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Related Experiment Video

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Development of a Virtual Reality Assessment of Everyday Living Skills
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Validity and Reliability of a Newly Developed Instrument to Measure Nursing Workarounds During Medication

Marian Savage1, Shin Hye Park2, Marjorie Bott2

  • 1Roper St Francis Healthcare, Charleston, SC, USA mariansavage@gmail.com.

Journal of Nursing Measurement
|August 23, 2024
PubMed
Summary

A new tool, the Savage Barcode-Assisted Medication Administration Workarounds Tool, reliably measures nurses' medication administration workarounds. This instrument assesses defining characteristics, types, and frequency of workarounds to improve patient safety.

Keywords:
acute careinstrument developmentmedication administrationworkarounds

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Area of Science:

  • Nursing
  • Patient Safety
  • Health Informatics

Background:

  • Workarounds are common when healthcare processes are unclear or misaligned with workflows.
  • Existing tools lack quantitative measures for nursing medication administration workarounds.
  • Understanding these workarounds is crucial for enhancing patient safety.

Purpose of the Study:

  • To develop and validate a quantitative instrument to measure the type and frequency of workarounds used by nurses during medication administration.
  • To assess the psychometric properties of the newly developed Savage Barcode-Assisted Medication Administration Workarounds Tool.

Main Methods:

  • Instrument development based on concept analysis of workarounds.
  • Psychometric evaluation including validity (content, face, construct) and reliability testing.
  • Administration to registered nurses in an acute care hospital setting.

Main Results:

  • The Savage Barcode-Assisted Medication Administration Workarounds Tool demonstrated adequate content and face validity.
  • Exploratory factor analysis identified 12 items forming three subscales: defining characteristics, type, and frequency of workarounds.
  • High reliability (Cronbach's alpha .83–.92) and supported convergent/divergent validity were observed.

Conclusions:

  • The Savage Barcode-Assisted Medication Administration Workarounds Tool shows initial evidence of reliability and validity.
  • This tool can quantify nursing workarounds in medication administration.
  • Findings support the use of the tool to identify and potentially mitigate unsafe workarounds, improving patient safety.