Exploring Inpatient Medication Patterns
| Autor: | Carolyn Valdez, Figaro L Loresto, Kathryn Eron, Stephanie Grim, John M. Welton |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Big Data Male Schedule medicine.medical_specialty Prescription Drugs Time Factors Leadership and Management Big data Nursing Service Hospital MEDLINE Nursing Staff Hospital Drug Administration Schedule 03 medical and health sciences Time difference Linear regression Humans Medicine Aged Retrospective Studies Inpatients 030504 nursing business.industry Multilevel model Retrospective cohort study General Medicine Medication administration Middle Aged Nursing Evaluation Research Emergency medicine Multilevel Analysis Female 0305 other medical science business |
| Zdroj: | JONA: The Journal of Nursing Administration. 49:336-342 |
| ISSN: | 1539-0721 0002-0443 |
| Popis: | Exploratory study to examine inpatient medication administration patterns.Data from multiple sources were utilized for this study. The outcome was time difference between medication schedule and administration. A 3-level hierarchical linear regression approach, both unadjusted and adjusted, was considered for this study where medication administration events are nested within patients nested within nurses or units. Intraclass correlation coefficients (ICCs) were calculated and compared.On average, medications were delayed by 12 (SD, 48.8) minutes. From the full model, patient ICCs decreased when "unit" replaced "nurse" as the 3rd level (0.541 vs 0.444). Patients who spoke Spanish had a significant 2.3- to 4.2-minute delay in medication administration. Certified nurses significantly give medications earlier compared with noncertified nurses by 1.6 minutes.Optimal medication administration is a multifactorial concern with nurses playing a role. Nursing leaders should also consider patient demographics and unit conditions, such as culture, for medication administration optimization. |
| Databáze: | OpenAIRE |
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