Evaluation of Knowledge of Pharmacology among Nurses at Rajaie Heart Hospital and Its Position in Care Ethics
- Fatemeh Ashtiani - MSc in Critical Care Nursing, Rajaie Heart Hospital, Tehran, Iran
- Naser Hadavand - Assistant Professor, Rajaie Heart Hospital, Tehran, Iran [hadavandn@yahoo.com]
- Behzad Momeni - Msc in Nursing, Rajaie Heart Hospital, Tehran, Iran
- Ali Ansarifar - Msc in Community Health Nursing Management, Supervisor of Health Education, Rajaie Heart Hospital, Tehran, Iran
Abstract
Background: Nurses' knowledge of pharmacology is a fundamental pillar of care ethics and one of the key elements of nursing. The aim of this study was to determine the level of knowledge of pharmacology and its position in care ethics among nurses of Rajaie Heart Hospital in Tehran.
Methods: This study was a descriptive-analytical one. Using a stratified sampling method, 230 nurses from Rajaie Heart Hospital were selected. The data collection instrument was a demographic checklist and nurses' pharmacology knowledge questionnaire. Validity and reliability of questionnaires were confirmed. Next, statistical tests were conducted and data were analyzed through SPSS software version 18.
Results: The level of nurses' knowledge in pharmacology was average among the selected group. A survey of pharmacological knowledge in different areas showed that in fields of drug mechanism, drug complications and nursing care, the knowledge of nurses was average, but the level of knowledge in the field of medicine was optimal. Comparison of pharmacology knowledge between public sector nurses and specialist nurses did not show any significant difference. Among the studied variables, participation in educational classes demonstrated a significant correlation with nurses' knowledge (p<0.001).
Conclusion: Based on the results of this study and the importance of pharmaco-logy knowledge in care ethics, it is suggested that establishing training courses for boosting nurses' knowledge be prioritized in nursing education planning.
Keywords
References:
- Najafi H. [Medication prescription error is one of the most common error in medical professional]. Proceeding of the 1st. Inter Congress Forensic Medical; 2009 May 25-27; Tehran, Iran. 2009. Persian.
- Ghamari Zare Z, Purfarzad Z, Ghorbani M, Zamani M. [Factors affecting learning of pharmaceutical care in clinical education: Arak nursing students’ perspectives]. Iran J Med Educ. 2012:12(4):265-73. Persian.
- Manias E. Pharmacology content in under-graduate nursing programs: Is there enough to support nurses in providing safe and effective care? Int J Nurs Stud. 2009;46:1-3.
- Hajibabaie F, Joolai S, Peyravi H, Haghani H. [Medication errors nurses and relationship with some individual characteristics and organizational]. IJNR. 2011;20:83-92. Persian.
- Kim K, Kwon S, Kim J, Cho S. Nurse perceptions of medication errors and their contributing factors in South Korea. J Nurs Manag. 2011;19:346-53.
- Lisby M Nielsen LP, Mainz J. Errors in the medication process: frequency, type and potential clinical consequences. Int J Quality Health-care. 2005;17(1):15-22.
- Unver V, Tastan S, Akbayrak N. Medication errors: perspectives of newly graduated and experienced nurses. Int J Nurs Pract. 2012;18(4): 317-24.
- Hughes RG, Ortiz E. Medication errors: why they happen and how they can be prevented. Am J Nurs. 2005;105(3):14-24.
- Mayo AM, Duncan D. Nurse perceptions of medication errors what we need to know for patient safety. J Nurs Care Qual 2004;19(3):209-17.
- Tahery N, Rashidi avandi M, Hojjati H, Gorgian Z. Factors affecting harmful medication errors viewed by nurses employed by the hospitals affiliated to Abadan University of Medical Sciences, 2011. J Educ Ethics Nurs. 2013;2(3).
- Jolaee S, Hajibabaiee F, Payravi H, Haghani H. [Nursing medication errors and its relationship with work condition in Iran University of Medical Sciences]. Iran J Med Ethics and History of Med. 2009;3(1):65-76. Persian.
- Marshal Shlafer M, Hoffman GL, Ryland K. Pharmacology and therapeutics for nursing course description and policies. Pharmacology. 2012:1-9.
- Ahangarzadeh Rezaei S, Bagaei R, Feizi A, Rahimi F. A survey on the nursing related factors influencing medication error incidence. J Urmia Nurs Midwifery Fac. 2014;12(12): 1088-93.
- Gillian F, Cavell C. Allice Oborne. Anonymously reported medication errors: the tip of the iceberg. Int J Pharm Pract. 2007:9(suppl):R 52.
- Soozani A, Bagheri H, Pourheydari M. [Survey of factors influencing medication errors by nurses in the hospitals of Imam Hussein (PBUH) Shahrod]. J Sci Health. 2007;2(3):8-13. Persian.
- Hajinezhad M, Azodi P, Rafii F, Ramezanian N, Tarighat M. [Perspectives of Patients and Nurses on Caring Behaviors of Nurses]. J School of Nursing and Midwifery Tehran Univ Med Sci (Hayat). 2011;17(4):36-45. Persian.
- Sahebzadeh M, Hosseini SM, Javadi Nejad N, Farazandeh Mehr A. [The study of equipment, safet, hygine, personnel standards andtheir correlation with employee performance in surgery department of the educational hospitals in Isfahan]. Hospital. 2011;10(2):1-12. Persian.
- Grandell-Niemi H, Hupli M, Leino-Kilpi H, Puukka P. Medication calculation skills of nurses in Finland. J Clin Nurs. 2003;12(4): 519-28.
- Rahimi S, Seyyed rasouli E. [A survey of knowledge of nurses in educational hospitals of Tabriz about Pharmaceutical precautions]. J Nurs. 2002;36(16):36-42. Persian.
- Henderson A, Tyler S. Facilitating learning in clinical practice: Evaluation of a trial of a supervisor of clinical education role. Nurs Educ Pract. 2011;11(5):288-92.
- Taylor C, Lilies P, Lemone P. Fundamentals of nursing. 5th Ed. Philadelphia: Lippincott; 2005.
- Grandell-Niemi H, Hupli M, Leinokilpi H, Puukka P. Finnish nurses’ and nursing students’ pharmacological skills. J Clin Nurs. 2005;14:685-94.
- Sanagoo A, Majnoni MZ, Jouybari LM, Ghana S, Kalantari S. [Studying the nursing students experiences of clinical errors and dealing with them]. Nurs Res. 2012;25:45-53. Persian.
- Breslin JM, MacRae SK, Bell J, Singer PA. Top 10 health care ethics challenges facing the public: views of Toronto bioethicists. BMC Med Ethics. 2005;6(1):5.
- Hoseini-Esfidarjani S, Negarandeh R. A new view towards resolving the nursing shortage challenge. Hayat. 2017;23(3):196-200.
- Woods M. Nursing ethics education: are we really delivering the good (s)? Nurs Ethics. 2005;12(1):5-18.
- Arshadi Bostanabad M, Abdolalipour M, Nazari L. East at reactions drug adverse about nurses unit neonatal of knowledge s related some and province Azarbaijan. Iran J Pedaitr Nurs. 2016;2(3):9-16.
- Post, SG. Encyclopedia of bioethics. 3rd ed. New York: Macmillan; 2004. p. 359-70.
- Leininger. The phenomenon of caring. Part v. Caring: the essence and central focus of nursing. Nurs Res Rep. 1977;12(1):2-14.
- Mayeroff M. [On Caring]. 1st ed. Tehran: Haman Publishing; 1990. 55 p. Persian.
- Khajeali N, Baghaei R. A comparative study of drug knowledge and drug calculation skills among critical and general nurses. Nurs Manag. 2013;2(4):48-55.
- Jabbari N, Houman K, Rahimi B. Assessment the level of patient safety observance in the intravenous injection of contrast media in radiology departments of Urmia university hos-pitals. J Hospital. 2013;12(2):63-72.
- Mahmoudi markid F, Feizi A. The level of injection safety standards compliance by emergency department nurses educational hospitals in Urmia university of medical science. J Urmia Nurs Midwifery Fac. 2016;14(1):10-20.
- Bizhani M, Kouhpayeh SA, Abadi R, Tavacool Z. Effective factors on the Incidence of medication errors from the nursing staff perspective in various department of Fasa Hospital. J Fasa Univ Med Sci. 2013;3(1):88-93.
- Dadgari A, Kasaeian A, Davar L, Kalatejari M, Rezaee M, Mirzaee M. Effects of educa-tion on nurses’ knowledge and skill in drug dosage calculation. Knowledge Health. 2012;7(1):20-6.
- Page K, McKinney AA. Addressing medication errors the role of undergraduate nurse education. Nurs Educ Today. 2007;27(3):219-24.
- Yousefi MS, Abed Saeedi Z, Maleki M, Sar-bakhsh P. Frequency and causes of medication errors of nurses in different shift works in educational hospitals affiliated to Shahid Beheshti University of Medical Sciences. J Shahid Beheshti School Nurs Midwifery. 2014;24(86):27-34.
- Hajibabaee F, Joolaee S, Peyravi H, Haghani H. The relationship of medication errors among nurses with some organizational and demographic characteristics. Iran J Nurs Res. 2011;6(20):83-92.
- Ito H, Yamazumi S. Common types of medication errors on long-term psychiatric care units. Int J Qual Health Care. 2003;15(3):207-12.
- Sheu SJ, Wei IL, Chen CH, Yu S, Tang FI. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69.
- Mrayyan MT, Shishani K, Al‐Faouri IB. Rate, causes and reporting of medication errors in Jordan: nurses’ perspectives. J Nurs Manage. 2007;15(6):659-70.
- Mackie JE, Bruce CD. Increasing nursing students' understanding and accuracy with medical dose calculations: A collaborative approach. Nurs Educ Today. 2016;40:146-53.