Pediatric Drug Dose Calculation Knowledge and Skills of Nurses Working in the Pediatrics Clinic
Yıl 2024,
Cilt: 40 Sayı: 3, 387 - 394, 18.12.2024
Aylin Kurt
,
Fatma Dinç
,
Musa Özsavran
Öz
Pediatric Drug Dose Calculation Skills of Nurses Working in the Pediatrics Clinic
ABSTRACT
Objective: This study was conducted to evaluate the knowledge of pediatric nurses on pediatric drug dose calculations.
Methods: The research was carried out descriptively and cross-sectionally between 27 December 2022 and 10 June 2023. The population of the study consisted of 298 nurses working in the pediatric clinics of three hospitals in a province in the western Black Sea region of Turkey at the same time, and the sample consisted of 274 nurses. The data were collected by face-to-face interview method using the “Personal Information Form” and the “Pediatric Drug Dose Calculation Skills Questionnaire” developed by the researchers in line with the literature.
Results: 70.4% of the pediatric nurses gave the correct answer to the question of knowledge and skill in milliliters/kneema, 78.1% of them gave the correct answer to the question of knowledge and skill about the number of drops, and 71.9% of them gave the correct answer to the question of knowledge and skill of dry powder volume. 63.9% of pediatric nurses answered correctly to the question of knowledge and skill on the safe dose range, 83.2% of them correctly answered the question of knowledge and skill of the correct dose for suspension drugs, and 69.0% of them answered correctly for intravenous drugs.
Conclusion: It is thought that it would be beneficial to increase the trainings covering the mathematical and dose calculation skills of pediatric nurses.
KeyWords: Child; drug dosage calculations; pediatric nursing.
Kaynakça
- Ameer, A., & Ghaleb, M. (2015). Systematic literature review of hospital medication administration errors in children. Integrated Pharmacy Research and Practice, 54, 153–165. https://doi.org/10.2147/IPRP.S54998
- Ardahan Akgul, E., Ozguven Oztornaci, B., Dogan, Z., & Yildirim Sari, H. (2019). Determination of senior nursing students’ mathematical perception skills and pediatric medication calculation performance. Florence Nightingale Hemşirelik Dergisi, 27(2), 166–172. https://doi.org/10.26650/fnjn382707
- Bagnasco, A., Galaverna, L., Aleo, G., Grugnetti, A. M., Rosa, F., & Sasso, L. (2016). Mathematical calculation skills required for drug administration in undergraduate nursing students to ensure patient safety: A descriptive study. Nurse Education in Practice, 16(1), 33–39. https://doi.org/10.1016/j.nepr.2015.06.006
- Bereda, G. (2022). Pediatrics: Pharmacokinetics and dose calculation. Journal of Pediatrics & Neonatal Cares, 12(2), 96–102. https://doi.org/10.15406/jpnc.2022.12.00463
- Bolt, R., Yates, J. M., Mahon, J., & Bakri, I. (2014). Evidence of frequent dosing errors in paediatrics and intervention to reduce such prescribing errors. Journal of Clinical Pharmacy and Therapeutics, 39(1), 78–83. https://doi.org/10.1111/jcpt.12114
- 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. https://doi.org/10.5152/tpa.2014.1751
- Coyne, E., Needham, J., & Rands, H. (2013). Enhancing student nurses’ medication calculation knowledge: Integrating theoretical knowledge into practice. Nurse Education Today, 33(9), 1014–1019.
- Feleke, Y., & Girma, B. (2010). Medication administration errors involving paediatric in-patients in a hospital in Ethiopia. Tropical Journal of Pharmaceutical Research, 9(4), 401–407.
- Fleming, S., Brady, A. M., & Malone, A. M. (2014). An evaluation of the drug calculation skills of registered nurses. Nurse Education in Practice, 14(1), 55–61.
- Gerçeker, G. Ö., Didişen, N., Bolışık, B., & Başbakkal, Z. (2015). Pediatri hemşirelerinin ilaç hataları ve eşdeğer ilaç kullanımına ilişkin deneyimlerinin ve görüşlerinin incelenmesi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 4, 210–215.
- Jarvis, D. H., McCullough, K. D., & McParland, T. R. (2021). Nurse education and mathematical competency: Implementation of an online, self-directed, prerequisite model. International Journal of Environmental Research and Public Health, 18(24), 13106.
- Karaca, A., & Açıkgöz, F. (2014). Hemşirelik öğrencilerinin ilaç dozu hesaplama becerileri ve ilaç uygulama hataları. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 17(2), 110–116.
- Lan, Y. H., Wang, K. W. K., Yu, S., Chen, I. J., Wu, H. F., & Tang, F. I. (2014). Medication errors in pediatric nursing: Assessment of nurses’ knowledge and analysis of the consequences of errors. Nurse Education Today, 34(5), 821–828. https://doi.org/10.1016/j.nedt.2013.07.019
- Manias, E., Kinney, S., Cranswick, N., & Williams, A. (2014). Medication errors in hospitalised children. Journal of Paediatrics and Child Health, 50(1), 71–77. https://doi.org/10.1111/jpc.12412
- Marufu, T. C., Bower, R., Hendron, E., & Manning, J. C. (2022). Nursing interventions to reduce medication errors in paediatrics and neonates: Systematic review and meta-analysis. Journal of Pediatric Nursing, 62, e139–e147. doi:10.1016/j.pedn.2021.08.024
- Ofosu, R., & Jarrett, P. (2015). Reducing nurse medicine administration errors. Nursing Times, 111(20), 12–24.
- Pourteimour, S., Hemmati MalsakPak, M., 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. https://doi.org/10.1097/pq9.0000000000000226
- Ravi Rai, D., & Sujita Devi, N. (2019). The knowledge regarding pediatric drug calculation among the staff nurses. The Pharma Innovation Journal, 8(5), 444–449.
- Ridling, D., Christensen, P., Harder, L. R., Gove, N., & Gore, S. (2016). Pediatric nurse performance on a medication dosage calculation assessment tool. Journal of Pediatric Nursing, 31(2), e133–e140. https://doi.org/10.1016/j.pedn.2015.10.016
- Savaşer, S., Çimen, S., & Yıldız, S. (2008). Flakon şeklindeki antibiyotiklerde kuru toz hacminin uygulanacak doz üzerine etkisi. İstanbul Üniversitesi Florence Nightingale Hemşirelik Yüksekokulu Dergisi, 16(61), 7–15.
- Suluhan, D., Yıldız, D., & Eren, B. (2023). Triangle technique: An effective tool for improving nursing students' ability to calculate safe pediatric medication dosages. Journal of Child Health Care, 27(1), 13674935221145511.
- Taheri, E., Norian, M., Rasoli, M., & Kavoosi, A. (2013). The study of type and amount of medication errors in neonatal intensive care units and neonatal units. Journal of Critical Care Nursing, 6(1), 21–28.
- Üstüner-Top, F., & Cam, H. H. (2023). Right to health: Pediatric nurses' views on the hospitalized child. Archives de Pediatrie, 30(1), 59–66. doi:10.1016/j.arcped.2022.11.020
- Zeleke, A., Chanie, T., & Woldie, M. (2014). Medication prescribing errors and associated factors at the pediatric wards of Dessie Referral Hospital, Northeast Ethiopia. International Archives of Medicine, 7(1), 1–6. https://doi.org/10.1186/1755-7682-7-18
Pediatri Kliniğinde Çalışan Hemşirelerin Pediatrik İlaç Doz Hesaplama Bilgi ve Becerileri
Yıl 2024,
Cilt: 40 Sayı: 3, 387 - 394, 18.12.2024
Aylin Kurt
,
Fatma Dinç
,
Musa Özsavran
Öz
Pediatri Kliniğinde Çalışan Hemşirelerin Pediatrik İlaç Doz Hesaplama Becerileri
ÖZ
Amaç: Bu araştırma pediatri hemşirelerinin pediatrik ilaç doz hesaplamalarına ilişkin bilgilerini değerlendirmek amacıyla yapıldı.
Yöntem: Araştırma 27 Aralık 2022-10 Haziran 2023 tarihleri arasında tanımlayıcı-kesitsel olarak gerçekleştirildi. Araştırmanın evrenini aynı tarihlerde Türkiye’nin Batı Karadeniz bölgesinde bir ilde bulunan üç hastanenin pediatri kliniklerinde görev yapan 298 hemşire, örneklemini ise 274 hemşire oluşturdu. Veriler “Kişisel Bilgi Formu” ve araştırmacılar tarafından literatür doğrultusunda geliştirilen “Pediatrik İlaç Dozu Hesaplama Becerileri Anketi” ile yüz yüze görüşme yöntemi ile toplandı.
Bulgular: Pediatri hemşirelerinin %70.4’ü mililitre/dizyem bilgi ve beceri sorusuna doğru, %78.1’i damla sayısı bilgi ve beceri sorusuna doğru, %71.9’u ise kuru toz hacmi bilgi ve beceri sorusuna ise doğru cevap vermiştir. Güvenli doz aralığı bilgi ve beceri sorusuna pediatri hemşirelerinin %63.9’u doğru, süspansiyon ilaçlar için doğru doz bilgi ve beceri sorusuna %83.2’si doğru ve intravenöz ilaçlar için ise %69.0’ı doğru cevap vermiştir.
Sonuç: Pediatri hemşirelerinin matematiksel ve doz hesaplama becerilerini kapsayan eğitimlerin arttırılmasının yararlı olacağı düşünülmektedir.
Anahtar Kelimeler: Çocuk; ilaç doz hesaplamaları; çocuk hemşireliği.
Destekleyen kurumlar: Yoktur.
Kaynakça
- Ameer, A., & Ghaleb, M. (2015). Systematic literature review of hospital medication administration errors in children. Integrated Pharmacy Research and Practice, 54, 153–165. https://doi.org/10.2147/IPRP.S54998
- Ardahan Akgul, E., Ozguven Oztornaci, B., Dogan, Z., & Yildirim Sari, H. (2019). Determination of senior nursing students’ mathematical perception skills and pediatric medication calculation performance. Florence Nightingale Hemşirelik Dergisi, 27(2), 166–172. https://doi.org/10.26650/fnjn382707
- Bagnasco, A., Galaverna, L., Aleo, G., Grugnetti, A. M., Rosa, F., & Sasso, L. (2016). Mathematical calculation skills required for drug administration in undergraduate nursing students to ensure patient safety: A descriptive study. Nurse Education in Practice, 16(1), 33–39. https://doi.org/10.1016/j.nepr.2015.06.006
- Bereda, G. (2022). Pediatrics: Pharmacokinetics and dose calculation. Journal of Pediatrics & Neonatal Cares, 12(2), 96–102. https://doi.org/10.15406/jpnc.2022.12.00463
- Bolt, R., Yates, J. M., Mahon, J., & Bakri, I. (2014). Evidence of frequent dosing errors in paediatrics and intervention to reduce such prescribing errors. Journal of Clinical Pharmacy and Therapeutics, 39(1), 78–83. https://doi.org/10.1111/jcpt.12114
- 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. https://doi.org/10.5152/tpa.2014.1751
- Coyne, E., Needham, J., & Rands, H. (2013). Enhancing student nurses’ medication calculation knowledge: Integrating theoretical knowledge into practice. Nurse Education Today, 33(9), 1014–1019.
- Feleke, Y., & Girma, B. (2010). Medication administration errors involving paediatric in-patients in a hospital in Ethiopia. Tropical Journal of Pharmaceutical Research, 9(4), 401–407.
- Fleming, S., Brady, A. M., & Malone, A. M. (2014). An evaluation of the drug calculation skills of registered nurses. Nurse Education in Practice, 14(1), 55–61.
- Gerçeker, G. Ö., Didişen, N., Bolışık, B., & Başbakkal, Z. (2015). Pediatri hemşirelerinin ilaç hataları ve eşdeğer ilaç kullanımına ilişkin deneyimlerinin ve görüşlerinin incelenmesi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 4, 210–215.
- Jarvis, D. H., McCullough, K. D., & McParland, T. R. (2021). Nurse education and mathematical competency: Implementation of an online, self-directed, prerequisite model. International Journal of Environmental Research and Public Health, 18(24), 13106.
- Karaca, A., & Açıkgöz, F. (2014). Hemşirelik öğrencilerinin ilaç dozu hesaplama becerileri ve ilaç uygulama hataları. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 17(2), 110–116.
- Lan, Y. H., Wang, K. W. K., Yu, S., Chen, I. J., Wu, H. F., & Tang, F. I. (2014). Medication errors in pediatric nursing: Assessment of nurses’ knowledge and analysis of the consequences of errors. Nurse Education Today, 34(5), 821–828. https://doi.org/10.1016/j.nedt.2013.07.019
- Manias, E., Kinney, S., Cranswick, N., & Williams, A. (2014). Medication errors in hospitalised children. Journal of Paediatrics and Child Health, 50(1), 71–77. https://doi.org/10.1111/jpc.12412
- Marufu, T. C., Bower, R., Hendron, E., & Manning, J. C. (2022). Nursing interventions to reduce medication errors in paediatrics and neonates: Systematic review and meta-analysis. Journal of Pediatric Nursing, 62, e139–e147. doi:10.1016/j.pedn.2021.08.024
- Ofosu, R., & Jarrett, P. (2015). Reducing nurse medicine administration errors. Nursing Times, 111(20), 12–24.
- Pourteimour, S., Hemmati MalsakPak, M., 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. https://doi.org/10.1097/pq9.0000000000000226
- Ravi Rai, D., & Sujita Devi, N. (2019). The knowledge regarding pediatric drug calculation among the staff nurses. The Pharma Innovation Journal, 8(5), 444–449.
- Ridling, D., Christensen, P., Harder, L. R., Gove, N., & Gore, S. (2016). Pediatric nurse performance on a medication dosage calculation assessment tool. Journal of Pediatric Nursing, 31(2), e133–e140. https://doi.org/10.1016/j.pedn.2015.10.016
- Savaşer, S., Çimen, S., & Yıldız, S. (2008). Flakon şeklindeki antibiyotiklerde kuru toz hacminin uygulanacak doz üzerine etkisi. İstanbul Üniversitesi Florence Nightingale Hemşirelik Yüksekokulu Dergisi, 16(61), 7–15.
- Suluhan, D., Yıldız, D., & Eren, B. (2023). Triangle technique: An effective tool for improving nursing students' ability to calculate safe pediatric medication dosages. Journal of Child Health Care, 27(1), 13674935221145511.
- Taheri, E., Norian, M., Rasoli, M., & Kavoosi, A. (2013). The study of type and amount of medication errors in neonatal intensive care units and neonatal units. Journal of Critical Care Nursing, 6(1), 21–28.
- Üstüner-Top, F., & Cam, H. H. (2023). Right to health: Pediatric nurses' views on the hospitalized child. Archives de Pediatrie, 30(1), 59–66. doi:10.1016/j.arcped.2022.11.020
- Zeleke, A., Chanie, T., & Woldie, M. (2014). Medication prescribing errors and associated factors at the pediatric wards of Dessie Referral Hospital, Northeast Ethiopia. International Archives of Medicine, 7(1), 1–6. https://doi.org/10.1186/1755-7682-7-18