scholarly journals To Study the Effectiveness of the Training Program on Safe Administration of Drugs to Reduce the Medication Error

2020 ◽  
Vol 11 (03) ◽  
pp. 12-19
Author(s):  
Seema Rani ◽  
Keyword(s):  
Medication Error ◽  
Training Program ◽  
Medication Errors ◽  
Neonatal Intensive Care ◽  
Sampling Technique ◽  
Staff Nurses ◽  
Research Approach ◽  
Medication Process ◽  
Post Test ◽  
Knowledge And Practice

Introduction: Medication process is a complex process and errors are possible at several aspects of medication process. The present study was conducted in Neonatal Intensive Care Unit (NICU) of selected hospital, Delhi, with the objectives of investigating the incidence of medication errors in the NICU, to explore the types of medication errors occurring frequently, to develop and evaluate the training program on safe administration of pediatric drugs in terms of knowledge and skills for the nurses working in the neonatal unit. Methodology: Research approach selected for the study was quantitative approach with pre-experimental one group pre-test, post-test design. 50 prescriptions and 138 drugs were selected for investigating the medication errors and total enumeration sampling technique was used for selecting the staff nurses for evaluating the knowledge and practice of 30 staff nurses. Tools developed and used for data collection were structured knowledge questionnaire and observation check list to assess the knowledge and practice of staff nurses on safe administration of pediatric drugs respectively. Result: Medication errors were present in 127 (92.02%) drugs prescribed by the pediatrician. Medication error rate was highest during drug administration process that is 117 (94.90%) followed by the documentation error of 110 (79.7%) whereas transcription errors accounted for 69 (50%) in overall process of the medication. The prescription errors were noted in 56 (40.50%) of drug prescriptions. The mean post- test knowledge and practice scores of the staff nurses on safe administration of drugs were statistically higher at 0.05 level of significance than the corresponding mean pre-test knowledge and practice scores. Conclusion: The training program on safe administration of pediatric drugs was found to be effective in improving knowledge and practice of staff nurses.

An effectiveness of training program on COVID-19 among healthcare students: A cross section study

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1250-1254
Author(s):  
Kurvatteppa Halemani ◽  
Merlin Cheema ◽  
Shabana Khatun ◽  
Yadidya ◽  
Bhumika Singh ◽  
...  
Keyword(s):  
Nursing Students ◽  
Training Program ◽  
Cross Section ◽  
Sampling Technique ◽  
Teaching Session ◽  
Post Intervention ◽  
Post Test ◽  
College Of Nursing ◽  
Novel Coronavirus ◽  
First Time

The pandemic COVID-19 is a highly infected disease caused by a novel coronavirus or SARS-Cov-2. The virus was reported for the first time  December 2019 in, China's Wuhan province. Later the virus has broken down into the world and claimed millions of lives. In India, the disease was reported for the first time in Kerala on 30th January 2020. a cross-section one group pre-test & post-test research design was used among the 40 final year BSc nursing students, College of Nursing SGPGIMS, Lucknow India. Samples were selected based on purposive sampling technique and sample criteria. An instrument, the first tool included demographic characteristics Similarly, second instrument used for knowledge assessment. After pre-test assessment, a teaching session was held at the seminar room, college of nursing SGPGIMS Lucknow, India. Subsequently post assessment was held after intervention.  A total of 40 participants responded to the study. Demographic variables like 30(75%) participants had less than 22 years of age, 22(55%) were girls, 14(35%) families income found INR 10000-15000, and the majority of participants obtained COVID-19 related knowledge from news paper16(40%). A gender was found significant with pretest knowledge, and other variables weren't found significant (P=0.05). Knowledge mean & standard deviation in pre & post-intervention, 11.90±2.16 vs15.82±1.39. The mean difference was found in a pre-test & post-test-1 &post-test-2, 3.9, 5.02, & 1.1, respectively. The effectiveness of the training program was checked by paired t-test -10.20 & -13.93, P=0.00.  The study revealed that the teaching session was efficient in the COVID-19 program among BSc nursing students.

Effectiveness of Lecture cum demonstration on Knowledge and practice regarding Intravenous cannulation among staff nurses working in selected hospital

2021 ◽  
pp. 275-282
Author(s):  
Patricia Reddy ◽  
Ancy Ramesh
Keyword(s):  
Work Experience ◽  
Demographic Variable ◽  
Knowledge Score ◽  
Staff Nurses ◽  
Medical Procedure ◽  
Success Rates ◽  
Post Test ◽  
Level Of Knowledge ◽  
The Mean ◽  
Knowledge And Practice

Background: The skill of intravenous cannulation must be practiced regularly to maintain a high level of competency. This is important to gain quick and efficient intravenous access in populations when required. The insertion of intravenous catheters into peripheral veins is probably the most commonly performed invasive medical procedure in hospitals. This procedure could be difficult sometimes requiring several attempts and causing distress to patients. The high success rates of nurses in intravenous cannulation have been due to the frequent performance of intravenous cannulation Objectives: 1. To assess the existing knowledge regarding intravenous cannulation among staff nurses working in selected hospital. 2. To observe the existing practice regarding intravenous cannulation among nurses. 3. To assess the effectiveness of lecture cum demonstration regarding Intravenous cannulation among staff nurses. 4. To observe the practice of staff nurses regarding intravenous cannulation after lecture cum demonstration. 5. To correlate the knowledge and practice of staff nurses regarding intravenous cannulation .Methodology: Pre experimental one group pre test post test design. Material: Structured knowledge questionnaire and Observational checklist adopted as per WHO guidelines.Sample size: 60. Result: Among the 60 samples, according to age, 39(65%)of subjects were of 21-30 years of age, 14(23.33%) were of 31-40 years, 7(11.67%) were of 41-50 years and no subjects were above 50 yearsAccording to the educational qualification, 38(58.33%) of the subjects were with the qualification of general nurse midwives, 12(20%) were B.sc nursing, 13(21.67%) were PB.B.sc Nursing.Majority of the subjects 45% have work experience of less than 2 years, 23.33% have 3-5 years, 20% have 6-8 years and 11.67% of them have work experience of more than 8 years In relation to area of work, 26.67% of the subjects each were from the Medicine ward and surgical ward, 21.66%were from Intensive care unit and 25% of them were from Casualty/Emergency ward. post test majority of the subjects gained Knowledge regarding intravenous cannulation. 34 (56.67%) subjects had good level of Knowledge score and 23(43.33%) subjects had average level of Knowledge. None of the samples have poor level of Knowledge. the post test the findings shows that 57(95%) subjects had satisfactory level of practice whereas only 3(5%) of subjects had unsatisfactory level of practice. The mean pretest knowledge score was 15.28 and post test knowledge score was 26.58. The mean practice score 7.61 and posttest practice score was 13.76. Student’s paired ‘t’ test is applied at 5% level of significance and The calculated‘t’ value for overall knowledge score of subjects was 35.51 and the calculated ‘t’ value for overall practice score of subjects was 23.44 that statistically interpreted that the lecture cum demonstration regarding intravenous cannulation was effective in increasing the Knowledge and practice of subject. There was significant association between selected demographic variable of year of experience with their pretest knowledge, whereas other demographic variables are not significantly associated.The correlation coefficient of post test knowledge and post test practice score was ‘r’ 0.21, which is indicates a positive correlation. Conclusion: The knowledge of the target population was significantly increased, and there was significant improvement in the level of practice after receiving lecture cum demonstration regarding intravenous cannulation. The improvement in knowledge and practice was found in all subjects irrespective of their demographic variable

scholarly journals A Descriptive Study to Assess the Knowledge and Practice on Personal Protective Equipment among Student Nurses in a Selected College of Nursing, New Delhi

2020 ◽  
Vol 07 (04) ◽  
pp. 8-12
Author(s):  
Uzma Anjum ◽  
Keyword(s):  
Personal Protective Equipment ◽  
Quantitative Research ◽  
Good Practice ◽  
Student Nurses ◽  
Sampling Technique ◽  
Protective Equipment ◽  
Research Approach ◽  
New Delhi ◽  
Knowledge And Practice ◽  
College Of Nursing

Personal Protective equipment is also called PPE. It is commonly worn by health care workers to prevent the transmission of infection. PPE includes helmets or caps, face shields, face masks, goggles, gowns, respirators, shoe covers or boots and gloves. These protective coverings will be effective when it is being used in an appropriate manner. The main objectives of this study were to assess the knowledge and practice on Personal Protective Equipment among student nurses. A Quantitative Research approach along with Descriptive Research design was used. A total of 110 student nurses were selected through Convenient Sampling Technique from DGNM 3rd Year, B.Sc. (Hons.) Nursing 2nd Year and B.Sc. (Hons.) Nursing 4th Year of Rufaida College of Nursing, Jamia Hamdard, New Delhi in the month of July-August 2020. Structured Questionnaire was used via an online platform (Google forms) due to Covid 19 lockdown to assess the knowledge and practice on PPE. Out of 110 samples, 66 (60%) had good knowledge, followed by 44 (40%) having average knowledge and none were having poor knowledge on PPE, whereas 67 (60.9%) had an average practice, followed by 41 (37.3%) having good practice and only 2 (1.8%) had poor practice on PPE. Findings suggest that there is a need for practice-based knowledge assessment in clinical areas and thus improvement in the practice of PPE while working in hospitals.

Anticoagulant medication errors in hospitals and primary care: a cross-sectional study

2018 ◽  
Vol 31 (5) ◽  
pp. 346-352 ◽  
Author(s):  
Albert R Dreijer ◽  
Jeroen Diepstraten ◽  
Vera E Bukkems ◽  
Peter G M Mol ◽  
Frank W G Leebeek ◽  
...  
Keyword(s):  
Human Factors ◽  
Medication Error ◽  
Medication Errors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medication Process ◽  
Before And After ◽  
Anticoagulant Medication ◽  
Error Reports

Abstract Objective To assess the proportion of all medication error reports in hospitals and primary care that involved an anticoagulant. Secondary objectives were the anticoagulant involved, phase of the medication process in which the error occurred, causes and consequences of 1000 anticoagulant medication errors. Additional secondary objectives were the total number of anticoagulant medication error reports per month, divided by the total number of medication error reports per month and the proportion of causes of 1000 anticoagulant medication errors (comparing the pre- and post-guideline phase). Design A cross-sectional study. Setting Medication errors reported to the Central Medication incidents Registration reporting system. Participants Between December 2012 and May 2015, 42 962 medication errors were reported to the CMR. Intervention N/A. Main outcome measure Proportion of all medication error reports that involved an anticoagulant. Phase of the medication process in which the error occurred, causes and consequences of 1000 anticoagulant medication errors. The total number of anticoagulant medication error reports per month, divided by the total number of medication error reports per month (comparing the pre- and post-guideline phase) and the total number of causes of 1000 anticoagulant medication errors before and after introduction of the LSKA 2.0 guideline. Results Anticoagulants were involved in 8.3% of the medication error reports. A random selection of 1000 anticoagulant medication error reports revealed that low-molecular weight heparins were most often involved in the error reports (56.2%). Most reports concerned the prescribing phase of the medication process (37.1%) and human factors were the leading cause of medication errors mentioned in the reports (53.4%). Publication of the national guideline on integrated antithrombotic care had no effect on the proportion of anticoagulant medication error reports. Human factors were the leading cause of medication errors before and after publication of the guideline. Conclusions Anticoagulant medication errors occurred in 8.3% of all medication errors. Most error reports concerned the prescribing phase of the medication process. Leading cause was human factors. The publication of the guideline had no effect on the proportion of anticoagulant medication errors.

Knowledge and Attitude Regarding ‘Perinatal Bereavement Care’ among Nurses Working in the Maternity Unit and Neonatal Intensive Care Unit

2009 ◽  
Vol 1 (3) ◽  
pp. 81-84 ◽  
Author(s):  
CP Sheetal Samson ◽  
Sangeeta N Kharde
Keyword(s):  
Neonatal Intensive Care ◽  
Positive Attitude ◽  
Sampling Technique ◽  
Significant Loss ◽  
Research Approach ◽  
List Type ◽  
Maternity Unit ◽  
Perinatal Bereavement ◽  
Knowledge And Attitude ◽  
Bereavement Care

ABSTRACT Perinatal bereavement is a unique mourning situation, as the parent's expectation and joy at the prospect of a new life change into a despair and grief. IUFD may represent a significant loss of the mother's perception of her body's functional adequacy associated with body image and feelings of self-wroth. Objectives To assess the knowledge and identify attitude regarding perinatal bereavement care among nurses. To find the correlation between knowledge and attitude among the nurses regarding perinatal bereavement care. Methods The research approach for the study was descriptive survey. The sample size considered for the study was 30 registered nurses working in maternity and NICU. The sampling technique used for the study was purposive. The tool used for gathering relevant data was a structured knowledge questionnaire. Results The results revealed that majority of the nurses 23(76.6%) belonged to a age group of 21-23 years. Majority 17(56.6%) of the nurses had experience of less than one year in maternity unit and NICU. Maximum nurses 25(83.3%) had no previous experience in managing perinatal bereavement. None of the nurses 30(100%) had attended any in service education. Majority 15(50%) of nurses had poor knowledge about the concept of perinatal bereavement. Maximum 13(43%) of the nurses had average knowledge of perinatal bereavement care, while minimum 5 (16.6%) had fair knowledge of the specified area. Half 15(50%) of the nurses possessed a positive attitude towards perinatal bereavement care. There is no correlation between knowledge and attitude of nurses with regards to perinatal bereavement care. Conclusion In order to facilitate a normal grieving process among bereaved families, the nurse should be equipped with adequate knowledge, a positive attitude and skill in rendering such care.

scholarly journals Effectiveness of Hand Hygiene Video cum Demonstration on Knowledge and Practice, among Mothers of Neonates Admitted in NICU

2021 ◽  
Vol 10 (33) ◽  
pp. 2799-2802
Author(s):  
Sangithaa Varsha G. ◽  
Geetha D ◽  
Anita David
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Hospital Environment ◽  
Control Group ◽  
Study Group ◽  
Care Hospital ◽  
Post Test ◽  
Knowledge And Practice

BACKGROUND Proper hand hygiene is the single most important, simplest, and least expensive means of reducing the prevalence of health care association infection (HAIs) and nosocomial infection. Several studies have demonstrated that hand washing virtually eradicates the carriage of infections in intensive care units (ICUs). For more than 150 years, hand hygiene has been researched in the hospital environment as a way of preventing transmission of bacteria, infection and death. The purpose of this study was to import the significance of the hand hygiene and to improve the skills in performing hand hygiene among mothers of neonates admitted in neonatal intensive care unit (NICU) at tertiary care hospital. METHODS A self structured knowledge questionnaire (KQ), practice questionnaire (PQ) and practice checklist (PC) was administered. The one to one method video on hand hygiene was played by using a laptop for about 15 minutes as an intervention with demonstration done by investigator and return demonstration was done by mothers, post test was conducted on 3rd day and 5th day followed by the intervention. RESULTS The mean scores of knowledge showed improvement in post test than the pre test in both the groups, but there was an increase in practice mean score between the groups which showed an improvement in the study group, it was higher than the control group which was statistically significant at P < 0.001. Overall, there were minimal positive correlations between the level of knowledge and practice for the study group in post-test and post-test II. Minimum positive correlation was evident but there was no significance. CONCLUSIONS This study concludes that it enhanced the knowledge on hand hygiene among mothers of neonates and it helped mothers to understand the importance of hand hygiene, when to do, how to do, why to do. Thus, it expected directly or indirectly to reduce the infection rate among neonates admitted in NICU. Further, the nurses have a great responsibility in ensuring parents adherence to hand hygiene. KEY WORDS Mothers of Neonate in NICU, Hand Hygiene, Video cum Demonstration, Mothers KPC.

scholarly journals To Assess the Effectiveness of Psycho Education on Medication Adherence among Schizophrenic Patients

2021 ◽  
pp. 656-661
Author(s):  
Samuel Vanlalpeka ◽  
Sr. Tessy Sebastian ◽  
Jaya Gawai ◽  
Pooja Kasturkar
Keyword(s):  
Medication Adherence ◽  
Rating Scale ◽  
Sampling Technique ◽  
Research Approach ◽  
Adherence Score ◽  
Post Test ◽  
Patient Will ◽  
Long Time ◽  
Schizophrenic Patients ◽  
Test Level

Background: Schizophrenia is one of the most leading perplexing complications, that creates a problem in an individual in which there is a disturbance in their thinking, emotion, and volition in the presence of their clear consciousness. Rehospitalization and reoccurrence of the symptoms are very common among these patients if medication is not taken properly. Objective: 1) To assess pre test level of medication adherence among Schizophrenic patients. 2) To assess the effectiveness of psycho education on medication adherence among Schizophrenic patients after intervention. 3) To evaluate the effectiveness of psycho education on medication adherence among Schizophrenic patients. 4) To associate the post test level of psycho education on medication adherence score with their selected demographic variables. Methodology: It is an interventional research approach study, and it will be conducted among 60schizophrenic inpatients who were selected by using a non-probability purposive sampling technique in psychiatric departments at Acharya Vinoba Bhava Rural Hospital, Sawangi (Meghe), Wardha. A standardized Medication Adherence Rating Scale (MARS) will be used to collect the data. Expected Outcome: It is expected that the psycho education given to the patient will be effective and thus improve their medication adherence. Conclusions: Medication non-adherence is not a recent problem among schizophrenic patients; it is a problem that remains for a long-time. This study thus will provide recent data regarding the effectiveness of psycho education among schizophrenic patients.

scholarly journals Risk of Medication Errors With Infusion Pumps

2019 ◽  
pp. 61-69
Author(s):  
Matthew Taylor ◽  
Rebecca Jones
Keyword(s):  
Medication Error ◽  
Medication Errors ◽  
Reporting System ◽  
Risk Mitigation ◽  
Infusion Pump ◽  
Free Text ◽  
Patient Harm ◽  
Infusion Pumps ◽  
Safety Reporting ◽  
Medication Process

The risk of medication errors with infusion pumps is well established, yet a better understanding is needed of the scenarios and factors associated with the errors. Our study explored the frequency of medication errors with infusion pumps, based on events reported to the Pennsylvania Patient Safety Reporting System (PA-PSRS) during calendar year 2018. Our study identified a total of 1,004 events involving a medication error and use of an infusion pump, which occurred at 132 different hospitals in Pennsylvania. Fortunately, a majority of medication errors did not cause patient harm or death; however, we did find that 22% of events involved a high-alert medication. Our study shows that the frequency of events varies widely across the stages of medication process and types of medication error. In a subset of our data, we manually reviewed a free-text narrative field in each event report to better understand the nature of errors. For example, we found that a majority of wrong rate errors led to medication being infused at a faster rate than intended, and user programming was the most common contributing factor. Overall, results from our study can help providers identify areas to target for risk mitigation related to medication errors and the use of infusion pumps.

Sign in / Sign up

Export Citation Format

Share Document