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Pediatric nurses' experiences of implementing the 'ten right principles' in safe medication management: A descriptive
Gözde Özaras Öz1, Sevilay Ergun Arslanli2, Aylin Pekyiğit1
1Cankiri Karatekin University, Faculty of Health Sciences, Nursing Department, 18200 Cankiri, Turkey.
Insights
Pediatric nurses generally follow the ten rights of medication administration, but face challenges with correct dosage and timing. Despite difficulties, they ensure safe medication practices for children.
Area of Science:
- Nursing
- Patient Safety
- Pediatric Care
Background:
- The ten rights of medication administration are a global nursing standard for medication safety.
- Pediatric patients face increased risks during medication administration compared to adults.
Purpose of the Study:
- To explore pediatric nurses' experiences implementing the ten rights principles in safe medication management.
- To identify facilitators and barriers to safe medication practices in pediatric nursing.
Main Methods:
- Descriptive phenomenological approach.
- 16 pediatric nurses from a public hospital's Pediatric Service and Neonatal Intensive Care Unit participated.
- Methods included direct observation of medication practices and semi-structured interviews, followed by thematic analysis of qualitative data.
Main Results:
- Pediatric nurses generally adhered to the ten rights principles.
- The most significant challenges were encountered with the 'right dose' and 'right time' principles.
- Two main themes emerged: factors facilitating implementation and difficulties encountered.
Conclusions:
- Pediatric nurses successfully achieve safe and effective medication administration.
- Nurses utilize diverse information sources and clinical reasoning to ensure patient safety despite implementation challenges.
Purpose:
In medication management, the ten right principles framework is an accepted global nursing standard and an important component of medication safety. Especially pediatric patients have a higher risk of harm in medication administration compared to adults. This study aimed to examine the experiences of pediatric nurses in implementing the ten right principles in safe medication management.
Design And Methods:
A descriptive phenomenological approach was used in this study. The study was conducted with 16 pediatric nurses in a public hospital's Pediatric Service and Neonatal Intensive Care Unit. Pediatric nurses' medication practices were observed, and semi-structured interviews were conducted with the nurses after the observation. Observations were conducted using an observation tool, and interviews were conducted using a semi-structured interview form. Qualitative data were analyzed using thematic analysis.
Results:
In this study, it was observed that although pediatric nurses generally adhered to the ten right principles, they had the most difficulties with the right dose and time principles. As a result of the interviews conducted after the observation, two themes (factors facilitating the implementation of the ten right principles and difficulties in implementing the ten right principles) were formed.
Conclusions:
The findings revealed that pediatric nurses achieved safe and effective medication administration and generally adhered to the ten right principles.
Practice Implications:
This study highlights the positive contribution of pediatric nurses to patient safety by using multiple sources of information and clinical reasoning strategies despite the difficulties they experience in drug administration.
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