Nursing Perception of the Impact of Medication Carts on Patient Safety and Ergonomics in a Teaching Health Care Center

2012 ◽  
Vol 26 (2) ◽  
pp. 131-137 ◽  
Author(s):  
Élise Rochais ◽  
Suzanne Atkinson ◽  
Jean-François Bussières

Objectives: In our Quebec (Canada) University Hospital Center, 68 medication carts have been implemented as part of a nationally funded project on drug distribution technologies. There are limited data published about the impact of medication carts in point-of-care units. Our main objective was to assess nursing staff’s perception and satisfaction of medication carts on patient safety and ergonomics. Method: Quantitative and qualitative cross-sectional study. Data were gathered from a printed questionnaire administered to nurses and an organized focus group composed of nurses and pharmacists. Results: A total of 195 nurses completed the questionnaire. Eighty percent of the nurses agreed that medication carts made health care staff’s work easier and 64% agreed that it helped to reduce medication incidents/accidents. Only 27% and 43% agreed that carts’ location reduces the risk of patients’ interruptions and colleagues’ interruptions, respectively. A total of 17 suggestions were extracted from the focus group (n = 7 nurses; n = 3 pharmacist) and will be implemented in the next year. Conclusions: This descriptive study confirms the positive perception and satisfaction of nurses exposed to medication carts. However, interruptions are a major concern and source of dissatisfaction. The focus group has revealed many issues which will be improved.

2013 ◽  
Vol 27 (2) ◽  
pp. 150-157 ◽  
Author(s):  
Élise Rochais ◽  
Suzanne Atkinson ◽  
Mélanie Guilbeault ◽  
Jean-François Bussières

Purpose: To evaluate how nursing staff felt about the impact of automated dispensing cabinets (ADCs) on the safe delivery of health care and workplace ergonomics. To identify the main issues involved in the use of this technology and to describe the corrective measures implemented. Methods: Cross-sectional descriptive study with quantitative and qualitative components. A questionnaire that consisted of 33 statements about ADC was distributed from May 24 to June 3, 2011. Results: A total of 172 (46%) of 375 nurses completed the questionnaire. Nursing staff considered the introduction of ADC made their work easier (level of agreement of 90%), helped to safely provide patients with care (91%), and helped to reduce medication incidents/accidents (81%). Nursing staff was particularly satisfied by the narcotic drugs management with the ADCs. Nursing staff were not satisfied with the additional delays in the preparation and administration of a medication dose and the inability to prevent a medication from being administered when stopped on the medication administration record (48%). Conclusion: The nursing staff members were satisfied with the use of ADC and believed it made their work easier, promoted safe patient care, and were perceived to reduce medication incidents/accidents.


2021 ◽  
Vol 30 (9) ◽  
pp. 91-98
Author(s):  
Vu Ngoc Ha ◽  
Mac Dang Tuan ◽  
Nguyen Thanh Trung ◽  
Nguyen Ngoc Huan ◽  
Luu Thi Lien ◽  
...  

A cross-sectional study using DASS21 was performed in June 2019 on staff working at the commune health stations (CHSs), regional general clinics and district general clinics in Soc Son district, Hanoi to assess the mental disorders of the health care workers are working here. Among the 355 health care workers (HCWs) who participated, women accounted for 75.5%. People aged under 30 accounting for 33.5% of HCWs. Physicians, nurses take up 54.4%, and HCWs in the Soc Son district have worked in the health sector for more than ten years, accounting for 45.1%. The study shows that the rates of stress, anxiety, and depression were 13.8%, 25.4% and 16.6%, respectively. 31% of HCWs have at least one mental disorder, 8.2% of study subjects have all three manifestations of mental disorders, 8.4% of study subjects have two symptoms and 14.4% of the study subjects had only one manifestation. The rates of stress, anxiety, and depression were initially screened from the research results. The development of research directions for defnitive diagnosis and support for improving health care workers’ mental health should be integrated.


Author(s):  
Abhishek Mehta ◽  
Kiran Tripathi

Background: Health care associated infections and emerging multi drug resistance in nosocomial pathogens is perceived as a serious public health threat with grievous concerns. Hand hygiene if practiced properly is cheapest, simplest and most effective tool in tackling this problem. The objective of this study was conducted to assess levels of knowledge, attitude and practice in various aspects of hand hygiene in nurses and nursing students in the study area for identifying gaps for planning necessary corrective measures.Methods: A cross sectional study involving self-administered pre-structured anonymous questionnaires administered to 50 staff nurses and 80 nursing students posted at a tertiary health care center of Central India. Z test of proportions was used to compare the percentages for each of the appropriate responses between the two study groups.Results: Most of the study participants exhibited moderate levels of knowledge and practice with marginal difference between two study groups. While nursing students were found to exhibit a remarkably higher level of attitude than staff nurses, difference being statistically significant.Conclusions: This study stresses upon the growing need for prompt interventions at institutional level for addressing the gaps evident from the study. 


2007 ◽  
Vol 4 (2) ◽  
pp. 78
Author(s):  
Sri Sedono Iswandi ◽  
Endy Paryanto Prawirohartono ◽  
Abidillah Mursyid

Background: Under nutrition remains a major malnutrition problem in Indonesia. In dealing with the problem, the Indonesian government has already implemented strategies including empowering health workers and families. It is very likely that the nutrition problem and the family awareness on nutrition are closely related. Families that practice balanced nutrition are able to recognize and cope with their nutrition problems are defined as nutritionally aware or better known as Kadarzi.Objective: To study the impact of nutrition training on family awareness on nutrition in Samarinda province of East Kalimantan.Method: This observational study was carried out using cross-sectional design. The study population was household with under five years old children in Samarinda. A hundred and thirty two households were drawn from the population with cluster random sampling technique. The data gathered in the study were Kadarzi indicators, achievement program on Kadarzi, and related information that was collected by inter-viewing Head of Primary Health Care Center (puskesmas) and Integrated Health Service Center (posyandu) cadres at the village level.Result: The training on nutrition had an effect to attainment of the family awareness (Kadarzi) in Samarinda (OR=6,9; 95 % CI =1,98 – 23,82). Other variable which playing a part in of the influence was mother education.Conclusion: Nutrition staff who were well trained had an effect to attainment of the family awareness.


2020 ◽  
Vol 7 (3) ◽  
pp. 13-21
Author(s):  
Lucky Sharma ◽  
Abhiskar Thapa ◽  
Hema Chand ◽  
Subash Pant ◽  
Arpana Neopane

Introduction: The use of personal protective equipment can be burdensome and the risk of COVID-19 infection for this group is high. This study details to evaluate how prepared Health Care Workers consider themselves to be regarding the delivery of infection prevention and control procedures in their place of work. Method: This is a cross-sectional study conducted at Kathmandu Medical College Teaching Hospital in September 2020. A questionnaire was given to participants along with the information about the study. Service demand, skills, beliefs about capabilities, beliefs about consequences, intentions, environmental context and resources, social influences, emotion, WHO Wellbeing (over the last two weeks) were taken as dependent variables. Result: Out of 112 participants, 58(51.7%) were doctors and 54(48.3%) nurses; 65(58.1%) female and 47(41.9%) were male. The mean age was 31.2±4.1 y. Service demand was scored lowest (mean 0.7 out of 7) and beliefs about consequences were scored highest (mean 5.7 out of 7). Conclusion: Healthcare workers agreed that personal protective equipment at work is sufficiently effective to prevent the spread of COVID-19. They were not confident that the health care center at present can manage or can continue to manage the current patient surge related to COVID-19.


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