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Nurses' Perceptions of and Satisfaction With the Medication Administration System in Long–Term–Care Homes

Perceptions des infirmières et degré de satisfaction à l'égard du système d'administration des médicaments dans les maisons de soins de longue durée

Authors: Kaasalainen, Sharon; Agarwal, Gina; Dolovich, Lisa; Papaioannou, Alexandra; Brazil, Kevin; Akhtar–Danesh, Noori

Source: CJNR (Canadian Journal of Nursing Research), Volume 42, Number 4, December 2010 , pp. 58-79(22)

Publisher: McGill School of Nursing

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Abstract:

The purpose of this study was to explore nurses' perceptions of and level of satisfaction with the medication administration system in long–term care (LTC). The cross–sectional survey design included both quantitative and open–ended questions. Data were collected from licensed registered nurses (RNs) and registered practical nurses (RPNs) at 9 LTC residences in southwestern Ontario, Canada. Using independent sample tests, the researchers found that RNs were significantly less satisfied than RPNs with their medication administration system, particularly with respect to safety issues. RNs identified a number of related barriers, including time constraints, poor packaging, insufficient drug information, prescription changes, lack of staff competency, and unwieldy medication carts. Implications for practice and policy are discussed, including recommendations for improving medication administration practices and for addressing the workload demands of LTC nurses.

French
Notre étude visait à explorer les perceptions des infirmières ainsi que leur degré de satisfaction à l'égard du système d'administration des médicaments dans les maisons de soins de longue durée (SLD). Notre enquête transversale renfermait à la fois des questions quantitatives et ouvertes. Les données ont été recueillies auprès d'infirmières autorisées (IA) et d'infirmières auxiliaires autorisées (IAA) actives dans neuf maisons de SLD du sud de l'Ontario au Canada. Après avoir effectué des tests t pour échantillon indépendant, nous avons découvert que le degré de satisfaction à l'égard du système d'administration des médicaments était sensiblement moins élevé chez les IA que chez les IAA, notamment en ce qui concerne les questions de sécurité. Les IA ont relevé un certain nombre d'obstacles : contraintes de temps; problèmes relatifs à l'emballage; information insuffisante sur les médicaments; modifications des ordonnances; lacunes en matière de compétences; chariots de médicaments difficiles à manier. Les implications découlant de ces observations sont présentées en conclusion et assorties de recommandations destinées à améliorer les pratiques en matière d'administration des médicaments et à faciliter le travail des infirmières en SLD.

Keywords: LICENSED NURSES; LONG–TERM CARE; MEDICATION MANAGEMENT

Document Type: Research Article

Publication date: December 1, 2010

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  • CJNR is a peer-reviewed, quarterly journal published by the McGill University School of Nursing since 1969. With world-wide circulation, CJNR's primary mandate is to publish original nursing research that develops basic knowledge for the discipline and examines the application of the knowledge in practice. Research related to education and history is also welcomed, as are methodological, theoretical, and review papers that advance nursing science. Letters or commentaries about published articles are encouraged. Learn more.
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