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SİMÜLE EDİLMİŞ HASTANE ORTAMINDA HEMŞİRELİK ÖĞRENCİLERİNİN ÇOCUK HASTALARDA İLAÇ UYGULAMA HATALARININ BELİRLENMESİ

Yıl 2021, Cilt 37, Sayı 2, 121 - 129, 27.08.2021
https://doi.org/10.53490/egehemsire.873143

Öz

Amaç: Bu çalışmada hemşirelik öğrencilerinin çocuk hastalarda ilaç uygulama hatalarınının belirlenmesi amaçlanmıştır. Yöntem: Araştırmada karşılaştırmalı tanımlayıcı türde tasarlanmış ve gerekli etik ve resmi izinler alındıktan sonra gerçekleştirilmiştir. Araştırmanın evrenini Hemşirelik Fakültesi öğrencileri oluşturmuştur. Örnekleme ise 94 öğrenci (üçüncü sınıf n = 47 ve dördüncü sınıf n = 47) dahil edilmiştir. Hemşirelik Fakültesi laboratuvarı, hemşirelik tedavi odası şeklinde simüle edilmiştir. Belirlenen ilaç sırası ile çalışmaya katılan öğrencilerden ilaçları en uygun teknikle hazırlamaları istenmiş ve araştırmacılar tarafından gözlemlenmiştir. Veriler, araştırmacılar tarafından hazırlanan ilaç uygulama hataları kontrol listesi kullanılarak tek tek toplanmıştır. Bulgular: Üçüncü sınıf öğrencilerin ilaç kuru toz hacmini dikkate almadığı ve en düşük puanı aldıkları belirlendi (X̄ = 0.68). Dördüncü sınıf öğrencilerinin kalan ilaca doğru etiketi yapıştırmadığı ve en düşük puanı aldıkları bulundu (X̄ = 0.42). Üçüncü sınıf öğrencileri kalan ilaca doğru etiketi yapıştırmada daha başarılı (p = 0.20) ve dördüncü sınıf öğrencileri aseptik kurallara uymada daha başarılı olduğu tespit edildi (p = 0.03). Her iki gruptaki öğrencilerin ilaçların kuru toz hacmini göz ardı ettiği ve bu uygulamadan en düşük puanı aldıkları bulundu (X̄ = 0.64). Sonuç: Her iki gruptaki öğrencilerin yaptığı ilaç uygulama hatalarının yüksek olduğu ve öğrenciler ilacı sulandırırken kuru toz hacmini dikkate almadığı görüldü.

Kaynakça

  • Al-Ramahi, R., Hmedat, B., Alnjajrah, E., Manasrah, I., Radwan, I., & Alkhatib, M. (2017). Medication dosing errors and associated factors in hospitalized pediatric patients from the South Area of the West Bank - Palestine. Saudi Pharmaceutical Journal, 25(6), 857-860. doi:10.1016/j.jsps.2017.01.001
  • American Association of Colleges of Nursing (AACN), 2005. Faculty shortages in baccalaureate and graduate nursing programs: scope of the problem and strategies for expanding the supply. Retrieved from https://www.aacnnursing.org/news-information/position-statements-white-papers/faculty-shortages. 02.01.2021
  • Ayık, G., Özsoy, S. A., & Çetinkaya, A. (2010). Hemşirelik öğrencilerinin ilaç uygulama hataları, Medication Errors of Nursing Students. Florence Nightingale Hemşirelik Dergisi, 18(3), 136-143.
  • 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. Turk pediatri arsivi, 49(4), 333-339. doi:10.5152/tpa.2014.1751
  • Di Muzio, M., De Vito, C., Tartaglini, D., & Villari, P. (2017). Knowledge, behaviours, training and attitudes of nurses during preparation and administration of intravenous medications in intensive care units (ICU). A multicenter Italian study. Applied Nursing Research, 38, 129-133. doi:10.1016/j.apnr.2017.10.002
  • Dubovi, I., Levy, S. T., & Dagan, E. (2017). Now I know how! The learning process of medication administration among nursing students with non-immersive desktop virtual reality simulation. Computers & Education, 113, 16-27. doi:10.1016/j.compedu.2017.05.009
  • Edeer, A. D., & Sarikaya, A. (2015). The use of simulation in nursing education and simulation types/Hemsirelik egitiminde simulasyon kullanimi ve simulasyon tipleri. Journal of Education and Research in Nursing, 12, 121+.
  • Grandell-Niemi, H., Hupli, M., Leino-Kilpi, H., & Puukka, P. (2005). Finnish nurses’ and nursing students’ pharmacological skills. Journal of Clinical Nursing, 14(6), 685-694. doi:10.1111/j.1365-2702.2005.01131.x
  • İncesu, E., & Evirgen, H. (2017). Sağlık Çalışanlarının Hastane Atıkları Konusunda Bilgi Düzeylerinin Değerlendirilmesi ve Atık Minimizasyonu: Konya Kamu Hastaneleri Birliği Genel Sekreterliği Örneği. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 6(3), 56-64.
  • Kim, K., & Lee, I. (2020). Medication error encouragement training: A quasi-experimental study. Nurse Education Today, 84, 104250. doi:10.1016/j.nedt.2019.104250
  • Kuo, S.-Y., Wu, J.-C., Chen, H.-W., Chen, C.-J., & Hu, S. H. (2020). Comparison of the effects of simulation training and problem-based scenarios on the improvement of graduating nursing students to speak up about medication errors: A quasi-experimental study. Nurse Education Today, 87, 104359. doi:10.1016/j.nedt.2020.104359
  • Lalande, J., Vrignaud, B., Navas, D., Levieux, K., Herbreteau, B., Guillou, A., . . . Launay, E. (2018). A prospective observational study of medication errors in a pediatric emergency department. Archives de Pédiatrie, 25(6), 355-358. doi:10.1016/j.arcped.2018.06.005
  • Manias, E., Kinney, S., Cranswick, N., & Williams, A. (2014). Medication errors in hospitalised children. Journal of Paediatrics and Child Health, 50(1), 71-77. doi:10.1111/jpc.12412
  • Musharyanti, L., Claramita, M., Haryanti, F., & Dwiprahasto, I. (2019). Why do nursing students make medication errors? A qualitative study in Indonesia. Journal of Taibah University Medical Sciences, 14(3), 282-288. doi:10.1016/j.jtumed.2019.04.002
  • National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP). What is a Medication Error? URL: https://www.nccmerp.org/about-medication-errors. Access Date: 05.01.2021
  • National Council of State Boards of Nursing (NCSBN), 2005. Clinical instruction in prelicensure nursing programs. https://www.rn.ca.gov/pdfs/forms/ncsbn-clininstruct.pdf. Access Date: 15.01.2021
  • National League for Nursing (NLN).. Simulation. Retrieved from http://www.nln.org/professional-development-programs/simulation. Access Date: 13.01.2021
  • Özyazıcıoğlu, N., Aydın, A. İ., Sürenler, S., Çinar, H. G., Yılmaz, D., Arkan, B., & Tunç, G. Ç. (2018). Evaluation of students' knowledge about paediatric dosage calculations. Nurse Education in Practice, 28, 34-39. doi:10.1016/j.nepr.2017.09.013
  • Sears, K., O'Brien-Pallas, L., Stevens, B., & Murphy, G. T. (2016). The Relationship Between Nursing Experience and Education and the Occurrence of Reported Pediatric Medication Administration Errors. Journal of Pediatric Nursing, 31(4), e283-e290. doi:10.1016/j.pedn.2016.01.003
  • Vural Doğru, B., & Zengin Aydın, L. (2020). The effects of training with simulation on knowledge, skill and anxiety levels of the nursing students in terms of cardiac auscultation: A randomized controlled study. Nurse Education Today, 84, 104216. doi:10.1016/j.nedt.2019.104216
  • World Health Organization (WHO), 2009. Nursing & Midwifery human resources for health, Global standards for the initial education of professional nurses and midwives, Switzerland. http://www.who.int/hrh/nursing_midwifery/en/
  • Zaybak, A., Taskiran, N., Telli, S., Ergin, E. Y., & Sahin, M. (2017). The opinions of nursing students regarding sufficiency of their drug administration knowledge/Hemsirelik ogrencilerinin ilac uygulamalarina iliskin bilgilerini yeterli bulma durumlari. Journal of Education and Research in Nursing, 14, 6+.

DETECTION OF DRUG MEDICATION ERRORS OF NURSING STUDENTS IN PEDIATRIC PATIENTS THROUGH A HOSPITAL SIMULATION

Yıl 2021, Cilt 37, Sayı 2, 121 - 129, 27.08.2021
https://doi.org/10.53490/egehemsire.873143

Öz

Objevtive: This study aimed to detect nursing students’ drug medication errors in pediatric patients. Methods: The study used a comparative descriptive research design and was carried out after the necessary ethical and official permissions had been obtained. The universe of the research consisted of the students of Faculty of Nursing. The sample of the study included 94 students (third year n=47 and fourth year n=47). A laboratory of the Faculty of Nursing was simulated as a room where a nurse provides treatment. The students who participated in the study with the determined drug order were asked to prepare the drugs with the most appropriate technique, and they were observed by the researchers. Data were collected one by one by the researchers using a drug medication errors checklist prepared by the researchers. Results: The third year students did not consider dry powder dosage and obtained the lowest score (X̄=0.68). The fourth year students did not attach the right label on the drug taken and received the lowest score (X̄=0.42). The third year students were more successful in attaching the right label on the remaining drug (p=0.20) and the fourth year students were more successful in observing aseptic rules (p=0.03). Students in both groups ignored dry powder dosage of the drug in total and earned the lowest score from this practice (X̄=0.64). Conclusion: Drug medication errors committed by the students in both groups were high, and the students did not consider dry powder dosage when reconstituting the drug.

Kaynakça

  • Al-Ramahi, R., Hmedat, B., Alnjajrah, E., Manasrah, I., Radwan, I., & Alkhatib, M. (2017). Medication dosing errors and associated factors in hospitalized pediatric patients from the South Area of the West Bank - Palestine. Saudi Pharmaceutical Journal, 25(6), 857-860. doi:10.1016/j.jsps.2017.01.001
  • American Association of Colleges of Nursing (AACN), 2005. Faculty shortages in baccalaureate and graduate nursing programs: scope of the problem and strategies for expanding the supply. Retrieved from https://www.aacnnursing.org/news-information/position-statements-white-papers/faculty-shortages. 02.01.2021
  • Ayık, G., Özsoy, S. A., & Çetinkaya, A. (2010). Hemşirelik öğrencilerinin ilaç uygulama hataları, Medication Errors of Nursing Students. Florence Nightingale Hemşirelik Dergisi, 18(3), 136-143.
  • 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. Turk pediatri arsivi, 49(4), 333-339. doi:10.5152/tpa.2014.1751
  • Di Muzio, M., De Vito, C., Tartaglini, D., & Villari, P. (2017). Knowledge, behaviours, training and attitudes of nurses during preparation and administration of intravenous medications in intensive care units (ICU). A multicenter Italian study. Applied Nursing Research, 38, 129-133. doi:10.1016/j.apnr.2017.10.002
  • Dubovi, I., Levy, S. T., & Dagan, E. (2017). Now I know how! The learning process of medication administration among nursing students with non-immersive desktop virtual reality simulation. Computers & Education, 113, 16-27. doi:10.1016/j.compedu.2017.05.009
  • Edeer, A. D., & Sarikaya, A. (2015). The use of simulation in nursing education and simulation types/Hemsirelik egitiminde simulasyon kullanimi ve simulasyon tipleri. Journal of Education and Research in Nursing, 12, 121+.
  • Grandell-Niemi, H., Hupli, M., Leino-Kilpi, H., & Puukka, P. (2005). Finnish nurses’ and nursing students’ pharmacological skills. Journal of Clinical Nursing, 14(6), 685-694. doi:10.1111/j.1365-2702.2005.01131.x
  • İncesu, E., & Evirgen, H. (2017). Sağlık Çalışanlarının Hastane Atıkları Konusunda Bilgi Düzeylerinin Değerlendirilmesi ve Atık Minimizasyonu: Konya Kamu Hastaneleri Birliği Genel Sekreterliği Örneği. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 6(3), 56-64.
  • Kim, K., & Lee, I. (2020). Medication error encouragement training: A quasi-experimental study. Nurse Education Today, 84, 104250. doi:10.1016/j.nedt.2019.104250
  • Kuo, S.-Y., Wu, J.-C., Chen, H.-W., Chen, C.-J., & Hu, S. H. (2020). Comparison of the effects of simulation training and problem-based scenarios on the improvement of graduating nursing students to speak up about medication errors: A quasi-experimental study. Nurse Education Today, 87, 104359. doi:10.1016/j.nedt.2020.104359
  • Lalande, J., Vrignaud, B., Navas, D., Levieux, K., Herbreteau, B., Guillou, A., . . . Launay, E. (2018). A prospective observational study of medication errors in a pediatric emergency department. Archives de Pédiatrie, 25(6), 355-358. doi:10.1016/j.arcped.2018.06.005
  • Manias, E., Kinney, S., Cranswick, N., & Williams, A. (2014). Medication errors in hospitalised children. Journal of Paediatrics and Child Health, 50(1), 71-77. doi:10.1111/jpc.12412
  • Musharyanti, L., Claramita, M., Haryanti, F., & Dwiprahasto, I. (2019). Why do nursing students make medication errors? A qualitative study in Indonesia. Journal of Taibah University Medical Sciences, 14(3), 282-288. doi:10.1016/j.jtumed.2019.04.002
  • National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP). What is a Medication Error? URL: https://www.nccmerp.org/about-medication-errors. Access Date: 05.01.2021
  • National Council of State Boards of Nursing (NCSBN), 2005. Clinical instruction in prelicensure nursing programs. https://www.rn.ca.gov/pdfs/forms/ncsbn-clininstruct.pdf. Access Date: 15.01.2021
  • National League for Nursing (NLN).. Simulation. Retrieved from http://www.nln.org/professional-development-programs/simulation. Access Date: 13.01.2021
  • Özyazıcıoğlu, N., Aydın, A. İ., Sürenler, S., Çinar, H. G., Yılmaz, D., Arkan, B., & Tunç, G. Ç. (2018). Evaluation of students' knowledge about paediatric dosage calculations. Nurse Education in Practice, 28, 34-39. doi:10.1016/j.nepr.2017.09.013
  • Sears, K., O'Brien-Pallas, L., Stevens, B., & Murphy, G. T. (2016). The Relationship Between Nursing Experience and Education and the Occurrence of Reported Pediatric Medication Administration Errors. Journal of Pediatric Nursing, 31(4), e283-e290. doi:10.1016/j.pedn.2016.01.003
  • Vural Doğru, B., & Zengin Aydın, L. (2020). The effects of training with simulation on knowledge, skill and anxiety levels of the nursing students in terms of cardiac auscultation: A randomized controlled study. Nurse Education Today, 84, 104216. doi:10.1016/j.nedt.2019.104216
  • World Health Organization (WHO), 2009. Nursing & Midwifery human resources for health, Global standards for the initial education of professional nurses and midwives, Switzerland. http://www.who.int/hrh/nursing_midwifery/en/
  • Zaybak, A., Taskiran, N., Telli, S., Ergin, E. Y., & Sahin, M. (2017). The opinions of nursing students regarding sufficiency of their drug administration knowledge/Hemsirelik ogrencilerinin ilac uygulamalarina iliskin bilgilerini yeterli bulma durumlari. Journal of Education and Research in Nursing, 14, 6+.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Özgün Araştırma
Yazarlar

Suat TUNCAY (Sorumlu Yazar)
BINGOL UNIVERSITY
0000-0001-5493-6507
Türkiye


Ayse SAHİN
AMASYA ÜNİVERSİTESİ
0000-0003-1240-0178
Türkiye


Kamile AKÇA
Gaziantep Üniversitesi
0000-0002-2833-8754
Türkiye


Duygu ARIKAN
ATATÜRK ÜNİVERSİTESİ
0000-0001-9451-8799
Türkiye

Yayımlanma Tarihi 27 Ağustos 2021
Başvuru Tarihi 2 Şubat 2021
Kabul Tarihi 8 Haziran 2021
Yayınlandığı Sayı Yıl 2021, Cilt 37, Sayı 2

Kaynak Göster

APA Tuncay, S. , Sahin, A. , Akça, K. & Arıkan, D. (2021). DETECTION OF DRUG MEDICATION ERRORS OF NURSING STUDENTS IN PEDIATRIC PATIENTS THROUGH A HOSPITAL SIMULATION . Ege Üniversitesi Hemşirelik Fakültesi Dergisi , 37 (2) , 121-129 . DOI: 10.53490/egehemsire.873143