在新手注册护士中导致药物管理错误的因素:综合性审查
Chelsea Webb1, Elissa Dabkowski1, Karen Missen1
1Institute of Health and Wellbeing, Federation University Australia, Churchill, Victoria, Australia.
Journal of clinical nursing
|March 3, 2025
概括
新手注册护士的药物管理错误源于内在因素,如低信心和外在压力,如时间限制. 通过更多的模拟来改善护理教育,可以提高新护士的能力,并减少对患者的伤害.
科学领域:
- 护理 护理 护理
- 患者安全 患者安全
- 医疗保健的质量 医疗保健的质量
背景情况:
- 药物管理错误 (MAE) 对患者的安全和护理质量构成重大风险.
- 新手注册护士 (NRN) 被确定为对MAE更容易感染的人群.
- 了解在NRN中导致MAE的因素对于制定有效的预防策略至关重要.
研究的目的:
- 探索有助于新手注册护士 (NRN) 犯下的药物管理错误 (MAE) 的影响因素.
主要方法:
- 在2013年1月至2023年12月期间发表的英语全文同行评审文章的综合性审查.
- 在CINAHL Complete,MEDLINE,APA PsycArticles,APA PsycInfo,PubMed,Cochrane图书馆和科学网上进行了文学搜索.
- 由两位独立作者进行的质量评估和数据综合,遵循PRISMA指南.
主要成果:
- 十一项研究符合纳入标准,确定了NRN中MAE的关键影响因素.
- 内在因素包括缺乏信心,应对能力下降以及不愿寻求帮助.
- 外在因素包括时间压力,繁重的工作负载,人力不足和高压环境.
结论:
- 在NRN中MAE与药理学知识的差距,有限的基于模拟的学习和电子医疗记录的挑战有关.
- 在本科护理课程中,有针对性的教育和增加模拟可以提高NRN的能力和信心.
- 解决这些因素可以减少对患者的伤害,并改善全球的整体护理实践和教育.
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