الفهرس 
Review of LiteratureOnly 14 pages are availabe for public view
 |  | from | 293 |  |  |
| | | from | 293 | | |
Abstract
Background: Encouraging patient engagement can facilitate effective medication management. Nurse plays an essential role in medication administration, teaching, and evaluating the effectiveness of medications in restoring or maintaining health. Aim: explore barriers and enhancers associated with patients and nurses participation in managing medications in specialty hospital settings. Design: A descriptive exploratory study design used to achieve the aim of this study. Methods: This study was conducted at open heart surgery intensive care units affiliated to Nasser Institute Hospital. Subject: A purposeful sample of 100 adults patients and 75 nurses working in intensive care units were included in the study. Tools: 1) Patient’s medications safety knowledge questionnaire. 2) Self-administered nurses’ knowledge assessment questionnaire. 3) Nurse’s practices observational checklist. Results: Approximately three quarters (72%) of the studied patients had unsatisfactory level of total knowledge regarding safe handling of the medications. More than two thirds of the studied patients (66%) demonstrated that there are barriers can prevent them from practicing their role in taking medication safely. Three quarters of the studied patients (75%) demonstrated that there are enhancers can help them practicing their role in the safe handling of medication. Total unsatisfactory level of nurses’ knowledge regarding safe administration of the medications and patient’s participation was 30.7%. Less than two thirds of the studied nurses (60%) had barriers that prevent them from practicing their role in the safe administration of the medications. Majority of the studied nurses (85.3%) had enhancers that help them to practice their role in the safe administration of the medications. Total satisfactory level of nurses’ practice regarding giving medications was 50.7%. Conclusion: The result of this study concluded that approximately three quarters of the studied patients had unsatisfactory level of total knowledge regarding safe handling of the medications. Less than half of nurses had total unsatisfactory level of knowledge regarding safe administration of the medications. There were barriers affect patient’s participation as (physical / health, psychological, social, economic, cultural, nurse/ physician/ clinical pharmacist, medication). There were enhancers affect patient’s participation related to (nurses/ physicians, social, medication). Barriers that affect nurse’s participation were related to (nurses, physician, medication, work environment, patient’s). Enhancers that affect nurse’s participation related to (physicians/ pharmacist, work environment). Recommendation: This study recommends conducting periodical educational program for patients and nurses to improve their knowledge about participation in medication safety taking into consideration barriers and enhancers associated with medication safety.
Keywords: Nurses Participation, Medication Safety, Barriers and Enhancers