AIM:The aim of the study was to develop and validate an instrument to evaluate nurses' knowledge and to understand the obstacles that they encounter when administering resuscitation medications. BACKGROUND:Insufficient knowledge is a major factor in nurses' drug administration errors. Resuscitation involves situations in which doctors issue oral orders, and is inherently highly stressful. Sufficient knowledge is vital for nurses if they are to respond quickly and accurately when administering resuscitation medications. METHODS:A cross-sectional study was conducted. A questionnaire (20 true-false questions) developed from literature and expert input, and validated by subject experts and one pilot study, was used to evaluate nurses' knowledge of resuscitation medications. Stratified sampling and descriptive statistics were applied. RESULTS:A total of 188 nurses participated. The overall correct answer rate was 70.5% and the greater the nurse's work experience the higher the score. Only 8% of nurses considered themselves to have sufficient knowledge and 73.9% hoped to gain more training about resuscitation medications. The leading obstacle reported was "interruption of the drug administration procedure on resuscitation" (62.8%). Seventeen out of 20 questions achieved a discriminatory power of over 0.36, indicating good to excellent questions. In the study, a total of 16 resuscitation medication errors were reported by the participants, in which the errors involved atropine (five cases), epinephrine (three cases) and others (eight cases). The errors mainly involved misinterpretation of orders, insufficient knowledge and confusing certain drugs for other look-alike drugs. CONCLUSION:Evidence-based results strongly suggest that nurses have insufficient knowledge and could benefit from longer working experience and additional training about resuscitation medications. Further research to validate the instrument is needed and the education of nurses regarding resuscitation medications is recommended.

译文

目的:该研究的目的是开发和验证一种工具,以评估护士的知识并了解他们在服用复苏药物时遇到的障碍。
背景:知识不足是造成护士用药错误的主要因素。复苏涉及医生发出口头命令的情况,并且固有地压力很大。如果护士要在服用复苏药时迅速而准确地做出反应,那么足够的知识对他们至关重要。
方法:进行横断面研究。根据文献和专家的意见编制了问卷(20个真假问题),并经过主题专家和一项先导研究的验证,用于评估护士对复苏药物的知识。应用分层抽样和描述性统计。
结果:共有188名护士参加。总体正确答案率为70.5%,护士的工作经验越多,得分就越高。只有8%的护士认为自己具有足够的知识,而73.9%的护士希望获得更多有关复苏药物的培训。报告的主要障碍是“复苏时中断给药过程”(62.8%)。 20个问题中有17个的歧视能力超过0.36,表明问题的优劣。在该研究中,参与者报告了总共16例复苏用药错误,其中错误涉及阿托品(5例),肾上腺素(3例)和其他(8例)。错误主要包括对命令的误解,知识不足以及将某些药物与其他相似药物混淆。
结论:基于证据的结果强烈表明护士知识不足,可以从更长的工作经验和有关复苏药物的额外培训中受益。需要进行进一步的研究以验证该仪器,并建议对护士进行复苏药物的教育。

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