NHS4000 Assignment 2 PDF

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Applying Library Research Skills

Deanna Dustin Capella University NHS4000: Developing a Health Care Perspective Dr. Harden February 2021

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Applying Library Research Skills With nurses facing increase responsibilities and an increase in patients due to the current pandemic, medication errors can happen more frequently than hospitals are used to seeing. Medication errors not only effect the nurse but they can adversely affect the patients. Ensuring proper medication dosing, preparation, and administration is crucial and needs to be addressed by each member of the health care team to include nurses. As a nurse, I am responsible for advocating for my patients and to ensure that they are receiving the medication in the correct dosage and form. Although I am not the one who orders the medication or prepares it, I am the last person to have the medication in my hand before administering it. For example, I currently work in the neurological intensive care unit where all of our patients are on various seizure medications. I was preparing my patient to go down for an MRI when a new medication ordered appeared on my computer. As I looked at the order, it was a new medication for this patient and one we did not talk about putting this patient on this particular medication in our interdisciplinary rounds. I messaged our provider about the order and they responded that they ordered it for the wrong patient and not to administer the medication. Since that situation, I have been more alert to all of my medication orders for each of my patients and feel it is an important issue to discuss so it can be prevented.

Identifying Academic Peer Reviewed Journal Articles Using Summon, a search engine provided by Capella University, I was able to access articles that are carried by databases such as “Wiley Online” and “PubMed”. To assist my search, I used

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keywords such as “medication errors”, “Nursing”, and “Prevention”. With the advanced search option provided, I was able to limit all searches to only scholarly and peer-reviewed journals and selected the option to only display articles published within the last five years.

Assessing Credibility and Relevance of Information Sources In order to ensure credibility, I selected peer reviewed journal articles that were published in the past five years. I made sure the sources were published by individuals with the proper credentials such as PhD, MSN, BSN, and PharmD. I also ensured the authors did not have any conflict of interests with who may have funded the study. To ensure the articles contained information that was relevant to the topic, I confirmed that they contained facts, opinions, and sources related to medication errors. I also confirmed that the information was sourced correctly and had a clearly defined purpose. Lastly, I ensured that the articles contained relevant and pertinent information regarding medication errors.

Annotated Bibliography Duruk, N., Zencir, G., & Eser, I. (2016). Interruption of the medication preparation process and an examination of factors causing interruptions. Journal of Nursing Management, 24. https://doi.org/10.1111/jonm.12331. This article analyzes the factors that lead to medication errors by focusing on interruptions during the medication preparation process. The authors cited past studies which shown that medication errors were the most common errors and the errors that affected patient safety the most. The authors

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hypnotized that if the know the factors causing medication errors, they can make recommendations and implement policies to help prevent errors in the future. The authors conclude their study by expressing how the frequency of interruptions during the medication preparation process was very high and the majority of the interruptions came from other staff on the unit or family members. The believe that nursing management should work to decrease the number of patients each nurse has, provide in-service education to nurses and other hospital staff. The believe that the education would be helpful for enhancing the environment by creating rooms specifically for medication preparation. This article is relevant to preventing medication errors because it examines causes for medication errors and provides solutions to help prevent medication errors. Owens, K., Palmore, M., Penoyer, D., & Viers, P. (2020). The Effect of Implementing Bar-Code Medication Administration in An Emergency Department on Medication Administration Errors and Nursing Satisfaction. Journal of Emergency Medicine, 46(6), 884–891. This article examines the use of bar-code medication administration in a community emergency department. The authors conducted their data by using the medication admiration error reports provided by the hospital and the “MAS-NAS” survey. The MASNAS survey is an 18-item survey to assist in determining nursing satisfaction. The authors conclude their study by stating that implementing a bar code medication administration system in an emergency department reduces medication error and improves nursing satisfaction. This article was chosen because medication errors can happen more frequently in the emergency department and this article provides evidence related to that as well as solutions to help prevent medication errors in the future.

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Rutledge, D. N., Retrosi, T., & Ostrowski, G. (2018). Barriers to medication error reporting among hospital nurses. Journal of Clinical Nursing, 27, 1941–1949. https://doi.org/10.1111/jocn14335. . In this article, authors examine the barriers in reporting medication errors throughout hospitals. The authors use a medication error reporting questionnaire to determine why nurses do not report medication errors. In the study, the authors find that most nurses are either lacking knowledge in reporting or they do not report out of fear of disciplinary action. The authors conclude the article by stating that hospitals need to continue to determine barriers to medication error reporting and to find creative ways to engage nursing staff. In addition to these suggestions, they recommend showing all new hospital employees how to report a medication error and to frequently refresh the employee’s knowledge throughout the year. The article was chosen because it identified barriers to reporting medication errors and recommended practices to enhance reporting which can lead to a hospital identifying a system issue to prevent medication errors.

Treiber, L. A., & Jones, J. H. (2018). After the Medication Error: Recent Nursing Graduates' Reflection on Adequacy of Education. Journal of Nursing Education, 57(5), 275–280. This article focuses on nursing graduates and how they feel that their education prepared them for handling medication errors. The authors wanted to understand the individual and system level factors that surround a medication error and the aftermath of a medication error. The authors utilized a survey method with the nursing graduates to collect their data. In their conclusion, the authors stated that medication errors caused the nursing graduate emotional distress and that they felt they were treated differently after they

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reported the medication error. The participants also stated that they wished they had more medication administration practice in nursing school to help assist in preventing medication errors. The authors suggest for nursing leaders and management to help guide the nursing graduate through the medication error and how to prevent it. The also suggested that nursing management give new nurses the confidence that they can report system issues such as medication scanners not working so that they can further prevent medication errors on the nurse’s part and the hospitals part. This particular article was chosen because it focuses on new graduate nurses who are less likely to report mistakes out of fear. The article was also chosen because it examined how nurses feel after the medication error and what the hospital management can do to help support the nurses.

Learnings from research This research helped me gather important facts and opinions on preventing medication errors by using peer-reviewed journals. This researched helped me to better understand why medication errors are not reported and how to prevent the medication error from happening. For example, after reading the article on recent nursing graduates and medication errors by Treiber and Jones (2018), I learned about how medication errors can occur due to system issues and not only individual issues. I was also unaware how in certain states, nursing students felt they needed more time in school practicing medication administration so that they were more comfortable. This was new information for me because at my nursing school, we were able to administer medications from the very first semester and had frequent check offs relating to medication administration. Further, by creating an annotated bibliography, I was able to summarize all of the

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research which will assist me if I choose to continue writing papers on preventing medication errors.

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References Duruk, N., Zencir, G., & Eser, I. (2016). Interruption of the medication preparation process and an examination of factors causing interruptions. Journal of Nursing Management, 24. https://doi.org/10.1111/jonm.12331

Owens, K., Palmore, M., Penoyer, D., & Viers, P. (2020). The Effect of Implementing Bar-Code Medication Administration in An Emergency Department on Medication Administration Errors and Nursing Satisfaction. Journal of Emergency Medicine, 46(6), 884–891.

Rutledge, D. N., Retrosi, T., & Ostrowski, G. (2018). Barriers to medication error reporting among hospital nurses. Journal of Clinical Nursing, 27, 1941–1949. https://doi.org/10.1111/jocn14335

Treiber, L. A., & Jones, J. H. (2018). After the Medication Error: Recent Nursing Graduates' Reflection on Adequacy of Education. Journal of Nursing Education, 57(5), 275–280....