Abstract
Purpose: This study was conducted to investigate nurses' knowledge of high-alert medications. Method: This descriptive study was conducted in the clinics of a university hospital where high-alert medications were frequently administered. The study population comprised of 187 nurses. Nurses' Knowledge of High-Alert Medications Questionnaire was used for evaluation. The items were rated on a 3-point Likert type scale. The scale has two subscales: “Drug administration” and “Drug regulation”. Results: In the study whose sample included 77 nurses, the response rate was 57%. The correct response rate was 61% for the “Drug administration” subscale and 62.1% for the “Drug regulation” subscale. The item with the lowest correct response rate (7.8%) in the “Drug administration” subscale was “Chemotherapeutic drugs’ doses should be calculated according to body surface area in adults and according to body weight in children”. The item with the lowest correct response rate (10.4%) in the “Drug regulation” subscale was “For pediatric dosage calculations, teaspoon units should be used”. Conclusion: The results of the present study supported the assumption that nurses' knowledge of high-alert medications is inadequate.
Highlights
Hemşirelerin Yüksek Riskli İlaç Bilgisi anketi bir üniversite hastanesinin yüksek riskli ilaçların sıklıkla uygulandığı kliniklerinde kullanılmıştır
61% chose the correct options in Part A (Drug administration), 24.9% chose the wrong options and 14% chose the option "I do not know"
89.6% chose the correct option for the item that "cc or mL is the dosage expression for insulin injection", 85.7% for the item that "10% Ca gluconate, and 10% CaCl2 are the same drug and can be used interchangeably, and 84.4% for the item that "when an emergency such as ventricular fibrillation happens, push fast 15% KCl 10 mL into IV"
Summary
Hemşirelerin Yüksek Riskli İlaç Bilgisi anketi bir üniversite hastanesinin yüksek riskli ilaçların sıklıkla uygulandığı kliniklerinde kullanılmıştır. Doğru yanıt oranı “ilaç yönetimi” alt ölçeği için % 61 ve “ilaç düzenlemesi” alt ölçeği için % 62.1'dir. İlaç uygulama alt ölçeğinde “Kemoterapötik ilaçların dozları yetişkinlerde vücut yüzey alanına ve çocuklarda vücut ağırlığına göre hesaplanmalıdır” ifadesi en düşük doğru yanıt oranına (%7,8). Ifadesi en düşük doğru yanıt oranına (%10,4) sahip madde olmuştur. One of the National Patient Safety Goals is improving high-alert medications' safety, Institute for Safe Medication Practices (ISMP). Ensuring drug safety remains a severe problem identified that the first five high alert medications among health professionals (Tang et al, 2007; Lu are "insulin, opiates and narcotics, injectable et al, 2013).
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