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首页> 外文期刊>International Journal of Research in Medical Sciences >Perceived contributory factors to medication administration errors (MAEs) and barriers to self-reporting among nurses working in paediatric units of selected referral hospitals in Rwanda
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Perceived contributory factors to medication administration errors (MAEs) and barriers to self-reporting among nurses working in paediatric units of selected referral hospitals in Rwanda

机译：在卢旺达部分转诊医院儿科工作的护士中，药物管理错误（MAE）和自我报告障碍的感知因素

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Background: Medication administration errors (MAEs) occur in health care settings however, the types, contributing factors to MAEs and barriers to reporting are not well studied in Rwandan context. Methods: Quantitative approach was adopted. Descriptive cross-sectional design was used. A convenience sampling was used to select 151 nurses working in the paediatric units of the selected teaching hospitals in Rwanda. Pre-tested questionnaire for validity and reliability was used to collect data. Data was coded and entered into SPSS version 21. Descriptive statistics and inferential statistics (Chi-square test) were used to analyze data. Results: Approximately 33.6% of the participants were able to identify one type, 17.4 % two, 18.1% three, 17.4% four types, 10.7% six types and only 2.7% identified all the seven MAEs. Identified main contributory factor to MAEs was the heavy workload it like this-Identified main contributory factor to MAEs was the heavy workload [82 (55%)]. The main barrier to self-reporting was fear to be blamed if something happens to the patient as a result of the medication administration error (88 (59.1%)). All the socio demographic were associated with the types of MAEs committed by participants. In addition, the experience, marital status and job position of the participants were significantly associated with factors contributing to MAEs (p= .001, p=.000 and p= .044) respectively whereas all the socio demographic were significantly associated with barriers to self reporting. Conclusions: Factors contributing to MAEs were found in both parties and barriers to self-reporting were identified to be the fear reasons and administrative reasons. Therefore, the heavy workload should be addressed to reduce MAEs and a non-punitive environment is imperative in encouraging self-reporting of MAEs.
机译：背景：在医疗机构中会发生药物管理错误（MAE），但是在卢旺达语境下，对MAE的类型，影响因素和报告障碍的研究还不够深入。方法：采用定量方法。使用描述性横截面设计。便利抽样被用来选择卢旺达选定教学医院的儿科部门的151名护士。使用经过预先测试的有效性和可靠性问卷来收集数据。数据被编码并输入SPSS版本21。描述性统计和推论统计（卡方检验）用于分析数据。结果：大约33.6％的参与者能够识别一种类型，两种类型分别为17.4％，18.1％三种，四种类型的17.4％，六种类型的10.7％，而全部7种MAE只能识别出2.7％。确定的MAE的主要促成因素是繁重的工作量，就像这样-确定的MAE的主要促成因素是繁重的工作量[82（55％）]。自我报告的主要障碍是，如果由于用药错误而使患者发生某些事情，恐怕会受到指责（88（59.1％））。所有的社会人口统计都与参与者实施的MAE的类型有关。此外，参与者的经历，婚姻状况和工作位置分别与造成MAE的因素显着相关（p = .001，p = .000和p = .044），而所有社会人口统计因素均与障碍相关。自我报告。结论：双方均发现了造成MAE的因素，并且发现自我报告的障碍是恐惧原因和管理原因。因此，应减少繁重的工作量以减少MAE，在鼓励自我报告MAE时必须采用非惩罚性环境。

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