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2.
Medsurg Nurs ; 20(6): 323-6, 2011.
Article in English | MEDLINE | ID: mdl-22409117

ABSTRACT

Turnover of medical-surgical nurses can be distressing and costly Establishment of the clinical resource specialist role can provide a valuable resource to off-shift RNs and have a positive impact on job satisfaction.


Subject(s)
Inservice Training , Mentors , Nurse Administrators , Nursing Staff, Hospital/education , Nursing Staff, Hospital/supply & distribution , Personnel Administration, Hospital , After-Hours Care , Humans , Job Satisfaction , Pennsylvania , Program Evaluation
3.
J Nurs Adm ; 36(7-8): 370-6, 2006.
Article in English | MEDLINE | ID: mdl-16902361

ABSTRACT

OBJECTIVE: To identify underlying practices and attitudes on medication error occurrences and reporting practices. BACKGROUND: In response to a hospital-wide quality improvement initiative, a task force was formed to facilitate a nonpunitive culture toward reporting medication errors. To identify underlying practices and attitudes on medication errors and medication error reporting, a baseline survey was conducted. Based on findings, an initiative that included modifications to clinical and administrative processes was developed and implemented. METHODS: A pre/post initiative questionnaire to measure staff practices and attitudes on medication error reporting was developed and administered. Findings from the presurvey were used to craft the Nonpunitive Patient Safety Policy and its implementation plan. Pre-post comparative analysis was performed following a baseline-postimplementation design. RESULTS: Conceptually, a medication error is qualified by its outcome severity. Medication errors with more serious outcomes are more likely to be reported than those with less serious ones. Staff perception that medication error reporting carries the risks of disciplinary action was identified as a primary barrier to the likelihood of reporting. CONCLUSION: Evaluation of the initiative suggests that a multicomponent approach facilitates positive movement in the direction of a nonpunitive culture toward reporting medication errors.


Subject(s)
Attitude of Health Personnel , Medication Errors/prevention & control , Nursing Staff, Hospital , Risk Management/organization & administration , Total Quality Management/organization & administration , Education, Nursing, Continuing/organization & administration , Employee Discipline , Evidence-Based Medicine , Health Knowledge, Attitudes, Practice , Health Services Needs and Demand , Humans , Inservice Training/organization & administration , Medication Errors/adverse effects , Medication Errors/nursing , Medication Errors/statistics & numerical data , National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division , Nursing Administration Research , Nursing Education Research , Nursing Methodology Research , Nursing Staff, Hospital/education , Nursing Staff, Hospital/psychology , Organizational Culture , Organizational Policy , Pennsylvania , Program Development , Program Evaluation , Punishment/psychology , United States
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