Abstract:
AIMS AND OBJECTIVES:Understanding the processes by which nurses administer medication is critical to the minimization of medication errors. This study investigates nurses' views on the factors contributing to medication errors in the hope of facilitating improvements to medication administration processes. DESIGN AND METHODS:A focus group of nine Registered Nurses discussed medication errors with which they were familiar as a result of both their own experiences and of literature review. The group, along with other researchers, then developed a semi-structured questionnaire consisting of three parts: narrative description of the error, the nurse's background and contributing factors. After the contributing factors had been elicited and verified with eight categories and 34 conditions, additional Registered Nurses were invited to participate by recalling one of the most significant medication errors that they had experienced and identifying contributing factors from those listed on the questionnaire. Identities of the hospital, patient and participants involved in the study remain confidential. RESULTS:Of the 72 female nurses who responded, 55 (76.4%) believed more than one factor contributed to medication errors. 'Personal neglect' (86.1%), 'heavy workload' (37.5%) and 'new staff' (37.5%) were the three main factors in the eight categories. 'Need to solve other problems while administering drugs,''advanced drug preparation without rechecking,' and 'new graduate' were the top three of the 34 conditions. Medical wards (36.1%) and intensive care units (33.3%) were the two most error-prone places. The errors common to the two were 'wrong dose' (36.1%) and 'wrong drug' (26.4%). Antibiotics (38.9%) were the most commonly misadministered drugs. CONCLUSIONS:Although the majority of respondents considered nurse's personal neglect as the leading factor in medication errors, analysis indicated that additional factors involving the health care system, patients' conditions and doctors' prescriptions all contributed to administration errors. RELEVANCE TO CLINICAL PRACTICE:Identification of the main factors and conditions contributing to medication errors allows clinical nurses and administration systems to eliminate situations that promote errors and to incorporate changes that minimize them, creating a safer patient environment.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Tang FI,Sheu SJ,Yu S,Wei IL,Chen CHdoi
10.1111/j.1365-2702.2005.01540.xsubject
Has Abstractpub_date
2007-03-01 00:00:00pages
447-57issue
3eissn
0962-1067issn
1365-2702pii
JCN1540journal_volume
16pub_type
杂志文章abstract:AIM:To examine the prescribing practices of supplementary nurse prescribers (working in both primary and secondary care) who prescribe medicines for patients with skin conditions and the factors that facilitate or inhibit this mode of prescribing. BACKGROUND:Nurses work in a variety of roles, with varying levels of ex...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.01641.x
更新日期:2007-07-01 00:00:00
abstract:AIM:The aim was to describe research utilisation among newly graduated nurses and to explore critical thinking dispositions and other individual and contextual factors as possible predictors for research use. BACKGROUND:Nurses are expected to be research users, and variations in research utilisation are explained by i...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03629.x
更新日期:2011-09-01 00:00:00
abstract:AIM:The aim of this study was to answer the question: is there an effect on the respiratory capacity and activity tolerance of older patients with chronic obstructive pulmonary disease who participate in a pulmonary rehabilitation programme? BACKGROUND:Pulmonary rehabilitation is now an integral part of chronic obstru...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01712.x
更新日期:2008-01-01 00:00:00
abstract:AIM:To explore the perceptions of loneliness according to people with early-stage dementia, living in community and long-term care and also the views of their family carers. BACKGROUND:Research that specifically explores the influence of loneliness on dementia is limited and indicates the prevalence of loneliness and ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03549.x
更新日期:2011-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to explore the prevalence of sexual dysfunction in males one year after undergoing low anterior resection and to determine whether health care professionals discuss sexual issues with patients after surgery. BACKGROUND:Sexual dysfunction in males may be a complication ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13172
更新日期:2016-08-01 00:00:00
abstract:AIM:The aim of this paper was to report a study which explored the information-seeking behaviour of patients newly diagnosed with cancer in the immediate postdiagnosis period. BACKGROUND:Information is an important tool for cancer patients. There is evidence that patients' information needs are not being adequately me...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01817.x
更新日期:2007-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:The overall aim of the study was to illuminate the patients' lived experiences of waiting for and undergoing an endovascular aortic repair (EVAR) in a hybrid operating room (OR). BACKGROUND:The hybrid OR is an example of the technological advancements within hospitals. The environmental impact on h...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15129
更新日期:2020-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:The objective of this study was to explore the extent to which several antecedents explained the uncertainty of men who were undergoing the watchful waiting management option for prostate cancer. BACKGROUND:Uncertainty plays a significant role in explaining various outcomes in the chronically ill. ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01138.x
更新日期:2005-08-01 00:00:00
abstract:AIM AND OBJECTIVES:To explore the experiences of patients with chronic obstructive pulmonary disease and their family members relating both to participation in care during hospitalisation for an acute exacerbation in chronic obstructive pulmonary disease, and to the subsequent day-to-day care at home. BACKGROUND:When ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13963
更新日期:2017-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine transition shock in newly licensed nurses and the association of work environment and resilience with nurses' transition shock. BACKGROUND:Although work environment is related to transition shock in newly licensed nurses, little is known about the factors of nursing work environment asso...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15649
更新日期:2021-01-12 00:00:00
abstract:AIMS:To explore the risk factors and management of falls in people with intellectual disabilities and develop evidence-based recommendations. BACKGROUND:Falling is a common cause of physical injury and impaired quality of life in people with intellectual disability. Risk factors for falls and falls prevention have bee...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2009.03174.x
更新日期:2010-08-01 00:00:00
abstract:AIM:To develop an instrument measuring the beliefs and attitudes of Chinese adolescents towards substance abuse. BACKGROUND:It is documented that many negative consequences for youth, including physical, mental and psychosocial health problems are associated with substance abuse. There has led to a growing concern abo...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01202.x
更新日期:2005-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To develop and examine the effectiveness of individualised intervention to reduce constipation among older adults in nursing homes. BACKGROUND:In long-term care facilities, approximately 60-80% of the residents have symptoms of constipation. Constipation may lead to haemorrhoids, faecal impaction, ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jocn.12974
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Findings from numerous assertion studies suggest that nurses are generally non-assertive. This study examines the role of caring as an important determinant of adaptive assertive behaviour. AIM AND OBJECTIVES:The aim of the investigation was to explore the relationship between assertion and caring skills. T...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2004.00964.x
更新日期:2004-09-01 00:00:00
abstract:AIM:The aim of the study was to assess health professionals' knowledge, attitudes and beliefs regarding lesbian, gay, bisexual and transgender parents accessing health care for their children. BACKGROUND:Lesbian, gay, bisexual and transgender parents can be reluctant to reveal their sexual orientation to health profes...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03938.x
更新日期:2012-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore caregivers' lived experience of reading slight movements of a child with severe brain injury. BACKGROUND:Despite increased need, the development of individual care for children with severe brain injuries has been prevented by their severe physical state and the poor reproducibility of th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14255
更新日期:2018-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:This paper presents and discusses an alternative model of family-centred care (FCC) that focuses on optimising the health and developmental outcomes of children through the provision of appropriate support to the child's family. BACKGROUND:The relevance, meaning and effectiveness of FCC have been c...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.12799
更新日期:2015-05-01 00:00:00
abstract:AIM AND OBJECTIVES:To compare the self-reported level of professionalism among nurses in Poland and Belarus and to indicate the areas in which differences in professional behaviours of nurses in both countries exist. BACKGROUND:Nurses constitute the largest group of healthcare providers, and the term professionalism i...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15226
更新日期:2020-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe patients' and nurses' knowledge and beliefs regarding pain management. Moreover, to explore the effect of information and education on patients' and nurses' knowledge and beliefs regarding pain management. BACKGROUND:In the treatment of postoperative pain, patients' and nurses' inadequa...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jocn.13714
更新日期:2017-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:This paper presents a theory explaining the processes used by informal carers of people with dementia to mange alterations to their, and people with dementias' relationships with and places within their social worlds. BACKGROUND:Informal carers provide the majority of care to people with dementia. ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12003
更新日期:2013-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To field test a parental self-efficacy scale regarding its acceptability and feasibility and to describe parental self-efficacy in a convenience sample of parents with children aged 6 years old or less. BACKGROUND:Self-care within families is increasingly emphasised in health policy as a means of m...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04308.x
更新日期:2013-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the levels and causes of work-related frustration among senior nurses. BACKGROUND:Role changes and the associated expectations and setbacks faced by senior middle-aged nurses can easily result in low morale. Therefore, working setbacks experienced by senior nurses must be investigate...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13241
更新日期:2016-07-01 00:00:00
abstract:AIM:This paper presents an account of nurses' perceptions and understanding of health promotion in an acute setting. BACKGROUND:Health promotion is considered the remit of every nurse. To engage in health-promoting practice, however, nurses need to understand the term 'health promotion' clearly. METHOD:A single quali...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.01640.x
更新日期:2007-06-01 00:00:00
abstract:AIMS:The main aim was to describe registered nurses' perceptions of violence and threats, as well as their access to prevention measures and routines for handling violent behaviour in municipal care of older people. Another aim was to compare nurses' perceptions working solely in dementia care with those working in gen...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01835.x
更新日期:2007-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate the short-term effects of a suicide care educational intervention on the family's ability to care, family's caring stress levels and family's attitudes towards attempted suicide. BACKGROUND:Research has demonstrated that suicide prevention educational programmes are provided mostly for ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jocn.12092
更新日期:2014-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe fear, the threats causing fear and the occurrence of fear among emergency department nursing staff and physicians. BACKGROUND:The emergency department is a challenging workplace where the staff is often confronted by factors that cause fear. DESIGN:A cross-sectional study. METHODS:A s...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.13633
更新日期:2017-10-01 00:00:00
abstract:AIM:To explore the experiences of patients with coronary heart disease in China. BACKGROUND:The morbidity and mortality rates of people with coronary heart disease have been growing rapidly in the past decades in China, yet little is known about the experiences of Chinese patients with the disease. DESIGN:A qualitati...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03909.x
更新日期:2012-02-01 00:00:00
abstract:AIM AND OBJECTIVE:The purpose of this study was to investigate the effects of group intervention on depression, self-efficacy and quality of life in haemodialysis patients. BACKGROUND:Chronic renal failure and haemodialysis treatment is a long-term process; patients need to have an appropriate adaptive strategy to con...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/j.1365-2702.2007.01963.x
更新日期:2007-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To review the evidence for interventions to improve dignity for older patients in acute care. BACKGROUND:High profile cases have highlighted failure to provide dignified care for older people in hospitals. There is good evidence on what older people consider is important for dignified care and abun...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13052
更新日期:2016-02-01 00:00:00
abstract:AIM:To elicit the languages of legitimation of senior nursing academics and national leaders and to investigate the extent to which distinctive disciplinary identities and discourses are embedded in them. BACKGROUND:Over six years after Irish nursing education became established in the higher education sector, an inve...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.03079.x
更新日期:2010-03-01 00:00:00