Evaluation of Nurses' Knowledge and Understanding of Obstacles Encountered When Administering Resuscitation Medications: A Cross-Sectional Study from Palestine
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Date
2021-06-08
Authors
قعدان, روان عصام
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Publisher
An-Najah National University
Abstract
Background: medication errors one of most important reason of patients' morbidity and mortality, insufficient knowledge of drug among nurses considered a major factor in drug administration errors also stressful and complex systems in resuscitation increase errors. increase nurses' knowledge about resuscitation medications is important to maximize patient safety. This study aimed to assess knowledge of nurses about resuscitation medications and the obstacles that nurses faces when giving resuscitation medications, and to evaluate resuscitation medication administration errors reporting and the reason that prevent nurses to not reporting the errors.
Methods: a cross sectional study was conducted, in west bank, Palestine. convenient sampling was used to collect sample, data were collected via a face to face interview questionnaire, which was taken from a previous study. The questionnaire consisted of five parts: demographic data, knowledge of resuscitation medications (20 true - false questions), self-evaluation, causes of not reporting the medication errors, and suggestions to decrease medication errors.
Results: a total of 200 nurses were participated in the study. Nurses were found to have insufficient knowledge about resuscitation medications; the correct response rate was only 58.6%. More knowledge score was associated with male nurses (P = 0.001), nurses working in CCU, ICU, and general with P value < 0.001, and who in supervisor position (P = 0.035). The major obstacle nurses faced when administering resuscitation medication was chaotic environment in CPR as a lot of people handling a single drug(62%), unavailability of pharmacists whole the day (61%), and different medications look alike in packaging (61%) were other obstacles. Most of nurses (70.5%) hoped to gain additional training. In our study we found that nursing management focused on the person rather than the system (71.5%), and If anything happens to the patient, nurses thought they would be blamed as a consequence of the ME (71.5%) were the major causes behind not reporting Medication Administration Errors.
Conclusion: Nurse’s insufficient knowledge regarding resuscitation medications was one of the obstacles they faced, nurses favoured to collaborate with pharmacist to arrange medications in a good way, and having continuous learning and extra training about resuscitation medications to decrease medication errors.