Challenges of safe medication practice in paediatric care: A nursing perspective
2013 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 102, no 5, 532-538 p.Article in journal (Refereed) Published
To explore nurses' experiences of handling medications in paediatric clinical practice, with a focus on factors that hinder and facilitate safe medication practices.
Twenty nurses (registered nurses) from four paediatric wards at two hospitals in Sweden were interviewed in focus groups. The interviews were analysed using content analysis.
Six themes emerged from the analysed interviews: the complexity specific for nurses working on paediatric wards are hindrances to safe medication practices; nurses concerns about medication errors causes a considerable psychological burden; the individual nurse works hard for safe medication practices and values support from other nurse colleagues; circumstances out of the ordinary are perceived as critical challenges for maintaining patient safety; nurses value clear instructions, guidelines and routines but these are often missing, variable or changeable; management, other medical professionals, the pharmacy, the pharmaceutical industry and informatics support need to respond to the requirements of the nurses working situations to improve safe medication practices.
Weaknesses were apparent in the long chain of the medication delivery process. A joint effort by different professions involved in that delivery process, and a nationwide collaboration between hospitals is recommended to increase safe medication practices in paediatric care.
Place, publisher, year, edition, pages
2013. Vol. 102, no 5, 532-538 p.
medication errors, paediatric nurses, safe medication practice
Medical and Health Sciences
Research subject Caring Sciences
IdentifiersURN: urn:nbn:se:uu:diva-197329DOI: 10.1111/apa.12212ISI: 000317361400030PubMedID: 23432129OAI: oai:DiVA.org:uu-197329DiVA: diva2:612569