Exploring nurses’ experience about facilitating factors in medication administration based on clinical judgment of nurses: A content analysis
Journal Title: Electronic Physician - Year 2017, Vol 9, Issue 12
Abstract
BACKGROUND: Clinical judgment of nurses to conduct medication orders is based on patient assessment, medication knowledge, observation, and interpretation of the data collected. This process is influenced by many factors. OBJECTIVE: This study aims to explore nurses' experience about facilitating factors in medication administration based on clinical judgment of nurses. METHODS: This qualitative study was part of an approved project research of the Iranian National Institute of Health Research, which was conducted in Kurdistan University of Medical Sciences in 2015. Based on purposive sampling of 18 participants, 26 open and semistructured interviews were conducted. Based on conventional content analysis method and using MAXQDA2010, coding and categorizing the data were applied. During the analysis, data collection continued until saturation. RESULTS: Analysis of the data led to the emergence of five themes, including the implementation of evidence-based medication orders, situational-based medication orders, medication orders in critical condition, educational interventions in medication orders, and supporting the nurses as facilitator of the implementation of medicinal orders based on clinical judgment of nurses. CONCLUSION: In response to constraints such as the routines, clinical crisis and lack of evidence in medicinal orders, nurses used following ways to fix these barriers and facilitators. Combining evidence such as clinical guidelines, physician's views based on patients, and clinical conditions proved the best facilitator. It is recommended that, using these results, a perfect background for the proper administration of medication orders by nurses should be provided
Authors and Affiliations
Jamal Seidi, Fatemeh Alhani, Farasat Ardalan
Keywords
Related Articles
- EP ID EP333525
- DOI 10.19082/6063
- Views 99
- Downloads 0
Relationship between time management skills and anxiety and academic motivation of nursing students in Tehran
INTRODUCTION: Time management skills are essential for nursing students' success, and development of clinical competence. The purpose of this study was to determine the relationship between time management skills and anx...
Effect of low dose aspirin and dipyridamole on primary patency of arteriovenous grafts in hemodialysis patients: a randomized double-blind placebo-controlled trial
BACKGROUND: There is some evidence for the efficacy of antiplatelet therapies in increasing the vascular access patency duration or decreasing the thrombosis of arteriovenous grafts. OBJECTIVE: To determine the effect o...
Implementing Clinical governance in Iranian hospitals: purpose, process and pitfalls.
Clinical governance as an approach to improving the quality and safety of clinical care has been run in all Iranian hospitals since 2009. This study aimed to provide a comprehensive overview of the processes and challeng...
First report of death due to Hemiscorpius acanthocercus envenomation in Iran: Case report.
Scorpion stings are significant causes of death in the western and southern regions of Iran. To date, reports have indicated that the H. lepturus species is the main cause of mortality due to scorpion stings. One of the...
Retirement homes: Social participation and quality of life
INTRODUCTION: Social participation is considered as a means of improving one's quality of life, thus the study aimed at assessing the association between the quality of life and social participation in the elderly. METH...