종합병원 간호사의 투약오류와 투약안전역량이 투약안전간호활동에 미치는 영향
Influence of Medication Errors and Medication Safety Competency on Medication Safety Nursing Activities among General Hospital Nurses
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to identify the influence of medication errors and medication safety competency on the medication safety activities of general hospital nurses. Methods: A descriptive survey was conducted among 212 nurses with more than three months of work experience in seven general hospitals in K metropolitan city and M city. Data were collected from June 27–July 6, 2023 and analyzed using the independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and stepwise multiple regression. Results: The medication safety activities score was 4.02(±.50) and had significant correlations with medication safety competency (r=.55, p＜.001) and medication errors (r=−.34, p＜.001). In the multiple regression analysis, medication safety competency (=.49) and medication errors (=−.21) were significant predictors and explained approximately 33% of the medication safety nursing activities (F=53.41, p＜.001). Conclusion: To improve medication safety nursing activities, effective strategies to reduce medication errors must be sought, and strategies that reflect approaches to each sub-area of medication safety competency are required.
Abstract
Purpose: This study aimed to identify the influence of medication errors and medication safety competency on the medication safety activities of general hospital nurses. Methods: A descriptive survey was conducted among 212 nurses with more than three months of work experience in seven general hospitals in K metropolitan city and M city. Data were collected from June 27–July 6, 2023 and analyzed using the independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and stepwise multiple regression. Results: The medication safety activities score was 4.02(±.50) and had significant correlations with medication safety competency (r=.55, p＜.001) and medication errors (r=−.34, p＜.001). In the multiple regression analysis, medication safety competency (=.49) and medication errors (=−.21) were significant predictors and explained approximately 33% of the medication safety nursing activities (F=53.41, p＜.001). Conclusion: To improve medication safety nursing activities, effective strategies to reduce medication errors must be sought, and strategies that reflect approaches to each sub-area of medication safety competency are required.
참고문헌 (28)
- Patient safety statistics annual report, "Korea Institute for Healthcare Accreditation", Korea Institute for Healthcare Accreditation, ~ (2022)
- "The third WHO global patient safety challenge: medication without harm" (2023)[URL]
- "Medication errors and adverse drug events" (2019)[URL]
- Elliott RA, "Economic analysis of the prevalence and clinical and economic burden of medication error in England", BMJ Quality & Safety, 30(2), pp.96~105 (2021)[DOI]
- Kim J, "The predictive factors of medication errors in clinical nurse", Journal of Health Informatics and Statistics, 46(1), pp.19~27 (2021)[DOI]
- Choo J, "Nurses' role in medication safety", Journal of Nursing Management, 18(7), pp.853~861 (2010)[DOI]
- Park SY, "Relationship between clinical nurses'job stress and medication safety performance : mediating effect of fatigue", Korean Journal of Adult Nursing, 33(3), pp.283~293 (2021)[DOI]
- Lee SM, "Factors affecting the safety of medication administration among nurses in a tertiary hospital", master, pp.2023
- Kim MS, "Correlation among the medication error risk of high-alert medication, attitudes to single checking medication, and medication safety activities of nurses in the intensive care unit", Journal of Korean Critical Care Nursing, 8(1), pp.1~10 (2015)
- Yoon S, "Factors associated with patient safety incidents in long-term care hospitals : a secondary data analysis", Korean Journal of Adult Nursing, 34(3), pp.295~303 (2022)[DOI]
- Koo MJ, "Analysis of medication errors of nurses by patient safety accident reports", Journal of Korean Clinical Nursing Research, 27(1), pp.109~119 (2021)[DOI]
- Park JK, "Development of medication safety competence scale for nurses", pp.2019
- Hong JH, "Effects of nurses' critical thinking disposition and nursing practice environment on medication safety competency", Health & Nursing, 34(2), pp.11~21 (2022)[DOI]
- Song G, "Influences of organizational communication satisfaction and safety climate on medication safety competence in hospital nurse", Journal of Korean Academy of Nursing Administration, 28(3), pp.297~306 (2022)[DOI]
- Kim GH, "Factors influencing clinical nurses' medication safety competence", Journal of Korean Academy of Fundamental Nursing, 29(2), pp.237~247 (2022)[DOI]
- Lee YH, "Critical thinking disposition, medication error risk level of high-alert medication and medication safety competency among intensive care unit nurses", Journal of Korean Critical Care Nursing, 15(2), pp.1~13 (2022)[DOI]
- Jeong S, "Patient safety management activities of Korean nurses : a meta-analytic path analysis", Journal of Korean Academy of Nursing, 52(4), pp.363~377 (2022)[DOI]
- "2024Status of hospitals, clinics and pharmacies nationwide" (2024)[URL]
- "Patient safety" (2018)[URL]
- "About medication errors. What is a medication error?" (2015)[URL]
- Lee SY, "A study on medication error among nurses and prevention strategy", pp.2008
- Kim EK, "DISC behavior pattern and medication errors by nurses", Journal of Korean Academy Nursing Administration, 19(1), pp.28~38 (2013)[DOI]
- Yang YK, "Factors influencing safety care activities of hospital nurses", Journal of Korean Academy of Fundamental Nursing, 26(3), pp.188~196 (2019)[DOI]
- Wimpenny P, "Roles and systems for routine medication administration to prevent medication errors in hospital-based, acute care settings : a systematic review", JBI Library of Systematic Reviews, 8(10), pp.405~446 (2010)[DOI]
- Lee EK, "Experiences of nurses in medication errors", Qualitative Research, 11(2), pp.94~105 (2010)
- De Baetselier E, "Nurses' responsibilities and tasks in pharmaceutical care : a scoping review", Nursing Open, 9(6), pp.2562~2571 (2022)[DOI]
- Sneck S, "Medication competency of nurses according to theoretical and drug calculation online exams : a descriptive correlational study", Nurse Education Today, 36, pp.195~201 (2016)[DOI]
- Shank LC, "Clinical feature : medication calculation competency", American Journal of Nursing, 111(10), pp.67~69 (2011)