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J Spec Pediatr Nurs ; 24(4): e12265, 2019 10.
Article de Anglais | MEDLINE | ID: mdl-31332933

RÉSUMÉ

PURPOSE: The objectives of this study were to describe (a) the frequency of interruptions experienced by a pediatric nurse per hour, (b) the sources of interruptions experienced by a pediatric nurse, and (c) the interruption outcomes during pediatric medication administration. DESIGN AND METHODS: This design of this study was a cross-sectional observational study. A convenience sample of pediatric nurses was used in this study. The interruption observation sheet was used to collect data about the frequency, sources, and outcomes of interruptions. RESULTS: There was a total of 43 nurses were observed in more than 180 medication administration rounds. An interruption rate of 94.51% occurred during pediatric medication administration. The frequency of interruptions was three or more times (51.04%). The most common source of interruption was attributed to the working environment (32.37%). The second most frequent reason for interruption came from personnel, such as caregivers (24.48%), followed by physicians (10.79%), and other nursing staff (9.54%). The third most common source of interruption was communication issues, including patient interviews, patient reports, and case discussion (8.71%). Six errors (2.49%) were reported out of 241 interruptions as a result of interruptions. In specific, causes of errors during pediatric medication administration were due to wrong medication dose. PRACTICE IMPLICATIONS: This study provides important information on interruptions experienced by pediatric nurses during medication administration in Chinese hospital settings and found that interruptions frequently occur in pediatric units.


Sujet(s)
Hôpitaux pédiatriques/statistiques et données numériques , Erreurs de médication/statistiques et données numériques , Systèmes hospitaliers de dispensation et de distribution de médicaments/statistiques et données numériques , Personnel infirmier hospitalier/statistiques et données numériques , Préparations pharmaceutiques/administration et posologie , Adolescent , Adulte , Enfant , Enfant d'âge préscolaire , Chine , Études transversales , Femelle , Humains , Nourrisson , Nouveau-né , Mâle , Adulte d'âge moyen
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