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Title page for ETD etd-03222016-204532

Type of Document Dissertation
Author Armstrong, Gail Elizabeth
URN etd-03222016-204532
Title Nurses' Perceived Skills and Attitudes About Update Safety Concepts: Associations with Medication Administration Errors and Practices
Degree PhD
Department Nursing Science
Advisory Committee
Advisor Name Title
Lorraine Mion Committee Chair
Jane Barnsteiner Committee Member
Linda Norman Committee Member
Mary Dietrich Committee Member
  • medication administration errors
  • safety
  • medication administration practices
  • patient safety
Date of Defense 2016-03-14
Availability unrestricted
Healthcare organizations have incorporated updated safety principles in the analysis of errors and updating of norms, policies and standards. Error is an ongoing concern in healthcare, especially preventable adverse drug events, which include medication errors. Approximately one-quarter of medication errors occur at the administration phase, which is solely under the purview of the bedside nurse. Yet no research exists that assesses bedside nurses’ perceived skills or attitudes toward updated safety concepts. Based on identified gaps in the literature related to variables that impact medication administration errors (MAEs), the primary goal of this pilot study was to further explore the relationship among individual, unit and organizational mediated variables related to updated safety concepts and MAEs. Specific Aims were to: 1) develop and test the psychometrics of a scale assessing nurses’ perceived skills and attitudes about updated safety concepts, and 2) examine associations between perceived skills and attitudes and their impact on unit-level MAE rates and unit-level adherence to safe medication administration practices.
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