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- W1558094414 abstract "There is a substantial body of research and reporting, both nationally and internationally,that demonstrates that medication errors are a major problem in health care. Allmembers of the chain of health professionals involved from the prescriber (the medicalpractitioner), the dispenser (the pharmacist), to the person administering the medication(the nurse) have been found wanting in terms of safe practice (Roughhead, 1999,,Thornton, 1999, Pallarino, 2002, Audit Commission, 2001). It is reasonable to assumethat similar problems exist in Tasmania. There is certainly anecdotal evidence to suggestthat some Tasmanian graduate nurses do not feel well prepared for practice in the area ofmedication administration. Personally in my work both as a preceptor for the Universityand as an assessor for the Nursing Board of Tasmania to evaluate pharmacology andmedication administration knowledge, student nurses and newly graduated nurses haveindicated that they lack confidence and competence in medication administration. Whilstthere are many factors that contribute to this situation, for example a lack of emphasis onnumeracy in secondary schools, under-resourced graduate programs, and work cultures,there was a need to understand the role of the undergraduate curriculum in thepreparation of nurses for practice in this area.A descriptive methodology was used to accurately convey the facts imparted and themeaning participants attributed to these events. The method consisted of a triangulatedapproach using focus groups; surveys; simulated nurse-client interaction; anddocumentary evidence. The triangulation was used to ensure validity of results,however, the sample size made generalisation difficult.Forty seven per cent of the survey respondents indicated they had little or no confidencein their ability to administer medications safely as a new graduate. Fifty seven per centof survey respondents and 44% of focus group participants acknowledged making one ormore medication error.The predominant issues raised in this research is that nursing is a practice-orientedprofession and in the area of medication administration the Bachelor of Nursing does notappear to have the correct mix of theory and practice to produce safe practitioners. Moreeducation is needed in the area of deciphering the drug chart and the principles ofpharmacology (actions, side effects and client education). Respondents would prefer amore structured approach in conjunction with clinical practice to be able to develop thetheory-practice link. Screening of mathematical skills would be beneficial so deficits canbe rectified. Teaching methods need to be examined and the principles of andragogyutilized to produce more confident and competent practitioners. Medication managementin the Enrolled Nurse upgrade course needs to be investigated and improved. Thisresearch indicates that a lack of knowledge and confidence in relation to medicationadministration is directly related to medication errors." @default.
- W1558094414 created "2016-06-24" @default.
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- W1558094414 date "2004-01-01" @default.
- W1558094414 modified "2023-09-26" @default.
- W1558094414 title "The influence of the undergraduate curriculum on medication administration in nursing" @default.
- W1558094414 hasPublicationYear "2004" @default.
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