ABSTRACT
Los fallos relacionados con la medicación son la segunda causa de errores en pacientes hospitalizados. Los niños son un grupo de riesgo, siendo la presión asistencial del servicio de urgencias determinante en la incidencia de errores. OBJETIVO: Determinar los conocimientos de las enfermeras sobre las dosis de los medicamentos más utilizados en urgencias pediátricas. Material y MÉTODO: Estudio descriptivo transversal realizado a enfermeras de urgencias pediátricas en 14 hospitales de Madrid. Mediante un cuestionario autoadministrado se recogieron datos durante 5 días en enero de 2014: demográficos; del conocimiento en la responsabilidad del personal de enfermería en la administración y en la dosificación de estos medicamentos. Se realizó un análisis descriptivo global y estratificado por tipo de hospital y experiencia laboral. RESULTADOS: La tasa de respuesta fue de 114 (34,9%). Del personal, 80 (70,8%) comprueban las dosis antes de administrarlas; 20 (18,6%) no creen que sea responsabilidad suya administrar una dosis mal prescrita. Hay mayor conocimiento entre el grupo con experiencia mayor a 5 años, excepto en sedoanalgesia (p < 0,05). La media de puntuación obtenida fue de 3,8 sobre 10 (1,99). CONCLUSIONES: El conocimiento de dosis de medicamentos de las enfermeras es deficiente
Errors in drug administration are the second cause of errors in hospitalized PATIENTS: Children are a high risk group. Besides, pressure in care interventions at emergency department leads to increase incidence errors. AIM: Determining nurses' knowledge about the most common drug doses at pediatric urgency department. METHODS: Descriptive transversal study. We collected data from nurses of 14 pediatric emergency departments of Madrid. With an 'ad hoc' questionnaire we collected the following data during five days in January of 2014: demographic, knowledge of responsibility in administration and doses of drugs. Global descriptive analysis was made and it was stratified by hospital and work experience. RESULTS: The answer rate was 114 (34.9%). Only 80 (70.8%) of nurses confirm doses before their administration; 20 (18.6%) think that a wrong prescription that they administer is not their responsibility. There is a high knowledge in the group with more than five years of work experience, except for sedative-analgesic drugs (p < 0.05). The average score obtained was 3.8 of 10 (1.99). CONCLUSIONS: Nurses' knowledge about drug doses is low
Subject(s)
Humans , Emergency Treatment/methods , Drug Prescriptions/nursing , Nursing Care/methods , Dosage/methods , Emergency Service, Hospital/statistics & numerical data , Professional Competence , Nursing Process/organization & administration , Drug Utilization , Medication Errors/prevention & control , Emergency Nursing/methodsABSTRACT
UNLABELLED: Errors in drug administration are the second cause of errors in hospitalized patients. Children are a high risk group. Besides, pressure in care interventions at emergency department leads to increase incidence errors. AIM: Determining nurses' knowledge about the most common drug doses at pediatric urgency department. METHODS: Descriptive transversal study. We collected data from nurses of 14 pediatric emergency departments of Madrid. With an "ad hoc" questionnaire we collected the following data during five days in January of 2014: demographic, knowledge of responsibility in administration and doses of drugs. Global descriptive analysis was made and it was stratified by hospital and work experience. RESULTS: The answer rate was 114 (34.9%). Only 80 (70.8%) of nurses confirm doses before their administration; 20 (18.6%) think that a wrong prescription that they administer is not their responsibility. There is a high knowledge in the group with more than five years of work experience, except for sedative-analgesic drugs (p<0.05). The average score obtained was 3.8 of 10 (1.99). CONCLUSIONS: Nurses' knowledge about drug doses is low.
Subject(s)
Clinical Competence , Medication Errors , Nursing Staff, Hospital , Child , Emergency Service, Hospital , Hospitals , Humans , Surveys and QuestionnairesABSTRACT
El ingreso de un niño en una Unidad de Cuidados Intensivos Pediátricos (UCIP) afecta tanto al paciente como a la familia. La participación es uno de los componentes de los cuidados centrados en la familia, y actualmente es uno de los movimientos más importantes dentro del cuidado pediátrico. Objetivo: conocer la opinión de los profesionales enfermeros de la UCIP acerca de la participación familiar en los cuidados del paciente. Material: estudio descriptivo transversal realizado con enfermeras y auxiliares de Enfermería de la UCIP de un hospital terciario. Los datos se recogieron a través de un cuestionario ad hoc. Se efectuó un análisis descriptivo global y un análisis de significación de las diferencias en función de la categoría profesional, la experiencia laboral general y en la UCIP y el turno de trabajo. Resultados: se analizaron 44 cuestionarios (55%). Por categoría laboral: 31(70,5%) enfermeras/os y 13 (29,5%) auxiliares de Enfermería. El 65,9% del personal de Enfermería considera que los padres deben participar en el cuidado. El 40,9% expresa que la participación de los padres supone una mayor carga física, considerando como principales barreras: la falta de conocimiento delos padres (72,1%), presión asistencial (53,5%) y actividad asistencial(46,5%). La mayor experiencia laboral determina diferencias significativas en la opinión de que la participación familiar mejora el cuidado y en la percepción de buena comunicación con los familaires. Son fundamentalmente las enfermeras en relación a las auxiliares las que señalan la presión asistencial como barrera para la participación de los familiares en el cuidado. Conclusiones: en líneas generales la opinión del equipo de Enfermería es favorable hacía la participación de los familiares en los cuidados en la UCIP
The admission of a child in a Paediatric Intensive Care Unit(PICU) affects both the patient and the family. Involvement is one of the components of family-centered care, and currently one of the major movements within paediatric care. Objective: to learn the opinion of the PICU nursing professionals about family involvement in patient care. Materials: transversal descriptive study conducted with PICU nurses and nursing assistants in a third level hospital. Data were collected through an ad hoc questionnaire. An overall descriptive analysis was conducted, and a significance analysis of differences based on professional category, general and PICU work experience, and work shift. Results: forty-four (44) questionnaires (55%) were analyzed. By work category: 31 (70.5%) nurses and 13 (29.5%) nursing assistants. A 65.9% of the nursing staff considers that parents must be involved in patient care. A 40.9% considers that parent involvement represents a higher physical burden, considering asthe main barriers: lack of knowledge by parents (72.1%), workload (53.5%) and care activity (46.5%). The higher work experience determines significant differences regarding the opinion that family involvement improves care, and in the perception of good communication with relatives. It is mostly nurses, rather than assistants, who point out at workload as a barrier for family involvement in patient care. Conclusions: overall, the opinion of the Nursing team is favorable regarding the involvement of relatives in PICU care
