Percepções de estudantes de enfermagem sobre a administração segura de medicamentos.
Resumo
Objetivo: o objetivo desta revisão foi identificar a percepção dos estudantes de enfermagem sobre a administração segura de medicamentos.
Método: Pesquisa empírica original que descreve um método para incorporar conceitos de segurança na administração de medicamentos no ensino de enfermagem e examinar as percepções de estudantes de enfermagem para sua revisão. Uma busca em quatro bases de dados eletrônicas (Scopus, Cumulative Index to Nursing and Allied Health Literature, MedLine / PubMed e Google Scholar), bem como uma busca manual para identificar pesquisas originais publicadas entre 2017 e 2021. As diretrizes de análise foram adotadas (PRISMA) como o item de relatório preferido para revisões sistemáticas e meta-análises.
Resultados: Doze artigos de pesquisa original foram incluídos para revisão. Dois métodos foram identificados para incorporar a segurança na administração de medicamentos no ensino de enfermagem: fatores ou sistemas de processo no ambiente clínico e fatores educacionais no ambiente acadêmico. O uso de intervenções variou, mas todas focadas na análise das experiências dos alunos para promover habilidades e conhecimentos em diferentes ambientes (acadêmico e clínico).
Conclusão: O educador de enfermagem deve promover experiências teóricas e clínicas de forma abrangente para que o aluno aprenda e internalize as atitudes, comportamentos e valores da profissão com foco na responsabilidade em todos os aspectos. A percepção e o treinamento dos alunos podem gerar mudanças na forma como os medicamentos são administrados, bem como diminuir o índice de eventos adversos no futuro
Downloads
Referências
Slawomirski L, Auraaen A, Klazinga N. París, Francia: Organización para la Cooperación y el Desarrollo Económicos; 2018. Disponible en:
http://www.oecd.org/health/health- systems/The-Economics-of-Patient-Safety-in-Primary-and-Ambulatory-Care-April2018.pdf, (accessed 23 June 2021).
Aitken, Murray y Gorokhovich, Lyudmila, Advancing the Responsible Use of Medicines: Applying Levers for Change (17 de septiembre de 2012). Disponible en SSRN: http://dx.doi.org/10.2139/ssrn.2222541
Sung YH, Kwon IG, Ryu E. Blended learning on medication administration for new nurses: integration of e-learning and face-to-face instruction in the classroom. Nurse Educ Today. 2008;28(8):943-952. https://doi.org/ 10.1016 / j. nedt.2008.05.007.
Mansour M, James V, Edgley A. Investigating the safety of medication administration in adult critical care settings. Nurs Crit Care. 2012;17(4):189-197. doi:10.1111/j.1478-5153. https://doi.org/ 10.1111 / j.1478-5153.2012.00500. x.
Thomas B, Paudyal V, MacLure K, et al. Medication errors in hospitals in the Middle East: a systematic review of prevalence, nature, severity and contributory factors. Eur J Clin Pharmacol. 2019;75(9):1269-1282. https://doi.org/ 10.1007 / s00228-019-02689-y.
Wang HF, Jin JF, Feng XQ, et al. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Ther Clin Risk Manag. 2015; 11:393-406. https://doi.org/ 10.2147 / TCRM.S79238.
Bacon O, Hoffman L. System-Level Patient Safety Practices That Aim to Reduce Medication Errors Associated with Infusion Pumps: An Evidence Review. J Patient Saf. 2020;16(3S Suppl 1): 42-47. https: // doi. org / 10.1097 / PTS.0000000000000722.
Johnson J, Kareem A, White D, et al. Nursing students' perspectives on learning math for medication calculations in a Canadian nursing program in Qatar. Nurse Educ Pract. 2020; 49:102885. https://doi.org/10.1016/j.nepr.2020.102885.
Westbrook JI, Li L, Shah S, et al. A cross-country time and motion study to measure the impact of electronic medication management systems on the work of hospital pharmacists in Australia and England. Int J Med Inform. 2019; 129:253-259 https://doi.org/10.1016/j.ijmedinf.2019.06.011.
Urrútia G, Bonfill X. Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis [PRISMA declaration: a proposal to improve the publication of systematic reviews and meta-analyses]. Med Clin (Barc). 2010;135(11):507-511. https://doi.org/ 10.1016 / j. medcli.2010.01.015.
Tricco AC, Lillie E, Zarin W, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-473. https://doi.org/ 10.7326/M18-0850.
Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-1288. https://doi.org/10.1177/104973230527668.
Musharyanti L, Claramita M, Haryanti F, Dwiprahasto I. Why do nursing students make medication errors? A qualitative study in Indonesia. J Taibah Univ Med Sci. 2019;14(3):282-288. https://doi.org/10.1016/j.jtumed.2019.04.002.
Bickel AE, Villasecas VX, Fluxá PJ. Characterization of adverse events occurring during nursing clinical rotations: A descriptive study. Nurse Educ Today. 2020; 84:104224. https://doi.org/10.1016/j.nedt.2019.104224
García-Gámez M, Morales-Asencio JM, García-Mayor S, et al. Adverse events encountered during clinical placements by undergraduate nursing students in Spain [published online ahead of print, 2020 May 22]. Nurse Educ Today. 2020; 91:104480. https://doi.org/10.1016/j.nedt.2020.104480.
Craig SJ, Kastello JC, Cieslowski BJ, Rovnyak V. Simulation strategies to increase nursing student clinical competence in safe medication administration practices: A quasi-experimental study. Nurse Educ Today. 2021; 96:104605.https://doi.org/10.1016/j.nedt.2020.104605.
Kuo SY, Wu JC, Chen HW, Chen CJ, Hu SH. Comparison of the effects of simulation training and problem-based scenarios on the improvement of graduating nursing students to speak up about medication errors: A quasi-experimental study. Nurse Educ Today. 2020; 87:104359. https://doi.org/10.1016/j.nedt.2020.104359.
Thelen MA. The impact of online synchronous simulated clinical immersions on nursing students' pharmacology self-efficacy: A pre-test post-test intervention pilot study. Nurse Educ Today. 2021; 100:104833. https://doi.org/10.1016/j.nedt.2021.104833.
Avraham R, Shor V, Kimhi E. The influence of simulated medication administration learning on the clinical performance of nursing students: A comparative quasi-experimental study. Nurse Educ Today. 2021; 103:104947. https://doi.org/10.1016/j.nedt.2021.104947.
Pourteimour S, Hemmati-MalsakPak M, Jasemi M, Eghtedar S, & Parizad N.The Effect of Smartphone-Based Application Learning on the Nursing Students' Performance in Preventing Medication Errors in the Pediatric Units. Pediatric Quality & Safety,2019; 4(6), 226. https://doi.org/10.1097/pq9.0000000000000226.
Walsh LJ, Anstey AJ, Tracey AM. Student perceptions of faculty feedback following medication errors - A descriptive study. Nurse Educ Pract. 2018; 33:10-16. https://doi.org/10.1016/j.nepr.2018.08.017.
Preston P, Leone-Sheehan D, Keys B. Nursing student perceptions of pharmacology education and safe medication administration: A qualitative research study. Nurse Educ Today. 2019; 74:76-81. https://doi.org/10.1016 / j. nedt.2018.12.006.
Caboral-Stevens M, Ignacio RV, Newberry G. Undergraduate nursing students' pharmacology knowledge and risk of error estimate. Nurse Educ Today. 2020; 93:104540. https://doi.org/10.1016/j.nedt.2020.104540.
Chiarini M, De Vita E, Meggiolaro A, et al. Errori in medicina: la percezione degli studenti in Infermieristica di Roma [Errors in Medicine: perceptions of nursing students in Rome]. Prof Inferm. 2017;70(4):206-213. https://doi.org/10.7429/pi.2017.704206.
Lorraine K, Apsay G, Geselle G. Nursing medication errors perceived by nursing students in Iligan City. Belitung Nursing Journal, 2018; 4 (6), 537-544. https://doi.org/10.33546/bnj.566.
Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Errores de medicación en estudiantes de enfermería: una revisión sistemática. Enfermera Educ. 2018; 43 (51): 1-5. https: // doi. org / 10.1097 /NNE.00000000000000000481.
Lawrence K, Messias, DKH, Cason ML.The influence of simulation experiences on new nuses' clinical judgment. Clinical Simulation in Nursing, 2018; 25:22-27. https://doi.org/10.1016 / j. ecns.2018.10.008.
Stevens CM, Ignacio VR, Newberry G. Conocimientos de farmacología de estudiantes de licenciatura en enfermería y estimación del riesgo de error. La educación en enfermería hoy,2020; 93,104540. https://doi.org/10.1016/j.nedt.2020.104540.
Kim SJ, Shin H, Lee J, Kang S, Bartlett R. A smartphone application to educate undergraduate nursing students about providing care for infant airway obstruction. Nurse Educ Today. 2017; 48:145-152. https://doi.org/ 10.1016 / j. nedt.2016.10.006.
Baginski MN. Use of Low-Fidelity Simulation Within a Medication Calculation Nursing Course to Enhance Students' Understanding of Accuracy. Nurse Educ. 2017;42(3):110-111. https: // doi. org / 10.1097 / NNE.0000000000000334.
Nielsen T, Makransky G, Vang ML, Dammeyer J. How specific is the specific self...efficacy? A construct validity study using rasch measurement models. Studies in Educational Evaluation, 2017; 53 (1):87-97. https://doi.org/10.1016/j.stueduc.2017.04.003.
Mackie J. Case studies in a flipped classroom: an approach to support nursing learning in pharmacology and pathophysiology. Journal of Advanced Nursing,2018; 4 (2): 1-16. https://doi.org/10.17483/2368-6669.1139.
Williams B, Dousek S. The simulation experience satisfaction scale (SSES): a validation study. Nurse Education in Practice, 2012;2 (3):74-80. https://doi.org/10.5430/jnep.v2n3p74.
Mariani B, Ross J, Paparella S, Allen L. Medication safety simulation to assess student knowledge and competence. Clinical Simulation in Nursing, 2017;13 (5): 210–216. https://doi.org/ 10.1016 / j. ecns.2020.12.003.
Armstrong GE, Dietrich M, Norman L, Barnsteiner J, Mion L. Nurses' Perceived Skills and Attitudes About Updated Safety Concepts: Impact on Medication Administration Errors and Practices. J Nurs Care Qual. 2017;32(3):226-233. https://doi.org/10.1097/NCQ.000000000000226.
Naureckas Li C, Camargo CA Jr, Faridi M, et al. Medication Education for Dosing Safety: A Randomized Controlled Trial. Ann Emerg Med. 2020;76(5):637-645. https://doi.org/10.1016/j.annemergmed.2020.07.007.
As obras que são publicadas nesta revista estão sujeitas aos seguintes termos:
1. O Serviço de Publicações da Universidad de Murcia (a editorial) conserva os direitos patrimoniais (copyright) das obras publicadas, e favorece e permite a reutilização das mesmas sob a licença de utilização indicada no ponto 2.
© Serviço de publicações, Universidad de Murcia, 2011
2. As obras são publicadas na edição eletrónica da revista sob uma licença Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 Espanha (texto legal). Podem-se copiar, usar, difundir, transmitir e expor publicamente, sempre que: i) seja citado a autoria e a fonte original da sua publicação (revista, editorial e URL da obra); ii) não se usem para fins comerciais; iii) se mencione a existência e especificações desta licença de utilização.
3. Condições de auto-arquivo. É permitido e aconselha-se aos autores, difundir eletronicamente as versões pré-print (versão antes de ser avaliada) e/ou post-print (versão avaliada e aceite para a sua publicação) das suas obras antes da sua publicação, uma vez que, favorece a sua circulação e difusão mais cedo e com isso um possível aumento na sua citação e alcance entre a comunidade académica. Cor RoMEO: verde.
