Investigation and analysis on recognition of high-alert medications of physician's advice among clinical nurses from grade three and first-class hospital in chongqing
10.3760/cma.j.issn.1672-7088.2018.14.013
- VernacularTitle:重庆市三级甲等医院临床护士高警示药品医嘱识别能力的调查分析
- Author:
Ying JIANG
1
;
Mingzhao XIAO
;
Qinghua ZHAO
;
Liling XIE
;
Fulan WANG
Author Information
1. 400016,重庆医科大学附一院妇产科
- Keywords:
Nurses;
Grade three and first-class hospital;
High-alert medications;
Physician's advice recognition;
Questionnaire
- From:
Chinese Journal of Practical Nursing
2018;34(14):1092-1097
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the recognition of physicians′ advice about high-alert medications among clinical nurses from grade three and first-class hospitals in Chongqing and to analyse the relevant training requirements. Methods Using a multistage stratified cluster sampling strategy, the physicians′ advice recognition questionnaire of High- alert medications for clinical nurses was administered to 3029 nurses in eight hospitals, to test the nurses′ advice recognition of high-alert medication and collecte training suggestions. Results More than 82.70%(1946/2353) of nurses responded correctly for 8 out of the 12 questions, the accuracy rate of pethidine hydrochloride injection test was 97.11%(2285/2353) and the dopamine hydrochloride injection test was only 28.56%(672/2353). The nurses′ recognition of physicians′ advice of high-alert medications in gender, department, working time and annual income was statistically significant (P<0.10). 81.34%(1914/2353) of the nurses were able to recognize 11 out of the total 24 wrong advices. Pre-job training、theoretical knowledge related to physicians′advice and case-based learning are the best training time, content and form. Conclusions The recognition level of high-alert medications by clinical nurses from grade three and first-class hospitals in Chongqing was not high and the clinical nurses with different gender, department, working time and annual income had different abilities, the targeted training for clinical nurses should be provided.