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An observational study on work interruptions during medication administration in residential care homes for older people 下载免费PDF全文
Linda Yin‐king Lee PhD RN RM Mimi Mei‐ha Tiu DHSc MBA RN Caroline Yee‐chong Charm MSc BSN RN Ka‐fai Wong PhD MN MSSC 《Journal of clinical nursing》2015,24(21-22):3336-3339
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The impact of interruptions on medication errors in hospitals: an observational study of nurses 下载免费PDF全文
Maree Johnson RN BAppSc MAppSc PhD Paula Sanchez RN BNHons Tracy Levett‐Jones RN PhD MEd & Work Gabrielle Weidemann BSc PhD Vicki Aguilar RN Bronwyn Everett RN PhD 《Journal of nursing management》2017,25(7):498-507
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BackgroundHealthcare providers’ responses to triage interruptions in the emergency department affect quality of care. The purposes for this study were to (1) Examine the relationship between nurses’ response to triage interruption and each of, patients’ perceived confidence in nurses’ technical skills, perceived competence of triage nurse, and satisfaction with the triage experience, (2) Examine the relationship between nurses’ response to triage interruption and nurse demographics.MethodsUsing an observational, prospective design, this study was conducted in an adult academic level 1 trauma center. Data collection tools were: The Triage Interruptions Assessment Tool, Triage and Provider Satisfaction and Confidence Survey, and Demographic Questionnaire.ResultsThe number of observed triage interviews is 93. Of them, 66 interviews were interrupted. No significant relationships were found between nurses’ response to the interruption and patients’ perceived confidence in nurses’ technical skills, competence of triage nurse, or satisfaction with triage experience. There were no significant relationships between nurses’ response to triage interruptions and nurses’ demographics.ConclusionsTriage interruptions in the emergency environment are common and most often result in delays in care. In the current study, this has not been shown to affect patients’ satisfaction. Nurses’ individual characteristics did not affect their responses to triage interruptions. 相似文献
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An observational study of how patients are identified before medication administrations in medical and surgical wards 下载免费PDF全文
Marja Härkänen MSc RN Marjo Kervinen MD Jouni Ahonen PhD Hannele Turunen PhD RN Katri Vehviläinen‐Julkunen PhD RN 《Nursing & health sciences》2015,17(2):188-194
The aims of this study were to clarify how a patient's identity was verified before the administration of medication in medical and surgical wards in a hospital, as well as to study the association between patient identification and the registered nurse's work experience, observed interruptions, and distractions. The study material was collected during April and May 2012 in two surgical and two medical wards in one university hospital in Finland, using a direct, structured observation method. A total of 32 registered nurses were observed while they administered 1058 medications to 122 patients. Patients were not identified at all in 66.8% (n = 707) of medication administrations. Patient identifications were made more often by nurses with shorter work experience in the nursing profession or in the wards (4 years or less), or if distractions existed during medication administration. According to the results, patient identification was not adequately conducted. There is a need for education and change in the culture of medication processes and nursing practice. 相似文献
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