CAJ | 학술논문

目的调查影响临床护士安全用药的现状及影响因素.方法 2012年6月选取临床护士193人,采用自行设计的调查问卷,调查临床护士对用药知识、造成用药错误的时间、导致用药错误因素的认知情况.对调查结果采用图表进行分析.结果虽然教育背景不同,但护士均认为用药标识应该清晰,即对药品、药物容器(如注射针剂、药杯)或其他溶液应标识清楚,特别是工作2～5年的护士认为药品、注射针剂的标识更应该清晰,与其他年资护士的认知有明显的差异.68.9％的护士选择用药错误最有可能发生的程序是在准备给药程序中,64.7％认为在给药程序中,特别是工作2～5年的护士认为在2种程序中均有可能发生给药错误.193名护士认为在所有导致用药错误的因素中过于忙碌占首位(70.9％),其他的原因包括笔迹模糊难以辨认(43.5％)、药名相似(65.1％)和药物繁多(54.4％).不同教育背景和年资的护士对此问题的认知亦不同.结论用药及物品标识不清、过于忙碌是造成用药不安全的重要因素之一.同时教育背景、工作年限的差异导致了对修订临床用药流程的需要,并且给药错误必须从体系上解决.
목적 조사영향림상호사안전용약적현상급영향인소.방법 2012년6월선취림상호사193인,채용자행설계적조사문권,조사림상호사대용약지식、조성용약착오적시간、도치용약착오인소적인지정황.대조사결과채용도표진행분석.결과 수연교육배경불동,단호사균인위용약표식응해청석,즉대약품、약물용기(여주사침제、약배)혹기타용액응표식청초,특별시공작2～5년적호사인위약품、주사침제적표식경응해청석,여기타년자호사적인지유명현적차이.68.9％적호사선택용약착오최유가능발생적정서시재준비급약정서중,64.7％인위재급약정서중,특별시공작2～5년적호사인위재2충정서중균유가능발생급약착오.193명호사인위재소유도치용약착오적인소중과우망록점수위(70.9％),기타적원인포괄필적모호난이변인(43.5％)、약명상사(65.1％)화약물번다(54.4％).불동교육배경화년자적호사대차문제적인지역불동.결론 용약급물품표식불청、과우망록시조성용약불안전적중요인소지일.동시교육배경、공작년한적차이도치료대수정림상용약류정적수요,병차급약착오필수종체계상해결.
Objective To investigate the situation and influencing factors of clinical nurses' medication safety.Methods A total of 193 female clinical nurses were chosen in June 2012,and then investigated with self-designed questionnaire of their medication knowledge,time to cause medication errors and influencing factors of medication errors.Chart analysis was used for investigation results.Results Despite of different educationalbackgrounds,all nurses,especially nurses with 2-5 years of working experiences,agreed that medicatioulabelsincluding drugs,drug containers like injection and medicine cup and other solutions should be clear,with statistically significant differences compared to other nurses.68.9％ nurses believed that the most possible error was during preparation process,64.7％ believed during delivery process,and nurses with 2-5 years of working experiences thought errors could occur in both processes.193 nurses believed the influencing factors were too busy (70.9％),too fuzzy handwriting for recognition (43.5％),similar drug names (65.1％) and too many drugs (54.4％).Nurses with different educations and experiences had different cognition of this question.Conclusions Unclear medication and drug labels as well as too busy are the most important factors of medication unsafety.Educational backgrounds and working experiences lead to the needs of revising clinical medication process,and medication errors should be resolved systematically.