact on Nurses. Kristi R. Rittenhouse. Kent State University College of Nursing
Running head: MEDICATION ERRORS 1 Medications Errors and Their Impact on Nurses Kristi R. Rittenhouse Kent State University College of Nursing MEDICATION ERRORS 2 Abstract One in five medication dosages
More informationInvestigating the Causes of Medication Errors and Strategies to Prevention of Them from Nurses and Nursing Student Viewpoint
Global Journal of Health Science; Vol. 8, No. 8; 2016 ISSN 1916-9736 E-ISSN 1916-9744 Published by Canadian Center of Science and Education Investigating the Causes of Medication Errors and Strategies
More informationMedication Administration & Preventing Errors M E A G A N R A Y, R N A M G S P E C I A L T Y H O S P I T A L
Medication Administration & Preventing Errors M E A G A N R A Y, R N A M G S P E C I A L T Y H O S P I T A L Principles of Medication Administration Talk with the patient and explain what you are doing
More informationA Study on AQ (Adversity Quotient), Job Satisfaction and Turnover Intention According to Work Units of Clinical Nursing Staffs in Korea
Indian Journal of Science and Technology, Vol 8(S8), 74-78, April 2015 ISSN (Print) : 0974-6846 ISSN (Online) : 0974-5645 DOI: 10.17485/ijst/2015/v8iS8/71503 A Study on AQ (Adversity Quotient), Job Satisfaction
More informationMEDICATION ERRORS: KNOWLEDGE AND ATTITUDE OF NURSES IN AJMAN, UAE
MEDICATION ERRORS: KNOWLEDGE AND ATTITUDE OF NURSES IN AJMAN, UAE JOLLY JOHNSON 1*, MERLIN THOMAS 1 1 Department of Nursing, Gulf Medical College Hospital, Ajman, UAE ABSTRACT Objectives: This study was
More informationComparing Job Expectations and Satisfaction: A Pilot Study Focusing on Men in Nursing
American Journal of Nursing Science 2017; 6(5): 396-400 http://www.sciencepublishinggroup.com/j/ajns doi: 10.11648/j.ajns.20170605.14 ISSN: 2328-5745 (Print); ISSN: 2328-5753 (Online) Comparing Job Expectations
More informationDifferences of Job stress, Burnout, and Mindfulness according to General Characteristics of Clinical Nurses
, pp.191-195 http://dx.doi.org/10.14257/astl.2015.88.40 Differences of Job stress, Burnout, and Mindfulness according to General Characteristics of Clinical Nurses Jung Im Choi 1, Myung Suk Koh 2 1 Sahmyook
More informationPHARMACY SERVICES/MEDICATION USE
25.01. 10 Drug Reactions & Administration Errors & Incompatibilities. Drug administration errors, adverse drug reactions and incompatibilities must be immediately reported to the attending physician and
More informationSHRI GURU RAM RAI INSTITUTE OF TECHNOLOGY AND SCIENCE MEDICATION ERRORS
MEDICATION ERRORS Patients depend on health systems and health professionals to help them stay healthy. As a result, frequently patients receive drug therapy with the belief that these medications will
More informationDownloaded from unmf.umsu.ac.ir at 23: on Friday September 14th
: 3 2 1 1392/12/12 1392/10/15.. - :..... :. :. : 86-93 1393 55...( ) - Email: mcheraghi@tums.ac.ir. () ( ).().( ). ( 1393 55 86 :. -. :.... ) (..( ).. ) 1 Naturalisim..( )...( ) -.( ).( - ).. :. ).. 1393
More information3/9/2010. Objectives. Pharmacist Role in Medication Safety and Regulatory Compliance
Pharmacist Role in Medication Safety and Regulatory Compliance Janet Greiwe Vice President, Systems Management Cleveland County Health System Objectives By the end of this presentation, you should be able
More informationPharmaceutical Services Report to Joint Conference Committee September 2010
Pharmaceutical Services Report to Joint Conference Committee September 21 Background: Pharmaceutical Services staffing has increased by 31 FTE from 26 due to program changes and to comply with regulatory
More informationA Study to Assess Patient Safety Culture amongst a Category of Hospital Staff of a Teaching Hospital
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 13, Issue 3 Ver. IV. (Mar. 2014), PP 16-22 A Study to Assess Patient Safety Culture amongst a Category
More informationJournal of Advances in Medical Education & Professionalism. Nursing students perspectives on clinical education
Original Article Journal of Advances in Medical Education & Professionalism Nursing students perspectives on clinical education MOHAMMAD REZA HEIDARI, REZA NOROUZADEH Nursing and Midwifery School, Shahed
More informationOne or More Errors in 67% of the IV Infusions: Insights from a Study of IV Medication Administration
One or More Errors in 67% of the IV Infusions: Insights from a Study of IV Medication Administration Presented by: Marla Husch Northwestern Memorial Hospital Northwestern Memorial Hospital Chicago, Illinois
More informationRequired Competencies for Nurse Managers in Geriatric Care: The Viewpoint of Staff Nurses
International Journal of Caring Sciences September December 2016 Volume 9 Issue 3 Page 985 Original Article Required Competencies for Nurse Managers in Geriatric Care: The Viewpoint of Staff Nurses Ben
More informationSMART Careplan System for Continuum of Care
Case Report Healthc Inform Res. 2015 January;21(1):56-60. pissn 2093-3681 eissn 2093-369X SMART Careplan System for Continuum of Care Young Ah Kim, RN, PhD 1, Seon Young Jang, RN, MPH 2, Meejung Ahn, RN,
More informationPG snapshot Nursing Special Report. The Role of Workplace Safety and Surveillance Capacity in Driving Nurse and Patient Outcomes
PG snapshot news, views & ideas from the leader in healthcare experience & satisfaction measurement The Press Ganey snapshot is a monthly electronic bulletin freely available to all those involved or interested
More informationChapter 13. Documenting Clinical Activities
Chapter 13. Documenting Clinical Activities INTRODUCTION Documenting clinical activities is required for one or more of the following: clinical care of individual patients -sharing information with other
More informationRobert J. Welsh, MD Vice Chief of Surgical Services for Patient Safety, Quality, and Outcomes Chief of Thoracic Surgery William Beaumont Hospital
Robert J. Welsh, MD Vice Chief of Surgical Services for Patient Safety, Quality, and Outcomes Chief of Thoracic Surgery William Beaumont Hospital Royal Oak, Michigan, USA 1 ARE OUR OPERATING ROOMS SAFE?
More informationjpc.tums.ac.ir Associate Professor, Shohadaye Tajrish Education & Treatment Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
014 s in Hospitals: A Study of Factors Affecting Nursing Reporting in a Selected Center Affiliated with Shahid Beheshti University of Medical Sciences Hamid Reza Mirzaee 1, Davood Mostafaie, Fatemeh Estebsari
More informationDATA COLLECTION SHEET (NURSES)
ANNEXURE A DATA COLLECTION SHEET (NURSES) 1.0 NURSES DEMOGRAPHIC DATA 1.1 Research Code 1.2 Professional Qualification 1.3 Shift Day Night 1.3 Years of Nursing Experience Years Months 1.4 Period Working
More informationKrupal Joshi, Kishor Sochaliya, Shyamal Purani, Girija Kartha Department of PSM, CU Shah Medical College, Surendranagar, Gujarat, India
PATIENT SATISFACTION ABOUT HEALTH CARE SERVICES: A CROSS SECTIONAL STUDY OF PATIENTS WHO VISIT THE OUTPATIENT DEPARTMENT OF A CIVIL HOSPITAL AT SURENDRANAGAR, GUJARAT Krupal Joshi, Kishor Sochaliya, Shyamal
More informationAnxiety and Related Symptoms among Critical Care Nurses in Albaha, Kingdom of Saudi Arabia
http://www.aimspress.com/ AIMS Medical Science, Volume 2 (4): 303 309. DOI:10.3934/medsci.2015.4.303 Received date 18 June 2015, Accepted date 17 September 2015, Published date 21 September 2015 Research
More informationNurses attribution to the role of patient advocacy in intensive care units of hospitals of Tehran University of Medical Sciences
Health Science Communication Biosci. Biotech. Res. Comm. 9(4): 884-890 (2016) Nurses attribution to the role of patient advocacy in intensive care units of hospitals of Tehran University of Medical Sciences
More informationIntroduction to Pharmacy Practice
Introduction to Pharmacy Practice Learning Outcomes Compare & contrast technician & pharmacist roles Understand licensing, certification, registration terms Describe advantages of formal training for technicians
More informationBarriers & Incentives to Obtaining a Bachelor of Science Degree in Nursing
Southern Adventist Univeristy KnowledgeExchange@Southern Graduate Research Projects Nursing 4-2011 Barriers & Incentives to Obtaining a Bachelor of Science Degree in Nursing Tiffany Boring Brianna Burnette
More informationImproving Nursing Workflow Efficiency & Nurses Knowledge & Attitude Toward Computers. WellStar Health System. Background
Improving Nursing Workflow Efficiency & Nurses Knowledge & Attitude Toward Computers LeeAnna Spiva, PhD, RN Patricia Hart, PhD, RN Sara Patrick, MSN, RN-BC Darcy Barrett, MSN, RN Erin Gallagher, BS Frank
More informationLegally. Copyright 2010 Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited.
Legally speaking 40 January 2011 Nursing Management When can staff say No? Accepting responsibilities that are beyond the scope of your license or skill level can have serious consequences for you, your
More informationBurnout among UPM Teachers of Postgraduate Studies. Naemeh Nahavandi
Burnout among UPM Teachers of Postgraduate Studies Naemeh Nahavandi Introduction The concept of burnout has become an issue for a long time. At first it was introduced in health care professions; however,
More informationPatient Safety Culture: Sample of a University Hospital in Turkey
Original Article INTRODUCTION Medical errors or patient safety is an important issue in healthcare quality. A report from Institute 1. Ozgur Ugurluoglu, PhD, Hacettepe University, Department of Health
More informationPatient Safety Assessment in Slovak Hospitals
1236 Patient Safety Assessment in Slovak Hospitals Veronika Mikušová 1, Viera Rusnáková 2, Katarína Naďová 3, Jana Boroňová 1,4, Melánie Beťková 4 1 Faculty of Health Care and Social Work, Trnava University,
More informationLiberating Restricted Visiting Policy in Greek Intensive Care Units: Is it that complicated?
Athanasiou A. RN, MSc 1 Papathanassoglou EDE. RN, MSc, PhD 2 Lemonidou C. RN, MSc, PhD 3 Patiraki E. RN, MSc, PhD 3 Giannakopoulou Μ. RN, PhD 3 1. ICU, 401 General Military Hospital of Athens 2. Cyprus
More informationMedication Errors Assessment and Prevention by a Clinical Pharmacist in Pediatric Wards. Peshawar, KPK-Pakistan. Original Article.
Original Article Medication Errors Assessment and Prevention by a Clinical Pharmacist in Pediatric Wards of RMI Hospital Peshawar, KPK-Pakistan ABSTRACT Background: Medication errors are the most common
More informationExploring Socio-Technical Insights for Safe Nursing Handover
Context Sensitive Health Informatics: Redesigning Healthcare Work C. Nøhr et al. (Eds.) 2017 The authors and IOS Press. This article is published online with Open Access by IOS Press and distributed under
More informationThe Safety Management Activity of Nurses which Nursing Students Perceived during Clinical Practice
Indian Journal of Science and Technology, Vol 8(25), DOI: 10.17485/ijst/2015/v8i25/80159, October 2015 ISSN (Print) : 0974-6846 ISSN (Online) : 0974-5645 The Safety Management of Nurses which Nursing Students
More informationCHAPTER 3. Research methodology
CHAPTER 3 Research methodology 3.1 INTRODUCTION This chapter describes the research methodology of the study, including sampling, data collection and ethical guidelines. Ethical considerations concern
More informationHospital pharmacists play an important role in improving
CLINICAL PRACTICE The Invisible White Coat: Awareness of Pharmacists in a Neonatal Intensive Care Unit Rehana Bajwa, Jennifer G Kendrick, and Roxane Carr NTRODUCTION Hospital pharmacists play an important
More informationEffects of the Total Quality Management Implication on Patient Satisfaction in the Emergency Department of Military Hospitals
J Arch Mil Med. 2015 February; 3(1): e26952. Published online 2015 February 2. DOI: 10.581/jamm.26952 Research Article Effects of the Total Quality Management Implication on Patient Satisfaction in the
More informationPerceived Barriers to Research Utilization Among Registered Nurses in an Urban Hospital in Jamaica
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationEffect of Emotional Intelligence Training on the Communication Skills of Final-year Nursing Students
Health Education and Health Promotion (HEHP) (2014) Vol. 2 (2): (1-9) Special for Virtual Conference of Health Education & Promotion Effect of Emotional Intelligence Training on the Communication Skills
More informationPatient safety culture from the perspective of emergency nurses
Patient safety culture from the perspective of emergency nurses Abolfazl Farsaraei (1) Ahmad Mirza Aghazadeh (2) Mozhgan Lotfi (3) Zahra Sheikhalipour (4) (1) Master student of Emergency Nursing, School
More informationInfluence of Professional Self-Concept and Professional Autonomy on Nursing Performance of Clinic Nurses
, pp.297-310 http://dx.doi.org/10.14257/ijbsbt.2015.7.5.27 Influence of Professional Self-Concept and Professional Autonomy on Nursing Performance of Clinic Nurses Hee Kyoung Lee 1 and Hye Jin Yang 2*
More informationDownloaded from unmf.umsu.ac.ir at 2: on Saturday August 25th
: 1392/12/08 1392/10/07... : " " :(MESH ) SID MagIRANCINAHLMEDLINE. "" :... :. :. : 129-135 1393 55... 0511-8591511 : Email: SalehianM891@mums.ac.ir.().()..(). 1393 55 129 .() : : ( ( (). () ) ().() (
More informationExamination of Professional Commitment and Stress Management among Nurses from Different Generations
International Journal of Caring Sciences January April 2017 Volume 10 Issue 1 Page 456 Original Article Examination of Professional Commitment and Stress Management among Nurses from Different Generations
More informationKnowledge, attitude and self-efficacy of nursing staffs in hospital infections control
Iranian Journal of Military Medicine Vol. 13, No. 3, Fall 2011 Pages: 167-172 MSc PhD MSc * BSc * SPSS 16 p< Knowledge, attitude and self-efficacy of nursing staffs in hospital infections control Ghadamgahi
More informationJOB DESCRIPTION. Revised:1/24/2018
JOB DESCRIPTION TITLE: DEPARTMENT: REPORTS TO: FLSA: Nurse Resident Emergency Department Director ED Non-Exempt SUMMARY OF JOB: To provide critical care assessment, intervention and care, including emotional
More informationResearch Paper: The Attitudes, Knowledge and Performance of Ilam Nurses Regarding Disaster Preparedness
Research Paper: The Attitudes, Knowledge and Performance of Ilam Nurses Regarding Disaster Preparedness Arman Azadi 1, Ali Sahebi 2, Hamed Tavan 3* 1. Department of Nursing, School of Nursing and Midwifery,
More informationNursing, an essential professional practice discipline,
Original Article Survey of critical thinking and clinical decision making in nursing student of Kerman University Esmat Noohi, Maryam Karimi-Noghondar 1, Aliakbar Haghdoost 2 Abstract Context: The ability
More informationKnowledge and Practice of Tabriz Teaching Hospitals Nurses Regarding Nursing Documentation
Knowledge and Practice of Tabriz Teaching Hospitals Nurses Regarding Nursing Documentation Madineh Jasemi 1, *, Vahid Zamanzadeh 2, Azad Rahmani 2, Alireza Mohajjel 2, Fahime Alsadathoseini 2 1 Research
More informationImpact on Self-Efficacy, Self-Direcrted Learning, Clinical Competence on Satisfaction of Clinical Practice among Nursing Students
Vol.132 (Healthcare and Nursing 2016), pp.124-129 http://dx.doi.org/10.14257/astl.2016. Impact on Self-Efficacy, Self-Direcrted Learning, Clinical Competence on Satisfaction of Clinical Practice among
More informationPatient Safety Incident Report Form
Page 1 This form is not meant to be a substitute to the health region s incident reporting. The purpose of this form is to assist with the identification and management of adverse events and near misses;
More informationPhysician Job Satisfaction in Primary Care. Eman Sharaf, ABFM* Nahla Madan, ABFM* Awatif Sharaf, FMC*
Bahrain Medical Bulletin, Vol. 30, No. 2, June 2008 Physician Job Satisfaction in Primary Care Eman Sharaf, ABFM* Nahla Madan, ABFM* Awatif Sharaf, FMC* Objective: To evaluate the level of job satisfaction
More informationStudy of Medication Error in Hospitalised Patients in Tertiary Care Hospital
Original Article Study of Medication Error in Hospitalised Patients in Tertiary Care Hospital Sandip Patel 1*, Ashita Patel 1, Varsha Patel 2, Nilay Solanki 1 1 Department of Pharmacology, Ramanbhai Patel
More informationKNOWLEDGE, ATTITUDE AND PRACTICE OF PSYCHOLOGICAL FIRST AID AMONG HEALTH PROFESSIONALS WORKING IN ACCIDENT & EMERGENCY DEPARTMENT IN BRUNEI DARUSSALAM
Original Research Article S99 KNOWLEDGE, ATTITUDE AND PRACTICE OF PSYCHOLOGICAL FIRST AID AMONG HEALTH PROFESSIONALS WORKING IN ACCIDENT & EMERGENCY DEPARTMENT IN BRUNEI DARUSSALAM Khairunnisa Zakaria,
More informationThe Learning Needs of Newly Licensed Registered Nurses
Salem State University Digital Commons at Salem State University Honors Theses Student Scholarship 2016-05-01 The Learning Needs of Newly Licensed Registered Nurses Paige Allison Goodwin Salem State University
More information5th International Conference on Well-Being in the Information Society, WIS 2014, Turku, Finland, August 18-20, 2014
5th International Conference on Well-Being in the Information Society, WIS 2014, Turku, Finland, August 18-20, 2014 EVALUATION OF INTRAVENOUS MEDICATION ERRORS WITH INFUSION PUMPS Eija Kivekäs, MSc, RN,
More informationImplementing a Restraint Free Policy. Esther Vance NSW Falls Injury Prevention Network Prince of Wales Medical Research Institute March 2008
Implementing a Restraint Free Policy Esther Vance NSW Falls Injury Prevention Network Prince of Wales Medical Research Institute March 2008 Restraint Definition anything that limits an individual s voluntary
More informationJOB DESCRIPTION. 1. Uphold Nursing Code of Ethics (ANA) 2. Understands the Magnet Recognition Program.
JOB DESCRIPTION TITLE: DEPARTMENT: REPORTS TO: FLSA: Staff Nurse II/III Intensive Care Unit Inpatient Services Director Non Exempt SUMMARY OF JOB: The Registered Nurse is responsible for the ongoing assessment,
More informationMedication Safety Technology The Good, the Bad and the Unintended Consequences
Medication Safety Technology The Good, the Bad and the Unintended Consequences Michelle Mandrack RN, MSN Director of Consulting Services Matthew Fricker, RPh, MS Program Director 1 Objectives Consider
More informationKnowledge about anesthesia and the role of anesthesiologists among Jeddah citizens
International Journal of Research in Medical Sciences Bagabas AM et al. Int J Res Med Sci. 2017 Jun;5(6):2779-2783 www.msjonline.org pissn 2320-6071 eissn 2320-6012 Original Research Article DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20172486
More informationNursing Competency and Simulation Debriefing Evaluation according to Satisfaction in Major and Clinical Practice
, pp.80-87 http://dx.doi.org/10.14257/astl.2015. Nursing Competency and Simulation Debriefing Evaluation according to Satisfaction in Major and Clinical Practice Eun Hee Choi 1 1 School of Nursing, Yeungnam
More informationSASKATCHEWAN ASSOCIATIO
SASKATCHEWAN ASSOCIATIO N Standards & Competencies for RN Specialty Practices Effective May 1, 2018 Table of Contents Background Introduction Requirements for RN Specialty Practices RN Procedures and RN
More informationPrevalence of Stress and Coping Mechanism Among Staff Nurses of Intensive Care Unit in a Selected Hospital
International Journal of Neurosurgery 2018; 2(1): 8-12 http://www.sciencepublishinggroup.com/j/ijn doi: 10.11648/j.ijn.20180201.12 Prevalence of Stress and Coping Mechanism Among Staff Nurses of Intensive
More informationDownloaded from ijn.iums.ac.ir at 22:33 IRDT on Sunday September 16th 2018
( ) - Downloaded from ijn.iums.ac.ir at 22:33 IRDT on Sunday September 16th 218 :... : 17. 1386-87.. 57/6 81/8 : 6/6 76/5 51/8 62/4. 67/1 65/3 :. - : 89/1/21: 89/11/28:. 351-82154-41 : ( ) Email: barkhordary.m@gmail.com
More informationThe Value of Nursing: Implementation of Video Monitoring to Decrease 1:1 Sitter Cost
The Value of Nursing: Implementation of Video Monitoring to Decrease 1:1 Sitter Cost 2010 NDNQI Conference January 20-22, 2010 New Orleans, Louisiana Janet Davis, RN, BSN, MS, NE-BC Tampa General Hospital
More informationCrew Resource Management for Trauma Resuscitation. Amy Krichten, MSN, RN, CEN PA Trauma Systems Foundation Director of Accreditation
Crew Resource Management for Trauma Resuscitation Amy Krichten, MSN, RN, CEN PA Trauma Systems Foundation Director of Accreditation Learning Objectives 1. Review Impact of Errors Aviation Healthcare 2.
More informationAn analysis of the average waiting time during the patient discharge process at Kashani Hospital in Esfahan, Iran: a case study
An analysis of the average waiting time during the patient discharge process at Kashani Hospital in Esfahan, Iran: a case study Sima Ajami and Saeedeh Ketabi Abstract Strategies for improving the patient
More informationThanks to Anne C. Byrne, RN, Medical Monitor at Northwest Georgia Regional Hospital. This presentation was developed from one she designed for that
Thanks to Anne C. Byrne, RN, Medical Monitor at Northwest Georgia Regional Hospital. This presentation was developed from one she designed for that hospital. 1 2 3 Note that an actual variance occurs when
More informationManagement of Reported Medication Errors Policy
Management of Reported Medication Errors Policy Approved By: Policy & Guideline Committee Date of Original 6 October 2008 Approval: Trust Reference: B45/2008 Version: 4 Supersedes: 3 February 2015 Trust
More informationMassachusetts ICU Acuity Meeting
Massachusetts ICU Acuity Meeting Acuity Tool Certification and Reporting Requirements Acuity Tool Certification Template Suggested Guidance Acuity Tool Submission Details Submitting your acuity tool for
More informationEffect of an Educational Program on Level of Health Literacy among Health Care Workers
Effect of an Educational Program on Level of Health Literacy among Health Care Workers 1 Fatemeh Ebrahimpour (MSc), 2 Jalil Azimian (PhD), 3 Fatemeh Hasandoost (MSc), 4 Hossein Rafiei (MSc), 5 Ferdos Pelarak
More informationMedication Administration Errors at Children's University Hospitals: Nurses Point of View
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 4, Issue 1 Ver. III (Jan.-Feb. 2015), PP 51-60 www.iosrjournals.org Medication Administration Errors at
More informationUniversity of Mississippi Medical Center University of Mississippi Health Care. Pharmacy and Therapeutics Committee Medication Use Evaluation
University of Mississippi Medical Center University of Mississippi Health Care Pharmacy and Therapeutics Committee Medication Use Evaluation TJC Standards for Medication Management March 2012 Purpose The
More informationPolicy on Learning from Deaths
Trust Policy Policy on Learning from Deaths Key Points Mortality review is an important part of our Safety and Quality Improvement Process. All patients who die in our trust have a review of their care.
More informationDownloaded from ijn.iums.ac.ir at 0:23 IRST on Sunday September 30th 2018
*... ( )....... :. / : : ( ) .... (Corrective Surgery)... ()............... / / ...... Mckeever Stinson (Patient Learning Need Scale).. ( ) ( ) ( ) ( ) ( ). ( ) ". ".. -. - - -.. ( )....... ) (.. / / ....
More informationQUALITY OF WORK LIFE OF NURSES AND PARAMEDICAL STAFF IN HOSPITALS
QUALITY OF WORK LIFE OF NURSES AND PARAMEDICAL STAFF IN HOSPITALS Dr. Nagaraju Battu Assistant Professor, Department of Human Resource Management, Acharya Nagarjuna University, Nagarjuna Nagar, Guntur
More informationProcedia - Social and Behavioral Sciences 141 ( 2014 ) WCLTA 2013
Available online at www.sciencedirect.com ScienceDirect Procedia - Social and Behavioral Sciences 141 ( 2014 ) 597 601 WCLTA 2013 Evaluate Nurses Self-Assessment And Educational Needs In Term Of Physical
More informationThe Perception of Emotional Intelligence Self-Assessment Among Nursing Students
American Journal of Nursing Science 2018; 7(5): 173-177 http://www.sciencepublishinggroup.com/j/ajns doi: 10.11648/j.ajns.20180705.13 ISSN: 2328-5745 (Print); ISSN: 2328-5753 (Online) The Perception of
More informationRelationship between Organizational Climate and Nurses Job Satisfaction in Bangladesh
Relationship between Organizational Climate and Nurses Job Satisfaction in Bangladesh Abdul Latif 1, Pratyanan Thiangchanya 2, Tasanee Nasae 3 1. Master in Nursing Administration Program, Faculty of Nursing,
More informationPreceptorship: Combining Experience With Research. By: Ashley Nooe, Donald D. Kautz
Preceptorship: Combining Experience With Research By: Ashley Nooe, Donald D. Kautz This is a non-final version of an article published in final form in Nooe, A. & Kautz, D.D. (2015). Preceptorship: Combining
More informationClinical Interdepartmental Policy and Procedure
Clinical Interdepartmental Policy and Procedure Policy: Staff Response to Medical Errors/Adverse Events Policy Number: MR-006 Joseph S. Gordy, CEO Signature: Flagler Hospital Originator: President Coordinating
More informationInappropriate Interview Questions And Answers For Nurse Uk Staff
Inappropriate Interview Questions And Answers For Nurse Uk Staff A sample of questions and answers is designed to make your way easy. These questions are frequently asked in an RN interview. Question 1:
More informationRural Emergency Nurses' Suggestions for Improving End-of-Life Care Obstacles
Brigham Young University BYU ScholarsArchive All Theses and Dissertations 2015-06-01 Rural Emergency Nurses' Suggestions for Improving End-of-Life Care Obstacles Kelly Elizabeth Smith Brigham Young University
More informationDownloaded from unmf.umsu.ac.ir at 5: on Tuesday October 2nd com
* 1392/05/23 1392/03/27. :.. - :. (SAQ)... ( /) ) :. P
More informationIntroduction. Journal of Caring Sciences, 2012, 1(2), doi: /jcs journals.tbzmed.ac.ir/ JCS
Journal of Caring Sciences, 2012, 1(2), 93-99 doi:10.5681/jcs.2012.014 http:// journals.tbzmed.ac.ir/ JCS Individual Potentials Related to Evidence-Based Nursing among Nurses in Teaching Hospitals Affiliated
More informationHow the Role of Female Entrepreneurs' Social Network Changes from Start-up to Establishment Phase: Case Study of Export Sector
1 Entrepreneurship Development, Vol. 6, No. 4, Winter 2014 How the Role of Female Entrepreneurs' Social Network Changes from Start-up to Establishment Phase: Case Study of Export Sector Zahra Arasti 1,
More informationRunning Head: READINESS FOR DISCHARGE
Running Head: READINESS FOR DISCHARGE Readiness for Discharge Quantitative Review Melissa Benderman, Cynthia DeBoer, Patricia Kraemer, Barbara Van Der Male, & Angela VanMaanen. Ferris State University
More informationNearly two-thirds of RNs working in Michigan hospitals believe staffing levels are based more on financial factors than on patient acuity.
Memorandum To: From: Michigan Nurses Association Chris Anderson, Lauren Coates Date: March 21, 2016 RE: Survey of Michigan Registered Nurses This memorandum summarizes the key findings from a statewide
More informationAnalyzing Quality Gap of Nursing Services in the Selective Academic Hospitals
1809 Analyzing Quality Gap of Nursing Services in the Selective Academic Hospitals Abedi G. 1, Ebadattalab I. 2*, Rostami F. 1 1 Health Sciences Research Center, Mazandaran University of Medical Sciences,
More informationResearch Paper: The Effect of Shift Reporting Training Using the SBAR Tool on the Performance of Nurses Working in Intensive Care Units
February 2017. Volume 3. Number 1 Research Paper: The Effect of Shift Reporting Training Using the SBAR Tool on the Performance of Nurses Working in Intensive Care Units Azade Inanloo 1, Nooredin Mohammadi
More informationFemale Nurses and Midwives Shortage in Jordan: A Policy Analysis. Abdulqadir J. Nashwan, MSN, RN. The Hashemite University.
Running head: FEMALE NURSES SHORTAGE IN JORDAN 1 Female Nurses and Midwives Shortage in Jordan: A Policy Analysis Abdulqadir J. Nashwan, MSN, RN The Hashemite University School of Nursing Running head:
More informationThe Effects of Cultural Competence on Nurses Burnout
, pp.300-304 http://dx.doi.org/10.14257/astl.2014.47.68 The Effects of Cultural Competence on Nurses Burnout So-Yun, Choi 1, Kyung-Sook, Kim 2 Department of Social Welfare, Namseoul University, Department
More informationRelationship between nurse's general health and their personal occupational traits in Al-Zahra Hospital of Isfahan, 2015
Available online at www.ijmrhs.com ISSN No: 2319-5886 International Journal of Medical Research & Health Sciences, 2016, 5, 11:102-106 Relationship between nurse's general health and their personal occupational
More informationEXPERIENTIAL EDUCATION Medication Therapy Management Services Provided by Student Pharmacists
EXPERIENTIAL EDUCATION Medication Therapy Management Services Provided by Student Pharmacists Micah Hata, PharmD, a Roger Klotz, BSPharm, a Rick Sylvies, PharmD, b Karl Hess, PharmD, a Emmanuelle Schwartzman,
More informationUsing the Just Culture Method. Stacey Thomas, BSN, RNC Risk Analyst
Using the Just Culture Method Stacey Thomas, BSN, RNC Risk Analyst Just Culture A system of Shared Accountability Everyone in the organization is responsible for maintaining a safe and reliable system
More informationIdentify the Causes of Absenteeism in Nurses Mayo Hospital Lahore Pakistan
DOI: 10.3126/ijssm.v4i2.17171 Research Article Identify the Causes of Absenteeism in Nurses Mayo Hospital Lahore Pakistan Nabila Kanwal *, Ghazala Riaz, Muhammad Shahid Riaz and Shoumaila Safdar Lahore
More informationDownloaded from ijn.iums.ac.ir at 18:38 IRDT on Friday August 31st 2018
:..... :.... Marklin McCain. SPSS :...(r= - P< ). /.(P=) :.. : / : / : ( ) Selye. () Kilpping.... ()... ( )... ()........ / / -. ( ) - : -. -. r = r =.. -) ( ) ( SPSS. - -. /. /. /).. ( / / /...... Marklin
More information