NHS FPX 4000 Assessment 2 Applying Research Skills TS

NHS FPX 4000 Assessment 2 Applying Research Skills TS

Researching Medication Errors in Healthcare 

In a robust environment of healthcare today, many of our population is of older age and growing into complex healthcare demands. They have variety of healthcare problems that require the use of controlled and uncontrolled medications. A lot of our growing population also require polypharmacy to control their symptoms or disease process. It is more critical than ever that we as healthcare professionals understand the global issue and do our part in preventing it from occurring. 

I am a Registered Nurse for a local hospital that is in the center of a low-economic region. We provide care to multiple facets of people with healthcare issues ranging from mental health, substance abuse, and chronic health issues. As a growing health care institution, we are still faced with chronic ongoing disease progression in our elderly population and medication errors remain on the rise. My interest in the topic is to highlight the issue and ways to decrease its prevalence among other nurses in hopes that the research I provide in this paper will be helpful in the prevention of medication errors.

NHS FPX 4000 Assessment 2 Applying Research Skills TS

Identify Peer-Reviewed Journal Articles

I will use Capella’s online Library and Summon database to locate peer-review articles in the subject area of Medication errors. I used the Nursing and Healthcare subject to find databases such as CINAHL that solidifies relevant research articles specific to healthcare. I used keywords such as: medication errors, administration, prevalence or incidence, and statistics to access relevant sources specific to my topic.

Assessing Credibility and Relevance of Information Sources

To ensure credibility and relevance, I will utilize sources that are published within the last five years. This allows for one’s research to be considered the most up to date evidenced-based practice and current in the topic chosen. I use articles that contain experts in their field such as pharmacists, doctors, nurses or PHD level education. I make sure that the articles have validated information and replicable data that is referenced by clinical findings and data to support the evidence. Each source will have thoughtful consideration of all aspect of medication errors and prevention that will allow for an in-depth analysis of the topic while facilitating discussion on day-to-day experiences with medications in healthcare.  

Annotated Bibliography of Sources

Armstrong, G. E. , Dietrich, M. , Norman, L. , Barnsteiner, J. & Mion, L. (2017). Nurses’ 

Perceived Skills and Attitudes About Updated Safety Concepts. Journal of Nursing Care 

Quality, 32 (3), 226-233. doi: 10.1097/NCQ.0000000000000226.

NHS FPX 4000 Assessment 2 Applying Research Skills TS

     This article was published in 2017. The purpose of this article was to evaluate bedside nursing skills and their attitudes about safe practice in relation to the administration of medication. The study was aimed to identify if nurses were complying with safety measures that is set in place those are: comparing medications with administration records, checking if the medication was labeled from preparing it to administering it to patients, checking for at least two patient identifiers, making sure that the medication that the nurse gave was explained to the patient, and finally, documentation, following medication administration. Nurses’ attitudes toward medication administration safety were at an individual level but this research found that the pendulum has swung to systems gap that is the culture on a unit and how nurses feel about their roles. In conclusion, healthcare leaders have updated safety principles and guidelines to find out how errors are examined, addressed and understood. There has been improvement in systems such as electronic health record, bar code medication administration system etc. Though these systems are in place it’s still the responsibility of the administering nurse to make sure it is the right medication given to the right patient at the right time.   

Amanda Jane Wilson, Lorinda Palmer, Tracy Levett-Jones, Conor Gilligan & Sue 

Outram (2016) Interprofessional collaborative practice for medication safety: Nursing, 

pharmacy, and medical graduates’ experiences and perspectives, Journal of 

Interprofessional Care, 30:5, 649-654, DOI: 10.1080/13561820.2016.1191450

-This source is an academic peer reviewed journal published in 2016 on the journal of interprofessional care. The authors are from the school of medicine in Australia and are experts in their respective fields including PHD. The purpose of this article is to report the experiences provided by practicing Australian nurses, doctors, and pharmacist in reference to collaborative practice in dealing medication safety. The study found that although collaborative measures in place, medication still prevails. Furthermore, the authors discovered that collaboration expands beyond knowing your coworker, it is knowing their values and respecting what each brings to the team. It also provides for better communication amongst team member in a setting where the demand for patient safety is critical. The authors indicate areas of improvement in which coworkers are urged to speak out to the interdisciplinary team when situation arise that can compromise patient safety in medication administration.  I found that this article had a particular perspective that is often overlooked. When each team member acts independently it can create room for errors. However, working collaboratively has proven to enhance the communication between healthcare personnel hence, increasing moral and patient safety.

NHS FPX 4000 Assessment 2 Applying Research Skills TS

Bengtsson, M., Ekedahl, A.-B. I., & Sjöström, K. (2021). Errors linked to medication 

management in nursing homes: an interview study. BMC Nursing20(1), 1–10. 

https://doi.org/10.1186/s12912-021-00587-2

-This source is an academic peer reviewed journal published 2021. The purpose of this article is to highlight the links associated with medication errors which may lead to life threatening events. This research founded that there are three factors that contributes to medication errors. They are Man, Technology, and Organization. The study further showed that in a nursing home setting, the administration of drug can be quite extensive. Administration of medication was not only dependent on the person administering the drugs but the overall working condition. For example, in a nursing home one nurse is usually responsible for administering medication to multiple patients. if an incident occurs and the nurse must stop to attend to that incident, he or she may become distracted or even forget if they have already given the medication to patient. Furthermore, prescription drugs are always changing making it sometimes difficult to keep up with the constant demands of the changes. Medication has names that often look and sound alike making it an ongoing challenge for nurses to pay attention to those little details that if missed could potentiate harm to patients.   I included this article because it clearly demonstrated the issues healthcare professional face on a daily basis. Sometimes there is not enough hands in a facility to facilitate effective distribution of medication. The conclusion and finding of this article demonstrated crucial areas of concern in reducing the incidence of medication errors. Improving technology to keep up with the changes of prescription medication, increasing the number of staff to keep up with the safety and wellbeing of patients, and having constant safety discussions with staff are all ways to decrease the incidence of medication errors.

NHS FPX 4000 Assessment 2 Applying Research Skills TS

Dirik, H. F., Samur, M., Seren Intepeler, S., & Hewison, A. (2019). Nurses’ identification and 

reporting of medication errors. Journal of Clinical Nursing, 28(5-6), 931-

938. https://doi.org/10.1111/jocn.14716

This source is an academic peer reviewed journal published 2018 by the journal of clinical nursing. The purpose of this article is to investigate nurse’s involvement in identifying and reporting medication errors that occurred in a region in Turkey. The study found that administration of incorrect dose of medication was frequent, followed by administration of medication via the wrong route, and giving patient the wrong medication with look alike, sound alike similarity. It was noted that some nurses were reluctant in reporting medication errors in fear that they would lose their jobs. This fear of reporting not only cause a delay in possible treating side effects that may occur but can pose lethal harm to the patient. I included this article because it provided good information on nurse’s response to medication errors. The conclusion to this article is that patients’ lives are at risk when nurse fail to report a medication error. In most instance some nurses were willing to report life threatening medication errors to physicians but were unwilling to report those that they thought were not life threatening. 

Learning from Developing an Annotated Bibliography

Peer-reviewed journal articles are important. They allow for writers the ability to assist in discussion of their topics with credible sources. I obtained important evidence for the discussion on medication errors as well as up to date relevant resources that were written and examined by experts in a respective field. By doing the research, I gathered a more in depth understanding how healthcare workers can reduce the incidence of medication errors, systems that are being created to prevent them and nurse’s perception of medication errors. For example, one of the peer reviewed journal Interprofessional collaborative practice for medication safety T found that although collaborative measures are in place, medication errors still prevail. (Amanda jane Wilson at al, 2016). The finding showed that working collaboratively and respecting each other professional ability can lead to better communication hence enhancing safety outcomes for patients.  There are Many factors that play a role in medication errors not just lack of administering personnel getting distracted or not managing time appropriately. Medication errors also occurs due to an organization’s structure and lack of continuing education. As a nurse on the forefront, I understand the importance of keeping patient safety priority. This research has enlightened me to the environmental factors that can contribute to medication errors and how healthcare professional can work together to decrease its occurrence.

NHS FPX 4000 Assessment 2 Applying Research Skills TS

References

Armstrong, G. E. , Dietrich, M. , Norman, L. , Barnsteiner, J. & Mion, L. (2017). Nurses’ 

Perceived Skills and Attitudes About Updated Safety Concepts. Journal of Nursing Care 

Quality, 32 (3), 226-233. doi: 10.1097/NCQ.0000000000000226.

 Amanda Jane Wilson, Lorinda Palmer, Tracy Levett-Jones, Conor Gilligan & Sue 

Outram (2016) Interprofessional collaborative practice for medication safety: Nursing, 

pharmacy, and medical graduates’ experiences and perspectives, Journal of 

Interprofessional Care, 30:5, 649-654, DOI: 10.1080/13561820.2016.1191450

Bengtsson, M., Ekedahl, A.-B. I., & Sjöström, K. (2021). Errors linked to medication 

management in nursing homes: an interview study. BMC Nursing20(1), 1–10. 

https://doi.org/10.1186/s12912-021-00587-2

Dirik, H. F., Samur, M., Seren Intepeler, S., & Hewison, A. (2019). Nurses’ identification and 

reporting of medication errors. Journal of Clinical Nursing, 28(5-6), 931-

938. https://doi.org/10.1111/jocn.14716

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