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ethical issues in nursing medication error Bruner, Missouri

For full functionality of ResearchGate it is necessary to enable JavaScript. A semi-structured questionnaire was used to record types of error, hospital and nurse backgrounds, patient consequences, error discovery mechanisms and reporting rates. Across different types of hospitals, nurses were not different in regard to clinical errors and their treatments, and the resultant moral distress. As apparent in Table 2, not all nurses who reported errors/incidents perceived that these were due to the nursing shortage.

Using empirical data, we identified high-alert situations. Generated Thu, 13 Oct 2016 19:10:05 GMT by s_ac4 (squid/3.5.20) ERROR The requested URL could not be retrieved The following error was encountered while trying to retrieve the URL: http://0.0.0.10/ Connection It is not helpful to use the shortage as a general scapegoat for errors and unsafe incidents. Rich Zeller, Professor of Nursing, at Kent State University, College of Nursing for his assistance with methods and statistics in developing the survey and organizing and tabulating the data.

The majority of the participants were staff nurses who worked in hospitals. Generated Thu, 13 Oct 2016 19:10:05 GMT by s_ac4 (squid/3.5.20) RN participants consistently reported that other nurses had higher numbers of errors/incidents associated with the current nursing shortage as compared to their self-reports. rgreq-1b3afcaa3e13051cff4117a2f510a9b6 false ERROR The requested URL could not be retrieved The following error was encountered while trying to retrieve the URL: http://0.0.0.7/ Connection to 0.0.0.7 failed.

Highest Level of Educational Preparation of RN Participants Preparation N Associate Degree Graduate 409 Baccalaureate Degree Graduate 535 Master's or Higher Degree Graduate 314 Diploma Graduate 117 Total 1375* ________ * Yet nurses do make errors. Journal of Advanced Nursing, 33(2), 250- 256. Systematic reviews of clinical errors or untoward clinical incidents should focus not only on the errors/incidents but also must give consideration to whether nurses are experiencing moral distress and, if so,

Their analysis of the overall mean item scores showed that nurses experienced moral distress at "moderately high levels" (p. 253). Please try the request again. Submit a Manuscript Free Sample Copy Email Alerts RSS feed More about this journal About the Journal Editorial Board Manuscript Submission Abstracting/Indexing Subscribe Account Manager Recommend to Library Advertising Reprints Permissions Full-text · Chapter · Jan 2008 · Journal of Clinical NursingZane Robinson WolfRonda G.

Concerning management of the nurses involved by senior staff, most participants experienced fairness, comfort and understanding during the process of reporting and investigation. Effective ways are lacking to encourage nurses to actively report errors. Your cache administrator is webmaster. Kohn, T., Corrigan, J., & Donaldson, M. (2000).

All rights reserved.About us · Contact us · Careers · Developers · News · Help Center · Privacy · Terms · Copyright | Advertising · Recruiting We use cookies to give you the best possible experience on ResearchGate. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. This issue summarizes and highlights trends from the OJIN survey on "Errors, Shortage and Ethics" that 1,386 of you participated in from October 30, 2002 to December 10, 2002. The ethical issues relating to the incidents were discussed, particularly in the Chinese context.

Clinical errors and untoward clinical incidents are shown in Table 2. HughesRead full-textUsing snowball sampling method with nurses to understand medication administration errors[Show abstract] [Hide abstract] ABSTRACT: We aimed to encourage nurses to release information about drug administration errors to increase understanding We make no statistical assumptions about association and causal relationships among errors/incidents, nursing shortage and moral distress. Furthermore, the authors noted that moral distress was a factor in 15% (N=32) of their study participants leaving a prior job.

Decreased job satisfaction and emotional fatigue have been related to moral distress. According to them, items for the MDS "were developed from research on the moral problems that nurses confront in hospital practice" (p. 250). Powell’s (1997) study discussed earlier is also an example of this phenomenon. The system returned: (22) Invalid argument The remote host or network may be down.

In addition, some staff nurses exhibited unresolved feelings related to moral distress long after the moral distress incident(s) occurred. Powell (1997), in her study of the "Lived Experiences of Moral Distress Among Staff Nurses," found when conflicts about the moral aspects of caring for end-of-life patients occurred among health team NLM NIH DHHS USA.gov National Center for Biotechnology Information, U.S. incident disclosure medication errors nursing ethics CiteULike Connotea Delicious Digg Facebook Google+ LinkedIn Mendeley Reddit StumbleUpon Twitter What's this? « Previous | Next Article » Table of Contents This Article doi:

Silva, M. High-alert situations included administration of 15% KCl, insulin and Pitocin; using intravenous pumps; and implementation of cardiopulmonary resuscitation (CPR). AAT 9810373). Yet nurses do make errors.

Generated Thu, 13 Oct 2016 19:10:05 GMT by s_ac4 (squid/3.5.20) ERROR The requested URL could not be retrieved The following error was encountered while trying to retrieve the URL: http://0.0.0.8/ Connection This replicated study aimed to assess Jordanian Registered Nurses' (RNs) perceptions of clinical errors they had committed over the past year: assess nurses' perceptions of clinical errors committed by other nurses' Third, while we asked parallel questions of RN participants about other nurses’ experiences with errors/incidents, we believe this approach can be viewed as a limitation. Online Journal of Issues in Nursing.

In the present study, RNs reported experiencing moral distress related to the nursing shortage across all 11 categories of errors/incidents. Sometimes nurses will cover up a clinical error, an option that raises serious ethical questions and other health workers may be implicated and become involved (Erlen, 2001; Wolf, 2001; Armitage, 2005; For example, using Table 2, you can see that 78% of study RNs indicated that they did not give a medication or gave a medication at the wrong time; 69% believed Although carefully collected, accuracy cannot be guaranteed.

RNs perceived that clinical errors/untoward clinical incidents that they and other nurses experienced occurred largely because of the nursing shortage and resulted in moral distress. Journal of the American Medical Association (JAMA), 288 (16), 1987-1993. Differing provisions from the publisher's actual policy or licence agreement may be applicable.This publication is from a journal that may support self archiving.Learn more © 2008-2016 researchgate.net. Warning: The NCBI web site requires JavaScript to function.

Please try the request again. The survey had two major purposes: (a) first, to identify registered nurses’ (RNs) perceived experience with clinical errors or untoward clinical incidents over the past year, whether the errors/incidents were related Nurses' appropriate ethical responses to medication errors need to be supported. Regarding trend 4, it is initially important to address possible reasons why the study RNs reported higher errors/incidents among other nurses than among themselves.

In 1999, the Institute of Medicine (IOM) released a report to the public on the incidence of medical errors and untoward patient outcomes, detailing that as many as 98,000 deaths annually Seven registered nurses who were involved in medication errors were recruited for in-depth interviews. Sign In | My Tools | Contact Us | HELP Search all journals Advanced Search Search History Browse Journals Skip to main page content Home OnlineFirst All Issues Subscribe RSS Email