The effectiveness of teaching drug calculation skills on the way of drug performance (change in awareness) of nurses working in special departments

Subject Areas : Psychology of couples

Somayyeh Talebi ¹ , Sakineh Poorhosein Fookolaie ² , Hadi DarvishKhezri ³ , Kolsom Akbarnataj Bisheh ⁴ , Homeyra Akbarzadeh ⁵ , Homeyra Tahmasebi ⁶

1 - Corresponding author), Department of Medicine, Sari Branch, Islamic Azad University, Sari, Iran. Tel: [phone], Email: [e-mail]
2 - Department of Medicine, Sari Branch, Islamic Azad University, Sari, Iran
3 - Thalassemia Research Center (TRC), Hemoglobinopathy Institute, Mazandaran University of Medical Science, Mazandaran, Iran
4 - Assistant Professor, Department of nursing, Sari Branch, Islamic Azad University, Sari, Iran، [e-mail]
5 - Department of Medicine, Sari Branch, Islamic Azad University, Sari, Iran
6 - Department of Medicine, Sari Branch, Islamic Azad University, Sari, Iran

Received: 2022-05-31 Accepted : 2023-06-01 Published : 2024-06-08

Keywords: nurses' performance, pharmaceutical error, pharmaceutical calculations, teaching pharmaceutical skills,

Abstract :

Abstract: Introduction: drug administration is one of the most important duty of a nurse. Some of the reasons for incomplete implementation of pharmaceutical calculations are poor skill and lack of proper training in pharmaceutical calculations in universities. The aim of this study was to investigate the effect of drug calculation skills education on the performance of nurses working in the Intensive Care Units. Methods: This study was a semi-experimental type, and the studied population consisted of nurses working in the special departments of Fatemeh Al-Zahra Hospital in Sari city, and 45 people were randomly selected. In this way, the nurses who worked in the special departments in the morning, evening and night shifts during the week in the selected hospital and met the criteria for entering the research were examined in one group before and after the intervention, which lasted for two months. It lasted the data of this research was used through a two-part questionnaire for qualified nurses to measure their skill in pharmaceutical calculations. The first part of the questionnaire included 9 questions about the demographic characteristics of the research units, and the second part included 18 questions related to the cognitive skills of pharmaceutical calculation. The data collection tool was a researcher-made questionnaire with a pre-test and post-test design. The data was collected using SPSS software and descriptive statistics (to determine the mean, standard deviation) and inferential (paired t) and Cronbach's alpha. It was examined and analyzed. Results: Mean (standard deviation) and median were equal to 15.6 (± 1.3) and 16 questions, respectively. Paired t-test showed a significant increase in the number of correct answers after the test compared to the number of correct answers before the test (Mean Difference: 5.91, 95% CI = 5.15 - 6.68; p-value: <0.0001). The mean scores obtained from the pre-test increased from 20% to the mean of 100% in the questionnaire after the intervention. Conclusion: The results show that nurses do not have sufficient information and calculational skills of medicine and the authorities are suggested to hold training workshops for them.

References:

References:

1.Di Simone E, Giannetta N, Auddino F, Cicotto A, Grilli D, Di Muzio M. Medication Errors in the Emergency Department: Knowledge, Attitude, Behavior, and Training Needs of Nurses. Indian J Crit Care Med. 2018;22(5):346-52. doi: 10.4103/ijccm.IJCCM_63_18.

Farzi S, Alimohammadi N, Moladoost A. Medication errors by the intensive care units' nurses and the Preventive Strategies. Anesthesiology and Pain. 2016;6(4):33-45. URL: http://jap.iums.ac.ir/article-1-5231-en.html.
Jember A, Hailu M, Messele A, Demeke T, Hassen M. Proportion of medication error reporting a nd associated factors among nurses: a cross sectional study. BMC nursing. 2018;17(1):9. DOI:10.1186/s12912-018-0280-4.
Dirik HF, Samur M, Seren Intepeler S, Hewison A. Nurses’ identification and reporting of medication errors. J Clin Nurs. 2019;28(5-6):931-8. https://doi.org/10.1111/jocn.14716.
Kim KS, KWON SH, KIM JA, Cho S. Nurses’ perceptions of medication errors and their contributing factors in South Korea. Journal of nursing management. 2011;19(3):346-53. https://doi.org/10.1111/j.1365-2834.2011.01249.
Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Nurse education today. 2010;30(1):85-97. DOI:10.1016/j.nedt.2009.06.009.
Clark LA. A study of the relationship between student nurse characteristics and calculation abilit]; 2009 Available from: https://doi.org/10.1016/j.nedt.2009.06.009.
Coyne E, Needham J, Rands H. Enhancing student nurses' medication calculation knowledge; integrating theoretical knowledge into practice. Nurse Educ Today. 2012; 8. [Epub ahead of print]. DOI:10.1016/j.nedt.2012.04.006.
Abedi HA (Ph.D) - Ghavi MR (MSc.) - Mannani R (Ph.D). Empowerment of Nurses Drug Calculations. 9 January 2014. URL: http://ijnr.ir/article-1-1334-en.html.
Yousefiasl M, naderi R, Baghaei R, khalkhali H R, cheraghi R. The relationship between ethnical commitment and medication error among nurses in centers affilated to urmia university of medical sciences in 2018- 9. Nursing and Midwifery Journal 2020; 17 (11) :878-88. URL: http://unmf.umsu.ac.ir/article-1-4009-en.html.
Hogan CA. Pediatric Patient Safety: Factors pediatric nurses identify as contributing to medication administration errors: Loyola University Chicago; 2006. DOI:https://doi.org/10.22100/jkh.v7i1.64
Cleary-Holdforth J, Leufer T. Thestrategic role of education in the prevention of medication errors in nursing: Part 2. Nurse Educ Practice 2013;13(3): 217-20. DOI: 10.1016/j.nepr.2013.01.012.
Kim MS, Kim CH. Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study BMC Health Serv Res. 2019;19(1). DOI:10.1186/s12913-019-4194-y
Deitzen DM. Mathematical calculation ability of registered nurse. [cited 2007 Dec 10]; 2008 Available from: http://proquest.umi.com/pqdweb?index=0&did=743238771&SrchMode=1&sid=1&Fmt=6&VInst=PRD&VType=PQD&RQT=309&VName=PQD&TS=1197361302&clientId=48024 O.
Glaister K. The presence of mathematics and computer anxiety in nursing students and their effects on medication dosage calculations. Nurse Education Today. 2007;27(4):341-7. DOI:10.1016/j.nedt.2006.05.015
Miracle VA. Medication errors. Dimensions of Critical Care Nursing, 2009: 51-80.
17.Robyn Fairhall.et al. Numeracy skills of nursing students. Nurse Education Today, 2011; 20 (2):815-818. DOI:10.1016/j.nepr.2005.12.002

khajeali n, baghaei r. Comparison of pharmacological knowledge and skills in pharmaceutical calculations in nurses of general and ICU wards in educational hospitals in Ahvaz. Quarterly Journal of Nersing Management. 2014;2(4):48-55. URL: http://ijnv.ir/article-1-146-en.html.
Alteren J, Hermstad M, White J, Jordan S. Conflicting priorities: observation of medicine administration. J Clin Nurs.2018;27(19-20):3613-21. DOI:10.1111/jocn.14518.