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Predictors of Adverse Drug Reaction Monitoring Practices Among Hospital Nurses: A Cross-Sectional Study
1Author Affiliations: Registered Nurse (Kim), Chonnam National University Hospital; and Professor (Dr Chae), College of Nursing, Chonnam National University, Gwangju, South Korea.
The Journal of Nursing Administration
|April 23, 2025
Summary
Predictors of adverse drug reaction (ADR) monitoring by hospital nurses were identified. Nurses' attitudes, workload, and unit significantly influenced ADR monitoring, highlighting the need for better education and support.
Area of Science:
- Nursing Practice
- Patient Safety
- Pharmacovigilance
Background:
- Adverse drug reaction (ADR) monitoring is essential for patient safety.
- Current ADR monitoring practices in healthcare settings are often insufficient.
Purpose of the Study:
- To identify factors predicting adverse drug reaction (ADR) monitoring practices among hospital nurses.
- To understand the current state of ADR monitoring in tertiary hospitals.
Main Methods:
- A cross-sectional descriptive study involving 165 registered nurses (RNs) from four tertiary hospitals.
- Data collection via self-report questionnaires administered between August 5 and September 16, 2022.
Main Results:
- Significant predictors of ADR monitoring practices included nurses' attitudes, workload intensity, and work units.
- Only 51.5% of nurses reported all observed ADR cases, with time constraints and knowledge gaps as primary barriers.
- While 61.2% observed ADRs, only 31.5% had received specific ADR education.
Conclusions:
- Educational interventions are needed to improve nurses' knowledge and attitudes regarding ADRs.
- Strategies to alleviate workload intensity and support nursing units are crucial for enhancing medication safety.
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