한국의료질향상학회지 (Quality Improvement in Health Care)

  • 제30권1호
  • /
  • Pages.88-104
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  • 2024
  • /
  • 1225-7613(pISSN)
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  • 2288-078X(eISSN)
한국의료질향상학회 (Korean Society for Quality in Health Care)
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간호사의 투약업무흐름 중단 중재전략 적합성 연구: 전문가 델파이 조사를 중심으로

Assessing the Suitability of Interruption Intervention Strategies in Nursing Medication Administration: A Delphi Study

  • 백승주 (중앙대학교 간호대학원) ;
  • 장승경 (인제대학교 간호학과) ;
  • 홍상희 (중앙대학교 서울병원) ;
  • 한수옥 (중앙대학교 광명병원) ;
  • 이원 (중앙대학교 간호학과)
  • Seung Ju Baek (Department of Nursing, The Graduate School, Chung-Ang University) ;
  • Seung Gyeong Jang (College of Nursing, Inje University) ;
  • Sang Hee Hong (Nursing Division, Chung-Ang University Hospital) ;
  • Soo Ok Han (Nursing Division, Chung-Ang University Gwangmyeong Hospital) ;
  • Won Lee (Department of Nursing, Chung-Ang University)
  • 투고 : 2024.03.29
  • 심사 : 2024.06.10
  • 발행 : 2024.06.30
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초록

Purpose: This study explored the suitability of interventions for medication interruption and intervention preferences. Methods: Two rounds of Delphi surveys were conducted with 18 expert panels comprising staff (or charge) nurses, nursing managers, and Quality Improvement (QI) team nurses working in a tertiary general hospital. For 47 situations involving the location of interruption, medication step, and source of interruption, the suitability of three interventions (no-interruption zone, medication safety vest, and education) was evaluated using a 5-point scale. Results: A total of 51 interventions for each situation were found appropriate by satisfying the degree of convergence and consensus. Patients or caregivers, peer nurses, doctors, telephones, and call bells were sources of interruption and were identified as appropriate for the application of interventions. 'Responding to requests and inquiries' by patients or caregivers showed high overall suitability. The nurses' preferred color for the intervention design (no-interruption zone, medication safety vest) is blue text on a yellow background. The priority groups for education related to medication interruptions were patients or caregivers, nurses, and non-nursing staff, in that order. Conclusion: Effective implementation of tailored intervention strategies that consider the specific characteristics of medication interruptions is crucial for mitigating interruptions and enhancing patient safety. Comprehensive educational programs aimed at reducing medication interruptions by improving awareness are necessary. Moreover, future research should evaluate these strategies in clinical settings to ensure their effectiveness in enhancing patient safety.

키워드

과제정보

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2020R1G1A1101956).

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