Medication and Administration Errors for Practices- myassignmenthelp

Question: Discuss about theMedication and Administration Errors for Practices. Answer: Introduction This studys objective is to expound on experiences of nurses in countering error that occur during medication administration. This study is important since it can be used to mend and make good use of safety practices. A number of hospitals have experienced both medication and administrative errors, therefore, this calls for clearly defined safety rules that have to be adhered to and follow up should be made to avoid such errors. Examples of these errors include a nurse clearing the wrong patient for surgery purposes or administering wrong medication to a patient to cure illness. In this study, a total of 20 nurses were used to conduct the research in the year 2011 between the months of March and December (Smeulers et al., 2014). This study expounds on nurses capability to work in a safe surrounding, acceptance of safety measures by the nurses and finally roles and responsibilities of safe medication (Ranji, Rennke Wachter, 2014). This study comes to a stand that nurses experience do es not coincide safe medical management, but their ability to efficiently work on the role to access enough knowledge in assessing the medical administration risks and circumstances does. Research Problem and Justification Medication administration errors take place when either of the seven rights of medical administration are violated, these rights include, right drug, right route, right patient, right time, right documentation, and right patient (Smeulers et al., 2014). Process of administering medication is vulnerable to errors since there is workload and environmental problems faced by nurses (Dickson Flynn, 2012). However, nurses are in a better position to rectify and avoid these errors before they emanate into bigger problems that might affect patients. There is evidence that ME are also used as an indicator of nurse-sensitivity. Due to rice in number of MAEs, many practices promote safety in administration of medication, some of which include e-learning, visual reminders and protocols, medication education, dedicated medication nurses, interruption protection, double checking and electronic systems (McLeod et al 2015) Effectiveness of these services is evidently weak. Bar-coded administration of medication is being encouraged as the most efficient way of reducing MAES. Evidence of high quality is unavailable and in return, these services are included in hospital policies. Nevertheless, nurses face a serious problem of failing to adhere to safety practices (Ranji, Rennke Wachter, 2014). Experiences and perspectives of nurses as a tool to promote safety practices should be significantly discussed since little is known about it. Therefore, the objective of this study is to expound on nurses experience and perspectives in eliminating medication administration errors. Research design and Methodology This study was conducted in a tertiary university hospital at the Academic Medical Centre in Amsterdam, Netherlands. A ward of 30 beds has a room where medication facilities are put and prepared for delivering by nurses (Smeulers et al., 2014). Each nurse is assigned a patient whom they prepare and deliver medication. This qualitative explanatory study was performed to nurses. Sampling was done keenly ensuring representatives of different departments were selected. This included the nursing ward managers, safety innovators and nursing managers were researched by sending them emails by two researchers requesting them to accept to be used for the collection of research data (Smeulers et al., 2014).. Thereafter, snowball sampling was used to find names of nurses based in other different departments and in charge of varied levels of seniority, varied attitudes towards ensuring medication safety (Melby et al, 2015). These participants had to be registered nurses. This procedure proceeds until maximum result is reached. Semi-structure interviews were also conducted to each individual nurse with nursing qualifications. Interviews allowed respondents to speak openly with no fear and with the guidance of the facilitator on the topics (Smeulers et al., 2014). Social and organizational issued were derived here. The initial topic was subdivided into small understandable parts that would be easily understood by the respondents (Smeulers et al., 2014). As the interview finalizes, respondents are required to ponder over different effective safety practices. All respondents received an email elaborating on the purpose of the interview study and assurance of confidentiality of information given by omitting any personal details and letting them know that the delivered information will be used for study purposes and nothing more. Participants were informed that the purpose of the study was to obtain experiences of nurses at personal level and their perspectives and thereafter analyze whether they reduce medication administration errors and promote medication safety (Richardson, 2014). On the specific day of conducting the interview, the interview procedures, rules and regulations were explained and consent from all the interviewees in written form were acquired. The interview data were systematically recorded and analyzed. Data analysis was conducted as the interview procedures were being carried out according to the guidance of qualitative research using software known as MAX (Smeulers et al., 2014). Interview data were put together using codes separately and different codes measured and analyzed until a final consensus is reached. For the first 15 interviewees, consensus meetings were carried out and coding was performed for the remaining five nurses. Finally, the small fragments were sorted according to different topics and themes. Peer-reviewed the data findings and co-authors verified the data (Smeulers et al., 2014). Research Findings and Results All the 20 nurses approached agreed to take part in the study involuntarily.15 female and 5 male experienced nurses took part in the activity. According to the levels,2 were director,2 quality innovators,3 nurse ward nurses,8 regular nurses and finally 5 senior nurses. Three main themes were evidently analyzed, that is, roles and responsibilities in safety medication, ability of nurses to perform and finally willingness of nurses safety practices (Smeulers et al., 2014). Nurses ability to work safely Ability to work in a safe medical environment is affected circumstances under which these nurses work and awareness of dangers of errors. Awareness differs from one nurse to another. Awareness is derived from knowing the consequences of committing an error and personal experiences (Richardson, 2014). Conditions of the patient, route of drug administration, and medication characteristics appeared to determine the medication risks (Mueller et al, 2012). Failing to administer medication are administering it so late was seen to be a problem for a particular medication but not for different medications. Nurses Acceptance and Safety Practices Nurses need to be informed that safety practices promote safety of patients. There was significance of being consulted on the study. Errors that would be unidentified would become visible when nurses accept that they commit errors and there is need to practice safe medical administration. Nurses play a serious role in medication safety (Adhikari et al, 2010). Conclusion Medication administration errors ought to be avoided at all cost because it is a serious menace with detrimental consequences. Nurses assume a huge role in medication safety and they are to be held accountable for occurrence of any errors. Therefore, nurses should accept that they are prone to commit these errors and agree to rectify and work on ways of eradicating errors to ensure medication safety. Nurses should also be encouraged and educated on the best ways to avoid medication and administration errors. Managers and nursing professional bodies need to set a conducive and friendly environment for proper working of nurses in providing quality health care and safety of patients. 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