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Describing Medication Administration and Alert Patterns Experienced by New Graduate Nurses During the First Year of
Elizabeth Ann Sloss1, Terry L Jones, Kathy Baker
1Author Affiliations : School of Nursing, Department of Adult Health and Nursing Systems (Drs Jones and Robins), School of Nursing (Dr Sloss), and Department of Biostatistics, School of Medicine (Dr Thacker), Virginia Commonwealth University; and UVA Health (Dr Baker), Richmond; and College of Nursing, University of Utah, Salt Lake City (Dr Sloss).
New graduate nurses face a high volume of medication administration and alerts during their first year. Understanding these patterns is crucial for improving patient safety and nursing workflow.
Area of Science:
- Nursing Practice
- Patient Safety
- Health Informatics
Background:
- New graduate nurses may be more prone to medication administration errors.
- Understanding nursing workflow and documentation is vital in modern healthcare.
- Barcode-assisted medication administration (BCMA) generates significant data on medication processes.
Purpose of the Study:
- To describe medication administration and alert patterns for new graduate nurses.
- To analyze the frequency and types of alerts encountered during BCMA.
- To assess the medication administration workload for novice nurses.
Main Methods:
- Descriptive, longitudinal, observational cohort study.
- Secondary data analysis from electronic health records.
- Inclusion of 132 new graduate nurses in adult inpatient units.
Main Results:
- Over 587,000 alert and medication administration encounters observed.
- Average medication workload of 28.09 medications per shift.
- 3.98% of medication administrations were associated with alerts.
Conclusions:
- New graduate nurses manage a high volume and diversity of medications.
- Exposure to numerous alerts during BCMA is common for novice nurses.
- Findings highlight the need for targeted support and education for new nurses.
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