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MedicaMAP: Hemşirelik Öğrencilerinin İlaç Hatalarını Bulma Becerilerini İnceleyen Bir Simülasyon Tasarımı

Yıl 2024, Cilt: 13 Sayı: 2, 514 - 523, 29.06.2024
https://doi.org/10.37989/gumussagbil.1096966

Öz

Bu çalışmanın amacı, başka bir çalışmanın pilot çalışması olarak, hemşirelik öğrencilerinin Düzey-0 simülasyon tasarımı kullanarak ilaç hatalarını doğru bir şekilde belirleme becerilerini incelemektir. Kesitsel gözlemsel olan bu çalışma, bir üniversitede öğrenim gören 47 hemşirelik son sınıf öğrencisi ile gerçekleştirilmiştir. İlaç güvenliğinin 10 doğrusu göz önünde bulundurularak beş MedicaMAP'den oluşan bir ilaç bilgi yarışması tasarlanmıştır. Öğrenciler, bu altı temel unsurla ilgili bilgilerin tutarlılığını karşılaştırarak MedicaMAP'te bir ilaç hatası tespit ettiler. Öğrencilerin hiçbiri beş ilaç hatasını doğru tanımlamamıştır. Altı öğrenci herhangi bir ilaç hatasını doğru tespit edememiştir (%12,8). Öğrenciler ilaç bilgi yarışmasında en çok doğru olarak üç ilaç hatası türünü şu şekilde belirlemişlerdir: 19 öğrenciden 15'i (%78,9) yanlış ilaç, 38 öğrenciden 23'ü (%60,5), 48 öğrenciden 23'ü (%47,9) yanlış doz. Öğrencilerin ortalama memnuniyet düzeyi 8,51 ± 1,28 olarak bulundu. MedicaMAP, hemşire eğitimcilere, hemşirelik öğrencilerinin özellikle 10 doğru kuralı ile birlikte ilaç yönetimini kontrol etme becerilerini artırmada yardımcı olabilir.

Kaynakça

  • 1. Institute of Medicine (US). (2001). “Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century’’. National Academies Press; Accessed Adress: http://www.ihi.org/resources/Pages/Publications/CrossingtheQualityChasmANewHealthSystemforthe21stCentury.aspx (Accessed Date: 10.08.2021).
  • 2. Dolansky M. A. and Moore S. M. (2013). “Quality and Safety Education for Nurses (QSEN): The Key is Systems Thinking’’. Online Journal of Issues in Nursing, 18(3), 1.
  • 3. World Health Organization. (2011). “Patient Safety Curriculum Guide Multiprofessional Edition’’. Accessed Adress: https://www.who.int/patientsafety/education/mp_curriculum_guide/en/ (Accessed Date: 10.08.2021).
  • 4. World Health Organization. (2017). “Medication Without Harm - Global Patient Safety Challenge on Medication Safety’’. Accessed Adress: https://www.who.int/patientsafety/medication-safety/en/ (Accessed Date: 10.08.2021).
  • 5. Edwards, S. L. and Axe, S. (2018). “Medication Management: Reducing Drug Errors, Striving for Safer Practice’’. Nurse Prescribing, 16(8), 380-389. https://doi.org/10.12968/npre.2018.16.8.380
  • 6. Asensi-Vicente J., Jiménez-Ruiz, I. and Vizcaya-Moreno, M. F. (2018). “Medication Errors Involving Nursing Students: A Systematic Review’’. Nurse Educator, 43(5), E1–E5. https://doi.org/10.1097/NNE.0000000000000481
  • 7. Chalasani, S. H. and Ramesh, M. (2017). “Towards Patient Safety: Assessment of Medication Errors in the Intensive Care Unit in A Developing Country's Tertiary Care Teaching Hospital’’. European Journal of Hospital Pharmacy Science and Practice, 24(6), 361–365. https://doi.org/10.1136/ejhpharm-2016-001083
  • 8. Thomas, B., Paudyal, V., MacLure, K., Pallivalapila, A., McLay, J., El Kassem, W., Al Hail, M. and Stewart, D. (2019). “Medication Errors in Hospitals in the Middle East: A Systematic Review of Prevalence, Nature, Severity and Contributory Factors’’. European Journal of Clinical Pharmacology, 75(9), 1269–1282. https://doi.org/10.1007/s00228-019-02689-y
  • 9. Ustuner Top, F. and Cam H. H. (2016). “An Examination of Factors Contributing to Medication Errors and Medication Errors Among Hospital Nurses’’. TAF Preventive Medicine Bulletin, 15(3), 213-219. https://doi.org/10.5455/pmb.1-1443792015
  • 10. Başer, S. and Manav, G. (2018). “Making Analysis of the Status and Tendencies of Pediatric Nurses’ Medication Errors’’. Gümüşhane University Journal of Health Sciences, 7(3),41–49.
  • 11. Davis, M. and Coviello, J. (2020). “Development of a Medication Safety Science Curriculum for Nursing Students’’. Nurse Educator, 45(5), 273–276. https://doi.org/10.1097/NNE.0000000000000783
  • 12. Turkish Nursing Education Association. (2014). “National Core Education Program in Nursing’’. Accessed Adress: http://www.hemed.org.tr/images/stories/hucep-2014-pdf. (Accessed Date: 10.08.2021).
  • 13. Cebeci, F., Karazeybek, E., Sucu, G. and Kahveci, R. (2015). “Nursing Students' Medication Errors and Their Opinions on the Reasons of Errors: A Cross-Sectional Survey’’. The Journal of the Pakistan Medical Association, 65(5), 457–462.
  • 14. Salami, I. (2018). “Nursing Students’ Medication Errors and Adherence to Medication Best Practice’’. Open Journal of Nursing, 8, 281-291. https://doi.org/10.4236/ojn.2018.85024
  • 15. Apsay, K. L. G., Alvarado, G. G., Paguntalan, M. C. and Tumog S. H. (2018). “Contributing Factors To Medication Errors As Perceived By Nursing Students In Iligan City, Philppines’’. Belitung Nursing Journal, 4(6), 537-544. https://doi.org/10.33546/bnj.566
  • 16. Bodur, S., Filiz, E., Cimen, A. and Kapci, C. (2012). “Attitude of Final Year Students of Midwifery and Nursing School on Patient Safety and Medical Errors’’. Journal of General Medicine, 22(2), 37-42.
  • 17. Santana, B. S., Paiva, A. and Magro, M. (2020). “Skill Acquisition of Safe Medication Administration Through Realistic Simulation: An Integrative Review’’. Revista Brasileira de Enfermagem, 73(suppl 5), e20190880. https://doi.org/10.1590/0034-7167-2019-0880
  • 18. Sears, K., Goldsworthy, S. and Goodman, W. M. (2010). “The Relationship Between Simulation in Nursing Education and Medication Safety’’. The Journal of Nursing Education, 49(1), 52–55. https://doi.org/10.3928/01484834-20090918-12
  • 19. Whitehair, L., Provost, S. and Hurley, J. (2014). “Identification of Prescribing Errors by Pre-Registration Student Nurses: A Cross-Sectional Observational Study Utilising A Prescription Medication Quiz’’. Nurse Education Today, 34(2), 225–232. https://doi.org/10.1016/j.nedt.2012.12.010
  • 20. Hewitt, J., Tower, M. and Latimer, S. (2015). “An Education Intervention to Improve Nursing Students' Understanding of Medication Safety’’. Nurse Education in Practice, 15(1), 17–21. https://doi.org/10.1016/j.nepr.2014.11.001
  • 21. Edwards, S. L., Williams, J. and Lee, M. (2019). “Reducing Errors by Engaging Student Nurses in Medication Management Simulation’’. Journal of Prescribing Practice, 1(7), 344-345. https://doi.org/10.12968/jprp.2019.1.7.344
  • 22. Sarage, D., O’Neill, B. J. and Eaton C. M. (2021). “There is No I in Escape: Using An Escape Room Simulation to Enhance Teamwork and Medication Safety Behaviors in Nursing Students’’. Simulation & Gaming, 52(1), 40-53. https://doi.org/10.1177/1046878120976706
  • 23. Terzioglu, F., Kapucu, S., Ozdemir, L., Boztepe, H., Duygulu, S., Tuna, Z. and Akdemir N. (2012). “Nursing Students’ Opinions About Simulation Method’’. Journal of Hacettepe University Health Sciences Faculty, 16-23.
  • 24. Alinier, G. A. (2007). “Typology of Educationally Focused Medical Simulation Tools’’. Medical Teacher, 29(8), e243–e250. https://doi.org/10.1080/01421590701551185
  • 25. Gunes, U., Efteli, E., Ceylan, B., Baran, L. and Huri, O. (2020). “Medication Errors Made by Nursing Students in Turkey’’. International Journal of Caring Sciences, 13(2), 1183-1192.
  • 26. Koohestani, H. R. and Baghcheghi, N. (2009). “Barriers to the Reporting of Medication Administration Errors Among Nursing Students’’. Australian Journal of Advanced Nursing, 27(1), 66-74. https://www.ajan.com.au/archive/Vol27/Koohestani.pdf
  • 27. Tarhan, M., Dogan, P., Yaman, R. and Disci, R. (2019). “A Method for İncreasing the Awareness of New Graduate Nurses for Medical Errors and Risks: Minor Errors Room’’. Journal of Health and Nursing Management, 3(6), 196-206. https://doi.org/10.5222/SHYD.2019.15238
  • 28. Daupin, J., Atkinson, S., Bédard, P., Pelchat, V., Lebel, D. and Bussières, J. F. (2016). “Medication Errors Room: A Simulation to Assess the Medical, Nursing and Pharmacy Staffs' Ability to İdentify Errors Related to the Medication-Use System’’. Journal of Evaluation in Clinical Practice, 22(6), 907–916. https://doi.org/10.1111/jep.12558

MedicaMAP: A Simulation Design to Examine Nursing Students’ Skills for Identifying Medication Errors

Yıl 2024, Cilt: 13 Sayı: 2, 514 - 523, 29.06.2024
https://doi.org/10.37989/gumussagbil.1096966

Öz

The aim of this study is to examine nursing students' skills to correctly identify medication errors using a Level-0 simulation design, as a pilot study of another study. The cross-sectional observational study was carried out by 47 senior nursing students studying at a university. Considering the 10 rights of medication safety, a medication quiz consisting of five MedicaMAPs was designed. Students identified a medication error on MedicaMAP by comparing the consistency of information on these six basic elements. None of the students identified the five medication errors correctly. Six students could not correctly identify any medication errors (12.8%). The students the most identified three medication error types correctly in the medication quiz as following: wrong medication 15 out of 19 (78.9%), wrong patient 23 out of 38 (60.5%), wrong dose 23 out of 48 (47.9%). The students' mean satisfaction level was found as 8.51 ± 1.28. MedicaMAP can help nurse educators to increase nursing students' skills to control medication administration, particularly with the 10 rights.

Kaynakça

  • 1. Institute of Medicine (US). (2001). “Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century’’. National Academies Press; Accessed Adress: http://www.ihi.org/resources/Pages/Publications/CrossingtheQualityChasmANewHealthSystemforthe21stCentury.aspx (Accessed Date: 10.08.2021).
  • 2. Dolansky M. A. and Moore S. M. (2013). “Quality and Safety Education for Nurses (QSEN): The Key is Systems Thinking’’. Online Journal of Issues in Nursing, 18(3), 1.
  • 3. World Health Organization. (2011). “Patient Safety Curriculum Guide Multiprofessional Edition’’. Accessed Adress: https://www.who.int/patientsafety/education/mp_curriculum_guide/en/ (Accessed Date: 10.08.2021).
  • 4. World Health Organization. (2017). “Medication Without Harm - Global Patient Safety Challenge on Medication Safety’’. Accessed Adress: https://www.who.int/patientsafety/medication-safety/en/ (Accessed Date: 10.08.2021).
  • 5. Edwards, S. L. and Axe, S. (2018). “Medication Management: Reducing Drug Errors, Striving for Safer Practice’’. Nurse Prescribing, 16(8), 380-389. https://doi.org/10.12968/npre.2018.16.8.380
  • 6. Asensi-Vicente J., Jiménez-Ruiz, I. and Vizcaya-Moreno, M. F. (2018). “Medication Errors Involving Nursing Students: A Systematic Review’’. Nurse Educator, 43(5), E1–E5. https://doi.org/10.1097/NNE.0000000000000481
  • 7. Chalasani, S. H. and Ramesh, M. (2017). “Towards Patient Safety: Assessment of Medication Errors in the Intensive Care Unit in A Developing Country's Tertiary Care Teaching Hospital’’. European Journal of Hospital Pharmacy Science and Practice, 24(6), 361–365. https://doi.org/10.1136/ejhpharm-2016-001083
  • 8. Thomas, B., Paudyal, V., MacLure, K., Pallivalapila, A., McLay, J., El Kassem, W., Al Hail, M. and Stewart, D. (2019). “Medication Errors in Hospitals in the Middle East: A Systematic Review of Prevalence, Nature, Severity and Contributory Factors’’. European Journal of Clinical Pharmacology, 75(9), 1269–1282. https://doi.org/10.1007/s00228-019-02689-y
  • 9. Ustuner Top, F. and Cam H. H. (2016). “An Examination of Factors Contributing to Medication Errors and Medication Errors Among Hospital Nurses’’. TAF Preventive Medicine Bulletin, 15(3), 213-219. https://doi.org/10.5455/pmb.1-1443792015
  • 10. Başer, S. and Manav, G. (2018). “Making Analysis of the Status and Tendencies of Pediatric Nurses’ Medication Errors’’. Gümüşhane University Journal of Health Sciences, 7(3),41–49.
  • 11. Davis, M. and Coviello, J. (2020). “Development of a Medication Safety Science Curriculum for Nursing Students’’. Nurse Educator, 45(5), 273–276. https://doi.org/10.1097/NNE.0000000000000783
  • 12. Turkish Nursing Education Association. (2014). “National Core Education Program in Nursing’’. Accessed Adress: http://www.hemed.org.tr/images/stories/hucep-2014-pdf. (Accessed Date: 10.08.2021).
  • 13. Cebeci, F., Karazeybek, E., Sucu, G. and Kahveci, R. (2015). “Nursing Students' Medication Errors and Their Opinions on the Reasons of Errors: A Cross-Sectional Survey’’. The Journal of the Pakistan Medical Association, 65(5), 457–462.
  • 14. Salami, I. (2018). “Nursing Students’ Medication Errors and Adherence to Medication Best Practice’’. Open Journal of Nursing, 8, 281-291. https://doi.org/10.4236/ojn.2018.85024
  • 15. Apsay, K. L. G., Alvarado, G. G., Paguntalan, M. C. and Tumog S. H. (2018). “Contributing Factors To Medication Errors As Perceived By Nursing Students In Iligan City, Philppines’’. Belitung Nursing Journal, 4(6), 537-544. https://doi.org/10.33546/bnj.566
  • 16. Bodur, S., Filiz, E., Cimen, A. and Kapci, C. (2012). “Attitude of Final Year Students of Midwifery and Nursing School on Patient Safety and Medical Errors’’. Journal of General Medicine, 22(2), 37-42.
  • 17. Santana, B. S., Paiva, A. and Magro, M. (2020). “Skill Acquisition of Safe Medication Administration Through Realistic Simulation: An Integrative Review’’. Revista Brasileira de Enfermagem, 73(suppl 5), e20190880. https://doi.org/10.1590/0034-7167-2019-0880
  • 18. Sears, K., Goldsworthy, S. and Goodman, W. M. (2010). “The Relationship Between Simulation in Nursing Education and Medication Safety’’. The Journal of Nursing Education, 49(1), 52–55. https://doi.org/10.3928/01484834-20090918-12
  • 19. Whitehair, L., Provost, S. and Hurley, J. (2014). “Identification of Prescribing Errors by Pre-Registration Student Nurses: A Cross-Sectional Observational Study Utilising A Prescription Medication Quiz’’. Nurse Education Today, 34(2), 225–232. https://doi.org/10.1016/j.nedt.2012.12.010
  • 20. Hewitt, J., Tower, M. and Latimer, S. (2015). “An Education Intervention to Improve Nursing Students' Understanding of Medication Safety’’. Nurse Education in Practice, 15(1), 17–21. https://doi.org/10.1016/j.nepr.2014.11.001
  • 21. Edwards, S. L., Williams, J. and Lee, M. (2019). “Reducing Errors by Engaging Student Nurses in Medication Management Simulation’’. Journal of Prescribing Practice, 1(7), 344-345. https://doi.org/10.12968/jprp.2019.1.7.344
  • 22. Sarage, D., O’Neill, B. J. and Eaton C. M. (2021). “There is No I in Escape: Using An Escape Room Simulation to Enhance Teamwork and Medication Safety Behaviors in Nursing Students’’. Simulation & Gaming, 52(1), 40-53. https://doi.org/10.1177/1046878120976706
  • 23. Terzioglu, F., Kapucu, S., Ozdemir, L., Boztepe, H., Duygulu, S., Tuna, Z. and Akdemir N. (2012). “Nursing Students’ Opinions About Simulation Method’’. Journal of Hacettepe University Health Sciences Faculty, 16-23.
  • 24. Alinier, G. A. (2007). “Typology of Educationally Focused Medical Simulation Tools’’. Medical Teacher, 29(8), e243–e250. https://doi.org/10.1080/01421590701551185
  • 25. Gunes, U., Efteli, E., Ceylan, B., Baran, L. and Huri, O. (2020). “Medication Errors Made by Nursing Students in Turkey’’. International Journal of Caring Sciences, 13(2), 1183-1192.
  • 26. Koohestani, H. R. and Baghcheghi, N. (2009). “Barriers to the Reporting of Medication Administration Errors Among Nursing Students’’. Australian Journal of Advanced Nursing, 27(1), 66-74. https://www.ajan.com.au/archive/Vol27/Koohestani.pdf
  • 27. Tarhan, M., Dogan, P., Yaman, R. and Disci, R. (2019). “A Method for İncreasing the Awareness of New Graduate Nurses for Medical Errors and Risks: Minor Errors Room’’. Journal of Health and Nursing Management, 3(6), 196-206. https://doi.org/10.5222/SHYD.2019.15238
  • 28. Daupin, J., Atkinson, S., Bédard, P., Pelchat, V., Lebel, D. and Bussières, J. F. (2016). “Medication Errors Room: A Simulation to Assess the Medical, Nursing and Pharmacy Staffs' Ability to İdentify Errors Related to the Medication-Use System’’. Journal of Evaluation in Clinical Practice, 22(6), 907–916. https://doi.org/10.1111/jep.12558
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Merve Tarhan 0000-0002-9841-4708

Pınar Doğan 0000-0002-3566-7070

Ahu Kürklü 0000-0002-5295-061X

Yayımlanma Tarihi 29 Haziran 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 13 Sayı: 2

Kaynak Göster

APA Tarhan, M., Doğan, P., & Kürklü, A. (2024). MedicaMAP: A Simulation Design to Examine Nursing Students’ Skills for Identifying Medication Errors. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 13(2), 514-523. https://doi.org/10.37989/gumussagbil.1096966
AMA Tarhan M, Doğan P, Kürklü A. MedicaMAP: A Simulation Design to Examine Nursing Students’ Skills for Identifying Medication Errors. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. Haziran 2024;13(2):514-523. doi:10.37989/gumussagbil.1096966
Chicago Tarhan, Merve, Pınar Doğan, ve Ahu Kürklü. “MedicaMAP: A Simulation Design to Examine Nursing Students’ Skills for Identifying Medication Errors”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13, sy. 2 (Haziran 2024): 514-23. https://doi.org/10.37989/gumussagbil.1096966.
EndNote Tarhan M, Doğan P, Kürklü A (01 Haziran 2024) MedicaMAP: A Simulation Design to Examine Nursing Students’ Skills for Identifying Medication Errors. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13 2 514–523.
IEEE M. Tarhan, P. Doğan, ve A. Kürklü, “MedicaMAP: A Simulation Design to Examine Nursing Students’ Skills for Identifying Medication Errors”, Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 13, sy. 2, ss. 514–523, 2024, doi: 10.37989/gumussagbil.1096966.
ISNAD Tarhan, Merve vd. “MedicaMAP: A Simulation Design to Examine Nursing Students’ Skills for Identifying Medication Errors”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13/2 (Haziran 2024), 514-523. https://doi.org/10.37989/gumussagbil.1096966.
JAMA Tarhan M, Doğan P, Kürklü A. MedicaMAP: A Simulation Design to Examine Nursing Students’ Skills for Identifying Medication Errors. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2024;13:514–523.
MLA Tarhan, Merve vd. “MedicaMAP: A Simulation Design to Examine Nursing Students’ Skills for Identifying Medication Errors”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 13, sy. 2, 2024, ss. 514-23, doi:10.37989/gumussagbil.1096966.
Vancouver Tarhan M, Doğan P, Kürklü A. MedicaMAP: A Simulation Design to Examine Nursing Students’ Skills for Identifying Medication Errors. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2024;13(2):514-23.