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Focus group discussions of registered nurses’ perceptions of challenges in the medication administration process

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  • Marja Härkänen
  • Alwiena Blignaut
  • Katri Vehviläinen‐Julkunen

Abstract

Medication administration (MA) holds a great threat to patient safety, as MA errors remain a global problem. Nurses are key role players in the MA process and can give valuable information from the grassroots level. The aim of the present study was to describe registered nurses’ perceptions related to challenges in the MA process. Focus group interviews with registered nurses (n = 20) in two central hospitals in Finland were conducted in 2015. Inductive content analysis was performed. Nurses described multiple challenges during MA, which made the process demanding. These were organized under five themes: (i) medications; (ii) collaboration between health‐care professionals; (iii) resources and work environment; (iv) skills and education; and (v) patient‐related factors. The MA process is prone to errors, and registered nurses described many challenges related to MA. While nurses are responsible for their various work‐related tasks and the maintenance of patient safety through applicable procedures and effective collaboration, health systems and hospital management should be stewards of patient safety by ensuring adequate staffing levels and providing educational resources related to the MA process.

Suggested Citation

  • Marja Härkänen & Alwiena Blignaut & Katri Vehviläinen‐Julkunen, 2018. "Focus group discussions of registered nurses’ perceptions of challenges in the medication administration process," Nursing & Health Sciences, John Wiley & Sons, vol. 20(4), pages 431-437, December.
    • Handle: RePEc:wly:nuhsci:v:20:y:2018:i:4:p:431-437
    DOI: 10.1111/nhs.12432
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    References listed on IDEAS

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    1. Marja Härkänen & Susanna Saano & Katri Vehviläinen‐Julkunen, 2017. "Using incident reports to inform the prevention of medication administration errors," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(21-22), pages 3486-3499, November.
    2. Jeongeun Kim & David W Bates, 2013. "Medication administration errors by nurses: adherence to guidelines," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(3-4), pages 590-598, February.
    3. Janet Choo & Linda Johnston & Elizabeth Manias, 2013. "Nurses' medication administration practices at two Singaporean acute care hospitals," Nursing & Health Sciences, John Wiley & Sons, vol. 15(1), pages 101-108, March.
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    1. Marleen H. Lovink & Anneke (J.A.H.) van Vught & Anke Persoon & Raymond T.C.M. Koopmans & Miranda G.H. Laurant & Lisette Schoonhoven, 2019. "Skill mix change between physicians, nurse practitioners, physician assistants, and nurses in nursing homes: A qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 21(3), pages 282-290, September.

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