Assessment of Medication Safety Competence of Nurses

Year 2025, Volume: 13 Issue: 1, 114 - 128

Sevda Korkut , Türkan Ülker

https://doi.org/10.33715/inonusaglik.1381382

Abstract

This study was conducted to assess the medication safety competence of nurses based on knowledge, skills and attitudes. This descriptive cross-sectional study was completed with the participation of 424 nurses working throughout Turkey. Descriptive characteristics questionnaire form and Medication Safety Competence Scale for Nurses were used to collect the research data. The data of the study were collected in electronic environment through online surveys created through Google forms. The mean total medication safety score of the participants was 158.7±16.84. As a result of this study, the medication safety competence of nurses was at a satisfactory level. In addition, it was found that nurses considered themselves competent in titles such as patient-centered medication management, improvement of safety problems, management of effecting factors, safe risk management, multidisciplinary collaboration and responsibility in nursing profession. It is important that nurses have a high level of competence in medicine safety, which is one of the important parameters in ensuring and maintaining patient safety. It is recommended that the study be conducted in different and larger samples, that long-term follow-ups be conducted with educational interventions and that the results be evaluated.

Keywords

Competence, Medication safety, Nursing, Patient safety

Project Number

-

HEMŞİRELERİN İLAÇ GÜVENLİĞİ YETERLİLİĞİNİN DEĞERLENDİRİLMESİ

Abstract

Bu çalışma, hemşirelerin ilaç güvenliği yeterliliğini bilgi, beceri ve tutumlara dayalı olarak değerlendirmek amacıyla yapılmıştır. Tanımlayıcı kesitsel tipte yürütülen bu araştırma Türkiye genelinde çalışan 424 hemşirenin katılımı ile tamamlanmıştır. Araştırma verilerini toplamak amacı ile tanıtıcı özellikler anket formu ve Hemşireler İçin İlaç Güvenliği Yeterlilik Ölçeği kullanılmıştır. Araştırmanın verileri Google formlar üzerinden oluşturulan çevrimiçi anketler aracılığıyla elektronik ortamda toplanmıştır. Katılımcıların ilaç güvenliği toplam puan ortalamasının 158.7±16.84 olduğu saptanmıştır. Bu çalışmanın sonucunda hemşirelerin ilaç güvenliği yeterliliğinin iyi düzeyde olduğu belirlenmiştir. Ayrıca hemşirelerin hasta merkezli ilaç yönetimi, güvenlik sorunlarının iyileştirilmesi, etkileyen faktörlerin yönetimi, güvenli risk yönetimi, multidisipliner işbirliği ve hemşirelik mesleğinde sorumluluk gibi başlıklarda da kendilerini yeterli gördükleri saptanmıştır. Hasta güvenliğinin sağlanması ve sürdürülmesinde önemli parametrelerden biri olan ilaç güvenliği konusunda hemşirelerin yeterlilik düzeyinin yüksek olması önemlidir. Çalışmanın farklı ve daha büyük örneklemlerde yapılması, eğitim müdahaleleri ile uzun dönem izlemlerin yapılması ve sonuçların değerlendirilmesi önerilmektedir.

Keywords

Hasta güvenliği, Hemşirelik, İlaç güvenliği, Yeterlilik.

Ethical Statement

Çalışmanın yürütülebilmesi için Üniversite Etik Kurulu’ndan 27/12/2022 tarih ve 611 sayı ile etik kurul onayı alınmıştır.

Supporting Institution

-

Project Number

-

Thanks

-

References

• Alsabri, M., Eapen, D., Sabesan, V., Hassan, Z.T., Amin, M., Elshanbary, A.A.,...Al-Sayaghi, K.M. (2024). Medication errors in pediatric emergency departments: A systematic review and recommendations for enhancing medication safety. Pediatric Emergency Care, 40(1), 58-67. https://doi.org/10.1097/PEC.0000000000003108
• Aly, N.A.E.F.M., El-Shanawany, S.M., Ghanem, M., Elbiaa, M.A., Mohamed, H.A.A. ve Lotfy, W.M. (2023). Medication safety climate: Managing high-alert medication administration and errors among nurses in intensive and critical care units. Egyptian Nursing Journal, 20(2), 228-236. https://doi.org/10.4103/enj.enj_16_23
• Avşar, G., Atabek Armutçu, E. ve Karaman Özlü, Z. (2016). Hemşirelerin tıbbi hata eğilim düzeyleri ve tıbbi hata türleri: Bir hastane örneği. Sağlık Bilimleri ve Meslekleri Dergisi, 3(2), 115-122. https://doi.org/10.17681/hsp.86420
• Barton, A.J., Armstrong, G., Preheim, G., Gelmon, S.B. ve Andrus, L.C. (2009). A national Delphi to determine developmental progression of quality and safety competencies in nursing education. Nursing Outlook, 57(6), 313-322. https://doi.org/10.1016/j.outlook.2009.08.003
• Benneck, J.C. ve Bremer, A. (2019). Registered nurses’ experiences of near misses in ambulance care – A critical incident technique study. International Emergency Nursing, 47, 100776. https://doi.org/10.1016/j.ienj.2019.05.002
• Bianchi, M., Bressan, V., Cadorin, L., Pagnucci, N., Tolotti, A., Valcarenghi, D.,…Sasso, L. (2016). Patient safety competencies in undergraduate nursing students: A rapid evidence assessment. Journal of Advanced Nursing, 72(12), 2966-2979. https://doi.org/10.1111/jan.13033
• Cronenwett, L., Sherwood, G. ve Gelmon, S.B. (2009). Improving quality and safety education: The QSEN Learning Collaborative. Nursing Outlook, 57(6), 304-312. https://doi.org/10.1016/j.outlook.2009.09.004
• Çiçek Korkmaz, A. (2018). Geçmişten günümüze hasta güvenliği. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 6(1), 10-19.
• Er, F. ve Altuntaş, S. (2016). Hemşirelerin tıbbi hata yapma durumları ve nedenlerine yönelik görüşlerinin belirlenmesi. Sağlık ve Hemşirelik Yönetimi Dergisi, 3(3), 132-139. https://doi.org/10.5222/SHYD.2016.132
• Eraydın, C., Tezcan, B. ve Koç, Z. (2019). İlaç yönetiminde bir sistem: Pyxis otomasyon sisteminin hemşirelerin ilaç uygulamalarına etkisi. Sağlık Akademisyenleri Dergisi, 6(2), 100-104.
• Gaffney, T.A., Hatcher, B.J. ve Milligan, R. (2016). Nurses’ role in medical error recovery: An integrative review. Journal of Clinical Nursing, 25(7-8), 906-917. https://doi.org/10.1111/jocn.13126
• Ha, D., Lee, S.E., Song, I., Lim, S.J. ve Shin, J.Y. (2020). Comparison of signal detection of tumour necrosis factor-α inhibitors using the Korea Adverse Events Reporting System Database, 2005–2016. Clinical Rheumatology, 39(2), 347-355. https://doi.org/10.1007/s10067-019-04802-z
• Hanson, A. ve Haddad, L.M. (2022). Nursing rights of medication administration. Treasure Island (FL): StatPearls Publishing.
• Härkänen, M., Voutilainen, A., Turunen, E. ve Vehviläinen-Julkunen, K. (2016). Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. Nurse Education Today, 41, 36-43. https://doi.org/10.1016/j.nedt.2016.03.017
• Hodkinson, A., Tyler, N., Ashcroft, D.M., Keers, R.N., Khan, K., Phipps, D.,…Panagioti, M. (2020). Preventable medication harm across health care settings: A systematic review and meta-analysis. BMC Medicine, 18, 313. https://doi.org/10.1186/s12916-020-01774-9
• Hwang, J.I., Lee, S.I. ve Park, H.A. (2013). Patient safety incident reporting items in Korean hospitals. International Journal for Quality in Health Care, 25(3), 300-307.
• Irajpour, A., Farzi, S., Saghaei, M. ve Ravaghi, H. (2019). Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units. Journal of Education and Health Promotion, 8, 196. https://doi.org/10.4103/jehp.jehp_200_19
• İntepeler, S.Ş. ve Dursun, M. (2012). Tıbbi hatalar ve tıbbi hata bildirim sistemleri. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 15(2), 129-135.
• Korkut, S. ve Ülker, T. (2023). Turkish adaptation of the Medication Safety Competence Scale for Nurses: Validity and reliability study. International Journal of Caring Sciences, 16(2), 677-685.
• Korkutan, M. ve Kurt, M. (2021). Hasta güvenliği kültürünün Türkiye’deki mevcut durumu ve önemi. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 7(1), 19-31.
• Koyama, A.K., Maddox, C.S.S., Li, L., Bucknall, T. ve Westbrook, J.I. (2020). Effectiveness of double checking to reduce medication administration errors: A systematic review. BMJ Quality & Safety, 29(7), 595-603. https://doi.org/10.1136/bmjqs-2019-009552
• Küçükoğlu, S., Ası Karakaş, S. ve Çelebioğlu, A. (2016). Hemşirelerin tıbbi hata yapma eğilimleri ve etkileyen faktörler. Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi, 8: 88-102.
• Luokkamäki, S., Härkänen, M., Saano, S. ve Vehviläinen‐Julkunen, K. (2021). Registered Nurses' medication administration skills: A systematic review. Scandinavian Journal of Caring Sciences, 35(1), 37-54. https://doi.org/10.1111/scs.12835
• Metsälä, E. ve Vaherkoski, U. (2014). Medication errors in elderly acute care – a systematic review. Scandinavian Journal of Caring Sciences, 28(1), 12-28. https://doi.org/10.1111/scs.12034
• Mohammadi, F., Kouhpayeh, S.A., Bijani, M., Farjam, M., Faghihi, A. ve Badiyepeymaiejahromi, Z. (2023). Translation and psychometric assessment of a Persian version of medication safety competence scale (MSCS) for clinical nurses. Scientific Reports, 13, 2247. https://doi.org/10.1038/s41598-023-29399-x
• Mistri, I.U., Badge, A. ve Shahu, S. (2023). Enhancing patient safety culture in hospitals. Cureus, 15(12), e51159. https://doi.org/10.7759/cureus.51159
• Mohebi, Z., Bijani, M. ve Dehghan, A. (2024). Investigating safe nursing care and medication safety competence in nursing students: A multicenter cross-sectional study in Iran. BMC Nursing, 23(1), 13. https://doi.org/10.1186/s12912-023-01684-0
• National Coordinating Council for Medication Error Reporting and Prevention. What is a medication error? New York, NY: National Coordinating Council for Medication Error Reporting and Prevention; 2015. 25 Eylül 2024 tarihinde http://www.nccmerp.org/about-medication-errors adresinden erişildi.
• NHS Improvement. (2018). NRLS national patient safety incident reports: Commentary. https://improvement.nhs.uk/documents/3266/NAPSIR_commentary_FINAL_data_to_March_2018.pdf
• Park, J. ve Seomun, G. (2020). Development and validation of the Medication Safety Competence Scale for Nurses. Western Journal of Nursing Research, 43(7), 686-697. https://doi.org/10.1177/0193945920969929
• Park, J. ve Han, A.Y. (2022). Medication safety education in nursing research: Text network analysis and topic modeling. Nurse Education Today, 121, 105674. https://doi.org/10.1016/j.nedt.2022.105674
• Robertson, J.J., Long, B. (2018). Suffering in silence: Medical error and its impact on health care providers. Journal of Emergency Medicine, 54(4), 402-409. https://doi.org/10.1016/j.jemermed.2017.12.001
• Rodziewicz, T. ve Hipskind, J.E. (2018). Medical Error Prevention. StatPearls. NCBI Bookshelf, Treasure Island (FL): StatPearls Publishing.
• Rohde, E. ve Domm, E. (2018). Nurses’ clinical reasoning practices that support safe medication administration: An integrative review of the literature. Journal of Clinical Nursing, 27(3-4), 402-411. https://doi.org/10.1111/jocn.14077
• Shetty, N. (2022). Patient safety – Are we doing enough? Archives of Medicine and Health Sciences, 10(2), 157-159. https://doi.org/10.4103/amhs.amhs_265_22
• T.C Sağlık Bakanlığı. Hemşirelik Yönetmeliği. (2010). 20 Ağustos 2024 tarihinde https://www.saglik.gov.tr/TR,10533/hemsirelik-yonetmeligi.html adresinden erişildi.
• Thelen, M. (2022). Medication competence: A concept analysis. Nurse Education Today, 111, 105292. https://doi.org/10.1016/j.nedt.2022.105292
• Vaismoradi, M., Tella, S., Logan, P.A., Khakurel, J. ve Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028
• World Health Organization (WHO). (2016). Medication errors. 20 Ağustos 2024 tarihinde https://apps.who.int/iris/bitstream/handle/10665/252274/9789241511643-eng.pdf;jsessionid=FDB1BE2683396D2DA592F947714EBF5E?sequence=1 adresinden erişildi.
• Yang, Z., Chen, F., Lu, Y. ve Zhang, H. (2021). Psychometric evaluation of medication safety competence scale for clinical nurses. BMC Nursing, 20, 165. https://doi.org/10.1186/s12912-021-00679-z
• Zadeh, M.M., Zia, S.K., Dadkhah, B. ve Mohamadi, M.A. (2024). Evaluation of the relationship between drugs’ safety competence and medication administration error perceptions in Clinical nurses of Northwest Iran. Research Square. https://doi.org/10.21203/rs.3.rs-4228224/v1.
• Zhang, P., Xu, R., Cao, S., Mo, L., Liu, Y., Gao, C.,...Yu, G. (2024). Relationship between critical thinking ability and medication safety competence among clinical nurses: A multicenter cross‐sectional study. Journal of Clinical Nursing, 1-10. https://doi.org/10.1111/jocn.17361