Mental Health Nurses' Experiences of a Medication Administration Error (MAE) - A Scoping Review

Nurses spend up to 40% of their time safely administering medication. Medication administration errors (MAEs) are a concern as they can compromise patient safety and increase the risk of morbidity and mortality. Although some research has investigated factors that influence MAEs, there has been limited attention paid to the impact and unique experiences of mental health nurses directly involved in such errors. The scoping review intended to explore literature on the experiences of mental health nurses regarding MAEs within the hospital setting. A database search found 540 citations, with one extra study identified through reference lists; no new papers were found in the grey literature. Three papers included: an editorial and two qualitative studies. Using MMAT for quality appraisal, the review showed that mental health nurses' experiences of MAEs were shaped by workload, staffing, ward dynamics, patient involvement, and communication. Nurses reported emotional responses such as fear, anxiety, stress, relief, and guilt. Mental health nurses administer medication, yet the effects of MAEs are largely overlooked, with only three studies covering this area. This review highlights the importance of understanding factors and emotions related to MAEs. While nurses shared experiences, the studies did not explain how they interpreted these errors.