Pediatri Hemşirelerinin Flakon Şeklindeki Toz İlaçların Kuru Toz Hacimlerinin Belirlenmesine Yönelik Farkındalıklarının İncelenmesi

Year 2026, Volume: 9 Issue: 1 , 70 - 80 , 25.04.2026

Mahmude Uysal , Fatma Birgili

https://doi.org/10.54189/hbd.1698129

https://izlik.org/JA68EE93FJ

Abstract

Amaç: Bu araştırmada, pediatri hemşirelerinin flakon toz ilaçların kuru toz hacimlerinin belirlenmesine yönelik farkındalıklarının incelenmesi amaçlanmıştır.
Yöntem: Araştırma ülkemizin batısındaki bir Eğitim ve Araştırma Hastanesi’nde çalışan 162 hemşire ile Haziran-Temmuz 2021 tarihleri arasında gerçekleştirilmiştir. Veriler hemşirelerin kişisel özellikleri ile en sıklıkla kullanılan flakon ilaçlar ve kuru toz hacmi hesaplamalarını içeren anket formu ile toplanmıştır. Veriler SPSS 24 paket programında sayı, yüzde, ortalama, standart sapma, ki kare testi ile değerlendirilmiştir. Bulgular %95 güven aralığında, p<0,05 istatistiksel olarak anlamlı kabul edilmiştir.
Bulgular: Hemşirelerin yaş ortalamaları 29,91±6,81, %87’sinin kadın, çalışma yılı ortalamaları 7,36±6,63, %58.6’sının 1-5 yıldır pediatride çalıştıkları, %88,9’u klinik hemşiresi, %77,2’si gündüz/nöbet şeklinde çalıştıkları ve %77,2’si ilaç doz hesaplama konusunda eğitim aldıkları, %77,3’ü ilaçları sulandırırken kuru toz hacmine önem verdikleri belirlenmiştir. Ancak hemşirelerin yarıdan fazlasının kuru toz hacmi farkını doğru bilmedikleri saptanmıştır.
Sonuç: Hemşirelerin ilaçların kuru toz hacmini hesaplama konusunda farkındalıklarının olduğu, ancak bu konuda bilgilendirilmeleri konusunda desteklenmeleri gerektiği söylenebilir.

Keywords

Hemşire , İlaç , İlaç Doz Hesaplamaları , Kuru Toz Hacmi

Investigation of Awareness of Pediatric Nurses Regarding the Determination of Dry Powder Displacement Volumes of Powder Medicines in Vial Form

https://izlik.org/JA68EE93FJ

Abstract

Objective: This study aimed to examine pediatric nurses' awareness regarding the determination of dry powder volumes of vial-containing powdered medications.
Methods: The study was conducted between June-July 2021 with 162 nurses working at a Training and Research Hospital in western Turkey. Data were collected using a questionnaire that included the nurses' personal characteristics, the most frequently used vials of medication, and dry powder volume calculations. Data were analyzed using SPSS 24 software package with descriptive statistics (number, percentage, mean, standard deviation, chi-square test). Findings were considered statistically significant at a 95% confidence interval, p<0.05.
Results: The average age of the nurses was 29.91±6.81, 87% were female, the average years of experience was 7.36±6.63, 58.6% had worked in pediatrics for 1-5 years, 88.9% were clinical nurses, 77.2% worked day/on-call shifts, and 77.2% had received training in drug dosage calculation. 77.3% considered the dry powder volume important when diluting medications. However, it was found that more than half of the nurses did not know the correct difference in dry powder volume.
Conclusion: It can be said that nurses are aware of calculating the dry powder volume of drugs, but they need to be supported in being informed about this issue.

Keywords

Nurse , Drug , Drug Dosage Calculations , Dry Powder Volume

References

• Alghamdi AA, Keers RN, Sutherland A, Ashcroft DM. (2019). Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: A systematic review. Drug Safety, 42,1423-1436.
• Alharbi AI, Gay V, AlGhamdi MJ, Alturki R, Alyamani HJ. (2021). Towards an application helping to minimize medication error rate. Mobile Information Systems, 2021(1), 9221005. doi: 10.1155/2021/9221005
• Ameer A, Dhillon S, Peters MJ, Ghaleb M. (2015). Systematic literature review of hospital medication administration errors in children. Integr Pharm Res Pract, 153-165.
• Birarra MK, Heye TB, Shibeshi W. (2017). Assessment of drug-related problems in pediatric ward of Zewditu Memorial Referral Hospital, Addis Ababa, Ethiopia. Int J Clin Pharm, 39(5), 1039-1046.
• Bülbül A, Kunt A, Selalmaz M, Sözeri Ş, Uslu S, Nuhoğlu A. (2014). Assessment of knowledge of pediatric nurses related with drug administration and preparation. Türk Pediatri Arşivi, 49(4), 333-339.
• Cheragi MA, Manoocheri H, Mohammadnejad E, Ehsani SR. (2013). Types and causes of medication errors from nurse's viewpoint. Iran J Nurs Midwifery Res, 18(3), 228-231.
• Donaldson LJ, Kelley ET, Dhingra-Kumar N, Kieny MP, Sheikh A. (2017). Medication without harm: WHO's third global patient safety challenge. The Lancet, 389(10080), 1680-1681.
• Gerçeker GÖ, Didişen NA, Bolışık B, Başbakkal Z. (2015). Pediatri hemşirelerinin ilaç hataları ve eşdeğer ilaç kullanımına ilişkin deneyimlerinin ve görüşlerinin incelenmesi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 1(4), 210-215.
• Guy J, Persaud, J, Davies E, Harvey D. (2003). Drug errors: What role do nurses and pharmacists have in minimizing the risk?. J Child Health Care, 7(4), 277-290.
• Kalaycı Ş. (2008). SPSS Uygulamalı Çok Değişkenli İstatistik Teknikleri. Ankara: Asil Yayın Dağıtım.
• Kaufmann J, Laschat M, Wappler F. (2012). Medication errors in pediatric emergencies:A systematic analysis. Dtsch Arztebl Int, 109(38), 609-616.
• Kaushal R, Bates DW, Landrigan C, McKenna KJ, Clapp MD, Federico F, et al. (2001). Medication errors and adverse drug events in pediatric inpatients. JAMA, 285(16), 2114-2120.
• Kaya V, Erçelik HC, Yıldız D. (2023). Pediatrik ilaç uygulamalarında kullanılan toz flakon şeklindeki antibiyotiklerin kuru toz hacimlerinin in vitro analizi. Medical Journal of Süleyman Demirel University, 30(3), 424-432.
• Kayri M. (2009). Araştırmalarda gruplar arası farkın belirlenmesine yönelik çoklu karşılaştırma (post-hoc) teknikleri. Journal of Social Science, 55, 22.
• Koeck JA, Young NJ, Kontny U, Orlikowsky T, Bassler D, Eisert A. (2021). Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: A systematic review. Front Pediatr, 9, 633064. doi: 10.3389/fped.2021.633064
• Köprülü SG. (2017). Tıbbi terminoloji ve prospektüs (kullanma talimatı) çevirisi. Avrasya Terim Dergisi, 5(1), 11-18.
• Lesar TS. (1998). Errors in the use of medication dosage equations. Arch Pediatr Adolesc Med, 152(4), 340-34.
• Lesar TS. (2002). Tenfold medication dose prescribing errors. Annals of Pharmacotherapy, 36(12), 1833-1839.
• Márquez-Hernández VV, Fuentes-Colmenero AL, Cañadas-Núñez F, Di Muzio M, Giannetta N, Gutiérrez-Puertas L. (2019). Factors related to medication errors in the preparation and administration of intravenous medication in the hospital environment. Plos One, 14(7), e0220001. doi: 10.1371/journal.pone.0220001
• Meineche H. (2015). PS-040 Impact of displacement values of powders for solution for injection or infusion on drug doses administered to children. Eur J Hosp Pharm, 22(1). doi:10.1136/ejhpharm-2015-000639.366
• Pourteimour S, MalsakPak MH, Jasemi M, Eghtedar S, Parizad N. (2019). The effect of smartphone-based application learning on the nursing students’ performance in preventing medication errors in the pediatric units. Pediatric Quality & Safety, 4(6), e226.
• Raghavan S, Bhardwaj U, Rani S. (2020). To study the effectiveness of the training program on safe administration of drugs to reduce the medication error. Indian Journal of Holistic Nursing, 11(3), 12-19.
• Sarman A, Tuncay S. (Eds.). (2024). Sağlık & Bilim 2024: Çocuk Cerrahi Hemşireliği ve Bakım Uygulamaları-I. Efe Akademi Yayınları.
• Savaşer S, Çimen S, Yıldız S. (2008). Effect of dry powder volume on the administered dose in antibiotic vials. Florence Nightingale J Nurs, 16(61), 7-15.
• Star K, Nordin K, Pöder U, Edwards IR. (2013). Challenges of safe medication practice in paediatric care–a nursing perspective. Acta Paediatr, 102(5), 532-538.
• Tekin H. (2007). Eğitimde Ölçme ve Değerlendirme (19.basım). Ankara: Yargı Yayınevi.
• Tisdale JE. (1986). Justifying a pediatric critical-care satellite pharmacy by medication-error reporting. Am J Hosp Pharm, 43(2), 368-371.
• Törüner EK, Erdemir F. (2010). Preventing medication errors in pediatric patients. Hacettepe University Faculty of Nursing Journal, 17(1), 63-71.
• Tsegaye D, Alem G, Tessema Z, Alebachew W. (2020). Medication administration errors and associated factors among nurses. Int J Gen Med, 13, 1621-1632.
• Westbrook JI, Rob MI, Woods A, Parry D. (2011). Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. BMJ Quality & Safety, 20 (12), 1027-1034.
• Westin L, Sundler AJ, Berglund M. (2015). Students’ experiences of learning in relation to didactic strategies during the first year of a nursing programme: a qualitative study. BMC Med Educ, 15(1), 1-8.
• Wright K. (2009). The assessment and development of drug calculation skills in nurse education–a critical debate. Nurse Educ Today, 29(5), 544-548.
• Yildiz C, Ozen S. (2013). L16. The specificities of pediatric vasculitis classification. La Presse Médicale, 42(4), 546-550.
• Yüksel Koçak D, Yaman Ş. (2015). Medication errors made by nurses working in gynecology and obstetrics clinics and affecting factors. Journal of Education & Research in Nursing, 12(2), 99-104.
• Zarea K, Mohammadi A, Beiranvand S, Hassani F, Baraz S. (2018). Iranian nurses’ medication errors: A survey of the types, the causes, and the related factors. Int J Afr Nurs Sci, 8, 112-116.
• Zirpe KG, Seta B, Gholap S, Aurangabadi K, Gurav SK, Deshmukh AM, et al. (2020). Incidence of medication error in critical care unit of a tertiary care hospital: where do we stand?. Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of Indian J Crit Care Med, 24(9), 799-803.