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Requirement
You are required to conduct a critical appraisal of a primary research paper related to working with evidence in bachelor of nursing.
Solution
Introduction
It can be said that the safety of the patients is considered to be the most important concern and an important challenge that is being faced in the healthcare systems. The most important part of the patient safety is related to the issue of proper medication administration within the acute and proper care setting that is considered to be the main focus of research and thus it contributes to the morbidity and mortality of the patient (Smeulers, 2016). The errors of medication are considered to be the significant public threat and thus it causes death of the patient, injury and increases the health cost. This medication error is considered to be a part of everyday nursing and it can be considered as a psychomotor task. On the other hand, safe administration of proper medication facilities is vital to the doctors, nurses as well as the patients and the entire healthcare system (Smeulers et al., 2014). The aim of this paper is to explore the experiences of the nurses on the prevention of medication administration errors.
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Research problem and its significance
It is necessary to get an insight experience of the nurses and their perspectives in preventing the medication errors that is necessary for the health practices. These medication errors are considered to be the important indicators towards safety of the patients and it is likely to take place in the early stages of processing. The errors might also start in the later stages of the administration process and thus there is a greater risk of the problem to remain undetected (Parry, Barriball & While, 2015). The medical administration is sometimes carried out under chaotic situations and the process is considered to be time consuming and complex. It can be said that an error in the medication process might lead devastating or minor errors for the career of the nurses. The end report of the underreporting medication errors for the hospitals might be weakened due to internal quality improvement and the different processes of risk management due to unavailability of data (Smeulers et al., 2014).
Research design and methods
The research design is considered is to be experimental and the qualitative interview of 20 nurses is taken in a medical centre is conducted to find out the errors and to implement the safety practices in the organisation. It can be said that the experimental design is considered to be implicit for the research project and it will help to find out the undiscovered or the unanswered question in a quick span of time. This will also help in understanding the research strategy and find out the relevant solution to all the questions that is being effectively asked. The experimental research design also tries to eliminate the flaws and thus helps to reach a favourable outcome (Smeulers et al., 2013).
Findings and their relevance to contemporary nursing policy and practice
The role of nurses in the medication safety includes several processes such as prescribing, dispensing, transcribing, administering and careful monitoring. It has been found that more than one-third of the medication errors occur in the administration phase and thus it is necessary to take proper care in this stage. It is the responsibility of the nurses to find out the challenges that they are facing when administering proper medication to the patients. This is because the nurses must consistently administer the medications that they are well positioned with and thus prevent the medication errors. Nurses must also be prepared not only to catch their own errors but they must also try to find out the other errors of the pharmacists, healthcare providers and the other people who are involved in the medication process (Hung et al., 2016). In many cases, it has been found that the errors of the medication administration are underreported and underestimated. There are no such explanations for underreporting and this includes lack of awareness among the people and unfamiliarity with the medication administration, fear of illegal ramifications and being perceived as incompetent. There are some stigmas that are associated with the error and thus the nurses perceive that this stigma will be the main reason for repercussions when they admit the reasons for their mistake. In order to let the nurses learn from their mistakes, they must be willing to disclose the errors and this will help in improving their practices as well as they can ensure a better and safer environment to the patients. The different policies and the procedures for the medication process must be prepared in such a way that the contributing factors will help in preventing the different types of accumulating of adverse actions (Smeulers et al., 2014).
The nurses must have the ability to work safely. There are different hazards of nursing and thus this can impair the health in an acute way in the long run. It can be said that the health outcomes can also include dreadful diseases that cannot be cured easily and thus the treatment process might be expected to be quite longer and time consuming. It has been found at the nurses might also experience problem due to excessive stress, sleepiness and thus this might affect their performance level (Kim & Bates, 2013). They will also not be able to adapt to their shift timings and duties due to inadequate sleep and thus this makes them weak and there are possibilities of errors or distractions. On the other hand, they also get very less time to spend with their friends and families and thus this might create problem to remain focused or concentrated in their work. The extent of this type of disruption process depends on their work schedule and the degree of flexibility in their work processes. In certain cases, it has been found that there might be conflict for the timings of the shifts and there might be errors or possibility of distraction (Smeulers et al., 2014).
The nurses must also accept the safety practices and there must be appropriate feasibility for the acceptance of better safety practices. In their daily work, it is the responsibility of the nurses to increase the nurse to increase their focus on the patients and thus adopts the best practices in the organisation (Smeulers, 2016). It is also vital to improve the safety in the inpatient unit and thus there should be proper practice of identifying the patients who are affected by different chronic diseases in the organisation. The process of identification is considered to be the most important measure and thus it helps in measuring the assessment of patient care. It can be said that the practices that area adopted by the nurses are found to be common in all organisations and thus it requires proper attention and affection so that it becomes easier to provide better treatment in a quick span of time (Smeulers et al., 2014).
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Therefore, it can said that the nurses must coincide with the proper assumption that they are in a better position to check that proper and safe medication treatment are provided to the patients. The nurses paly a vital role for reducing different kinds of medication errors and thus they frequently administer the patients in the healthcare settings. It has been found from the findings that the name of the different packages and labels are sometimes found to be confusing to the healthcare professionals and thus this might lead to errors in the medication process. Thus, it is necessary to take care of the different types of administrative errors and this is possible through proper nursing facilities.
References
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Hung, C. C., Chu, T. P., Lee, B. O., & Hsiao, C. C. (2016). Nurses’ attitude and intention of medication administration error reporting. Journal of clinical nursing, 25(3-4), 445-453.
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Kim, J., & Bates, D. W. (2013). Medication administration errors by nurses: adherence to guidelines. Journal of Clinical Nursing, 22(3-4), 590-598.
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Parry, A. M., Barriball, K. L., & While, A. E. (2015). Factors contributing to Registered Nurse medication administration error: A narrative review. International journal of nursing studies, 52(1), 403-420.
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Smeulers, M. (2016). Evidence-Based Quality Improvement: A recipe for improving medication safety and handover of care.
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Smeulers, M., Hoekstra, M., van Dijk, E., Overkamp, F., & Vermeulen, H. (2013). Interruptions during hospital nurses’ medication administration rounds. Nursing reports, 3(1), 4.
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Smeulers, M., Onderwater, A. T., Zwieten, M. C., & Vermeulen, H. (2014). Nurses' experiences and perspectives on medication safety practices: an explorative qualitative study. Journal of nursing management, 22(3), 276-285.
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