الفهرس 
Significance of the studyOnly 14 pages are availabe for public view
 |  | from | 277 |  |  |
| | | from | 277 | | |
Abstract
Safety measures are activities and precautions taken to improve
safety, i.e. reduces risk related to human health. Medication Safety,
which refers to a dockside-to-bedside medication administration
strategy, designed to ensure the “rights” as right patient, right
medication, right dose, right route and right time. Medication
Administration is a basic entry level of competency, Safe medication
administration requires knowledge of pharmacology, patient
assessment, standards and institutional policies, skills in various forms
of administration and judgment around safe medication practices
This study aims to asses nurses’ application of safety measures
related to medication administration through: Identifying nurses’
knowledge regarding safety measures of medication administration.
Assessing nurses’ performance of safety measures regarding
medication administration. Finding out the relationship between
nurses’ knowledge and their performance of safety measures
regarding medication administration.
The study subjects include sixty eight nurses who working in the
medical and surgical departments at Nasser City police hospital,
which affiliated to the Ministry of Entry. Two tools of data collection
were used to carry out this study. (1) Self-administrated questionnaire sheet: which divided into two parts; Part1: demographic data of the
study subject, such as age, sex, qualification, years of experience,
attending training courses about administering medication,
attending training courses about patient safety. Part2:It will be
consist of multiple choice questions to assess nurses’ knowledge
regarding safety measures of medication administration. It includes
different dimensions as: universal safety measures, patient rights,
preparation of medication, and medication documentation. (2) An
observation checklist: It aims at assessing nurses’ application of safety
measures regarding medication administration routes.
The present study revealed that the following main results:
• As regards to nurses’ knowledge of safety measures related to medication
administration, more than half of the study subjects had an unsatisfactory
knowledge, regarding (Universal Safety measures, General medication
knowledge, Patient rights, the nurse rules for the medication cupboard,
Medication routs, Medication documentation, Hospital Medication policy).
• Also two third of study subject had unsatisfactory knowledge, regarding
(Medication order, Medication preparation, Medication calculation, The
names of medical groups, Infection control procedures, Ways of fluid
drops account, Receiving medication, Recording and reporting the
therapeutic errors).
• Less than half of the study subject had satisfactory knowledge, regarding
(Medication administration).
• Less than half of the study subjects had an average level of total
knowledge about safety measures related to medication administration.• As regards to nurses’ performance related to the basic steps of medication
administration, the majority of nurses had adequate performance related to
pre- procedure, more than half of staff nurses had inadequate performance
related to during- procedure. In addition, the majority of nurses had
inadequate performance related to post procedure.
• This study showed that, more than half of staff nurses’ didn’t perform
hand hygiene before and after medication administration
• The most of nurses in the study sample used the wrong techniques during
preparation of medication.
• The present study revealed that more than half of the nurses had
inadequate performance related to oral medication administration (pre,
during, post).
• As regards nurses’ performance related to IM Injection, the present study
revealed that, half of the nurses had adequate performance related to preprocedure, the majority of nurses had inadequate performance related to
during procedure and post procedure.
• As regards medication administration performance related to IV Injection
the present study revealed that, more than half of study subject had
performance check basic steps of medication administration. Two third
percent of the nurses had inadequate performance related to pre-procedure,
during the procedure of medication administration.
• As well as, more than half of study subject had Perform basic Steps of post
procedure of the medication administration, check periodically the
infusion rate and site related to IV Injection.
• As regards nurses’ performance related to Infusion pump, three quarters of
nurses had inadequate performance related to pre-procedure, during
procedure, post procedure of medication administration.• These results also revealed that, a statistically highly significant difference
related to Ambulatory Infusion Pump, oral medication. While there was
statistical significance difference related to the I.M. Injection.
• Additionally A statistical relation between total nurses’ knowledge about
safety measuresv related to medication administration and their
demographic characteristics among study subjects. Highly statistically
significantly related to (Marital status and Years of Experience), while
statistically significantly related to (age and educational qualification).
• These results also revealed that there was no statistically significant
difference between total nurses’ performance of safety measures related to
medication administration and their total demographic characteristics.
• There was no statistical significant correlation between total nurses’
knowledge and their total performance of safety measures related to
medication administration.
• Based on the study finds, it concluded that more than half of study subject
had unsatisfactory knowledge related to medication administration, more
than half of study subject had inadequate performance related to safety
measures of medication administration
• The researcher recommended that, hospitals should establish a policy
concerning the medication administration, and this policy should be
available at each hospital unit and each nurse should be clearly acquainted
with this policy.
• Develop manual procedure books, about medication administration.
• Establishing a clinical pharmacist service in each department.