Said BODUR, EMEL FİLİZ, Ayşe ÇİMEN, Canan KAPÇI

Ebelik ve hemşirelik son sınıf öğrencilerinin hasta güvenliği ve tıbbi hatalar konusundaki tutumu

Amaç: Bu betimleyici çalışma, ebelik ve hemşirelik son sınıf öğrencilerinin hasta güvenliği ve tıbbi hatalar hakkındaki bilgi ve tutumlarının değerlendirilmesi amacıyla yapıldı. Yöntem: Araştırma, 2009 yılında Konya'da ebelik ve hemşirelik lisans son sınıf öğrencilerinde uygulandı. Veri toplama sürecinde okulda bulunan 45 ebelik, 50 hemşirelik öğrencisi örnekleme alındı. Veriler 24 soruluk anket formu kullanılarak toplandı. Bulgular: Araştırmaya katılan öğrencilerin yaş ortalaması 22±1 idi. Ebe ve hemşire adaylarınca, kendileriyle ilgili olarak, % 37'sinin stajları sırasında tıbbi hata yaptıkları, hataların yarıdan çoğunun (% 59) ilaç hataları olduğu, yapılan hataların % 12'sinde hastaların zarar gördüğü, ancak çoğunlukla (% 71) hataları rapor etmedikleri ifade edildi. Staj arkadaşları için ise bu oranları daha yüksek olarak bildirdiler. Tıbbi hataları en sık hekimlerin yaptığı (% 38) belirtildi. Sonuç: Ebe ve hemşire adaylarının tıbbi hata yapma oranı yüksek, hata bildirimi ise düşüktür. Tıbbi hataları önlemede müfredatta hasta güvenliği eğitiminin daha fazla yer alması, hasta güvenliğine katkı sağlayabilir.

Attitude of final year students of midwifery and nursing school on patient safety and medical errors

Objective: The purpose of this descriptive study was to evaluate the attitude of final-year students of midwifery and nursing school on patient safety and medical errors. Methods: The research was conducted on final-year midwifery and nursing students in 2009 in Konya. On the day when the data were collected, 45 midwifery and 50 nursing students were included for the research. A 24 item questionnaire form was used to collect data. Results: Average age of the students who participated in the study was 22±1. Thirty seven percent of the students said that they made medical errors during their clinical training and that 59% of the errors were pharmaceutical errors. They also reported that 12% of the errors fatal errors and that they didn't report the errors they made (71%). Students also reported higher rates for their fellows. It was also found that most frequent medical errors are made by doctors (38%). Conclusion: It was found that the error making rate of midwifery and nursing students were high. To prevent medical errors, it is necessary that education on patient safety is introduced into the midwifery and nursing school curriculum.

PDF

___

1. Healthcare Risk Control. Culture of safety. ECRI Institute; 2009. URL:https://www.ecri.org/Documents/ Patient_Safety_ Center/HRC_CultureofSafety.pdf. (22.11.2011).
2. Wold Health Organization.World Alliance for patient safety. Forward programme 2006-2007. Geneva: WHO Press; 2006. 3. Farquhar M, Sharp BAC, Clancy CM. Patient safety in nursing practice. AORN J. 2007; 86:455-7.
4. Sharif F, Masoumi S. A qualitative study of nursing student experiences of clinical practice. BMC Nursing. 2005; 4:6.
5. Firth-Cozens J. Cultures for improving patient safety through learning: the role of teamwork. Quality in Health Care. 2001;10(suppl 2):ii26-ii31.
6. Henderson AJ, Forrester K, Heel A. The establishment of structures and processes for the safe and effective clinical placement of nursing students. Nurse Educ Pract. 2006;6:275- 80.
7. Vaismoradi M, Salsali M, Marck P. Patient safety: nursing students' perspectives and the role of nursing education to provide safe care. Int Nurs Rev. 2011;58:434-42.
8. WHO. Patient Safety Curriculum Guide for Medical Schools. France: WHO Press; 2009.
9. WHO. Patient Safety Curriculum Guide. Multi-professional Edition. Malta: WHO Press; 2011.
10. Hume M. Changing hospital culture, systems reduce drug errors. Exec Solut Healthc Manage. 1999;2: 4-9.
11. Mayo AM, Duncan D. Nurse perceptions of medication errors: what we need to know for patient safety. J Nurs Care Qual. 2004;19:209-17.
12. Kohn LT, Corrigan JM, Donaldson MS (eds). To err is human: Building a safer health system. Institute of Medicine. Washington, DC: National Academy Pres; 2000.
13. Wolf ZR, Hicks R, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006; 22:39-51.
14. Patey R, Rlin R, Cuthbertson BH, MacDonald L, Meams K, Cleland J et al. Patient safety: Helping medical student understand error in healthcare. Qual Saf Health Care. 2007;16:256-9.
15. Akgün S, Al-Assaf AF. Sağlık kuruluşlarında hasta güvenliği kültürü nasıl oluşturabiliriz? Sağlık Düşüncesi ve Tıp Kültürü Derg. 2007;3:42-7.
16. VanGeest JB, Cummins DS. An educational needs assessment for improving patient safety. National Patient Safety Foundation, White Paper Report 3. 2003;1-28.
17. Çırpı F, Merih YD, Kocabey MY. Hasta güvenliğine yönelik hemşirelik uygulamalarının ve hemşirelerin bu konudaki görüşlerinin belirlenmesi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Derg. 2009;2:26-34.
18. WHO. Global standards for the initial education of professional nurses and midwives. Geneva: WHO press.; 2009. http://www.who.int/hrh/nursing_midwifery/en/. (12.01.2011).
19. Vaismoradi M. Nursing education curriculum for improving patient safety. Journal of Nursing Education and Practice. 2012;2:101-4.
20. Maddox P, Wakefield M, Bull J. Patient safety and the need for professional and educational change. Nurs Outlook. 2001;49:8-13.
21. Karadeniz G, Cakmakci A. Nurses' perceptions of medication errors. Int J Clin Pharmacol Res. 2002;22:111-6.
22. Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses's perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007; 22:28-33.
23. Koohestani HR, Baghcheghi N. Barriers to the reporting of medication administration errors among nursing students. Aust J Adv Nurs. 2009;27:66-74.
24. Kyrkjebø JM, Hage I. What we know and what they do: nursing students' experiences of improvement knowledge in clinical practice. Nurse Educ Today. 2005; 25: 167-75.
25. Attree M, Cooke H, Wakefield A. Patient safety in an English pre-registration nursing curriculum. Nurse Educ Pract. 2008; 8:239-48.
26. Bodur S, Filiz E. A survey on patient safety culture in primary healthcare services in Turkey. Int J Qual Health Care. 2009;21:348-55.
27. Bodur S, Filiz E. Validity and reliability of Turkish version of 'Hospital Survey on Patient Safety Culture' and perception of patient safety in public hospitals in Turkey. BMC Health Serv Res. 2010; 10:28.
28. IOM (Institute of Medicine). Preventing Medication Errors: Quality Chasm Series. Washington, DC: National Academy Press. 2007.
29. Armitage G, Knapman H. Adverse events in drug administration: A literature review. J Nurs Manag. 2003;11:130-40.
30. Ayık G, Özsoy S, Çetinkaya A. Hemşirelik öğrencilerinin ilaç uygulama hataları. İ.Ü.F.N. Hem Derg. 2010;18:136-43.
31. Barker K, Flynn E, Pepper G, Bates D, Mikeal R. Medication errors observed in 36 health care facililties. Arch Intern Med. 2002;162:1897-903.
32. Bodur S, Filiz E. Sağlık çalışanları ve toplumun tıbbi hatalar konusundaki tutumları. İçinde: III. Uluslararası Hasta Güvenliği Kongresi Bildiri Kitabı. 11-13 Haziran 2009; İstanbul; 2009. s.52-3.
33. King RL. Nurses' perceptions of their pharmacology educational needs, J Adv Nurs. 2004;45:392-400.
34. Koohestani H, Baghcheghi N. Investigation medication errors of nursing students in Cardiac Care Unite. Sci J Forensic Med. 2008;13:249-55.
35. Baghcheghi N, Koohestani HR. Nursing students' errors in preparation and administration of intravenous drugs. Strides in Development of Medical Education. 2008; 5:43-9.