Effects of a Professional Nurse Coaching Program on Adherence to Guidelines and Reduction of Error Rates in the Administration of High Alert Drugs

  • ประกายรุ่ง ต้นทัพไทย มหาลัยขอนแก่น
  • ขนิษฐา วรธงชัย ผู้ช่วยศาสตราจารย์ คณะพยาบาลศาสตร์ มหาวิทยาลัยขอนแก่น
Keywords: coaching program, high alert drugs, medications administration, medication errors

Abstract

This one group repeated measures study aimed to understand the effects of a coaching program on adherence to guidelines and it’s potential to reduce error rates in the administration of high alert drugs (HAD). The samples consisted of registered nurses working in the medical unit at Srinagarind Hospital. 32 registered nurses were purposively selected into two groups, with 16 assigned to the coach group and 16 to the coachee group. The intervention tools employed in this study were a coaching program, training program for coaches, knowledge coaching questionnaire, guidelines for administration of High Alert Drugs, and observational checklist regarding nurse practices, the measured CVI of the tools were 0.81, 1, 1, 0.96 and 0.81 respectively. The reliability of knowledge coaching questionnaire, guidelines, and observational checklist were 0.76, 0.81 and 1 respectively. The coach group received training program and knowledge coaching questionnaire while the coachee group received a coaching program administer by the coach group. The data were analyzed using Descriptive Statistics, paired t-test and One Way Repeated Measures ANOVA and pairwise comparisons test with Bonferroni method.

                                The results of the study showed that after the intervention, the mean of practice scores of the coachee group at one-month post receiving the coaching program (x̄ = 16.06, S.D. =1.57) and three-month post receiving the coaching program (x̄ = 17.25, S.D.= 0.68) were both higher than the scores at baseline (x̄ = 12.12, S.D.= 2.36) significant mean score difference (F2,30 = 67.67; p < .001). pairwise comparisons represent significant difference (p < .001). And after the intervention, the error rates scores of the coachee group at one-month post receiving the coaching program (2.1 error per 1000 in length of stay) and three-month post receiving the coaching program (1.02 error per 1000 in length of stay) were lower than the scores at baseline (4.5 error per 1000 in length of stay). This study indicates that coaching program resulting in professional nurses Increased use of guidelines for the administration of high alert drugs and can result in reduced errors in the administration of high alert drugs.

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Published
2020-03-26