Status quo and influencing factors of medication near-miss reporting barriers for pediatric nurses
10.3760/cma.j.cn115682-20210318-01191
- VernacularTitle:儿科护士用药接近失误报告障碍现状及影响因素分析
- Author:
Yingying CHEN
1
;
Yao DING
;
Yawei GUO
;
Caixiao SHI
;
Hui HAN
;
Xiaopan LYU
;
Meng SUN
;
Lingling WANG
;
Yuan LIU
;
Li WANG
;
Juan CHEN
;
Huiping LU
;
Fengjia WANG
;
Caihong SHI
;
Jing WU
;
Xiaoli ZHAO
Author Information
1. 郑州大学附属儿童医院 河南省儿童医院 郑州儿童医院中医科，郑州 450018
- Keywords:
Pediatrics;
Nurse;
Medication near-miss;
Reporting barriers;
Drug safety
- From:
Chinese Journal of Modern Nursing
2021;27(33):4541-4546
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current situation of medication near-miss reporting barriers for pediatric nurses for pediatric nurses and analyze its influencing factors.Methods:Using a multi-stage cluster sampling method, clinical pediatric nurses from 13 hospitals of Henan Province were selected as research objects from July to October 2020. General situation questionnaire, Hospital Safety Atmosphere Questionnaire, Medication Near-miss Reporting Barriers Scale, Multiple Leadership Style of Head Nurse Scale and Patient Safety Competency Nursing Staff Self-rating Scale were used for investigation, and related factors affecting medication near-miss reporting barriers for pediatric nurses were analyzed. A total of 1 104 questionnaires were distributed and 1 070 were effectively returned, with the effective recovery rate of 96.92%.Results:The reporting rate of 1 070 pediatric nurses who actively reported medication near-miss reporting barriers was 14.42%, and the score of Medication Near-miss Reporting Barriers Scale was (98.1±21.46) . The total scores of Hospital Safety Atmosphere Questionnaire was (77.36±12.97) , score of Multiple Leadership Style of Head Nurse Scale was (74.4±15.89) , and score of Patient Safety Competency Nursing Staff Self-rating Scale was (107.81±2.59) . The results of multiple linear regression analysis showed that educational background, entry length, job title, marital status, leadership style, patient safety competence, and hospital safety atmosphere were the main influencing factors of medication near-miss reporting barriers for pediatric nurses ( P<0.05) . Conclusions:The medication near-miss reporting barriers for pediatric nurses are common, which are influenced by educational background, years of employment, leadership style, hospital safety atmosphere and other factors. Nursing managers should strengthen pediatric nurses' awareness of medication near-miss reporting, implement transformational leadership style and improve patient safety competence and hospital safety atmosphere, so as to promote drug use safety of children.
