Perceptions of Nursing Management and Practices in Management for High-Alert Drugs among Registered Nurses at Nakhon Pathom Hospital
Article Sidebar
Main Article Content
Abstract
This cross-sectional descriptive study aims to examine 1) practices in management for High-Alert Drugs of registered nurses, personal factors and perceptions on nursing management of registered nurses, 2) the relationship between personal factors and perceptions of nursing management and the practices in management for High-Alert drugs of Registered nurses, and 3) influence of those factors on the practices in management for High-Alert drugs of registered nurses, all among registered nurses (RNs) at Nakhon Phathom Hospital. The study involved a sample of 259 RNs at the hospital who had worked there for at least one year with randomly selected using stratified sampling. The research tool was a questionnaire about perceptions of nursing management and practices in management for high-alert drugs of registered nurses with a reliability coefficient of .93 and .97. Data were analyzed by using descriptive statistics, Pearson's correlation coefficient, and multiple regression. The results showed that,
Registered nurses' level of practice in administering High-Alert Drugs, the overall level is high (M = 4.49, SD = .71); their overall factors related to nursing management based on the 7-S framework are at a middle level (M = 4.13, SD = .81), the factors related to nursing management based on the 7-S framework is a moderate positive correlation with practice in administering High-Alert Drugs (r = .50, .49, .48, .45, .45, and .42) are significantly (p < .001) correlated with share values and culture, the work system and leadership (Beta = .28, .21, and .19) show a positive influence on their practice in administering High-Alert Drugs with 33.10 % predictive efficiency.
This research indicates that the hospital’s administrators should create a development plan for organizational values and culture. The readiness of the work system is efficient. Executive leadership that supports registered nurses in the safe administration of high-risk medicines for patients.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Content and information published in the Journal of Prachomklao College of Nursing, Phetchaburi Province are the comment and responsibility of the authors. Articles, information, images, etc. published in this journal are the copyright of the Journal of Prachomklao College of Nursing, Phetchaburi Province. If any person or entity wants to take all or part of it for publication for any purposes, please reference the Journal of Prachomklao College of Nursing, Phetchaburi Province.
References
Benner, P. (1984). From novice to expert, excellence and power in clinical nursing practice. Addison-Wesley Publishing Company.
Doommai, N., Chiaranai, C., & Hamilton, S. (2021). Nurse’s role in high alert drug administration. Journal of Health and Nursing Education, 27(2), 227-240. (in Thai)
Hair, F. J., Black, C. W., Babin, J. B., & Anderson, E. R. (2010). Multivariate data analysis. (7th ed). Pearson Education.
Institute for Hospital Development and Accreditation. (2017).Patient safety concept and practice. Hospital Quality Accreditation Institute. (in Thai)
Institute for Safe Medication Practices: ISMP. (2018). High-alert medications in acute care settings. https://www.ismp.org/recommendations/high-alert-medications-acute-list
Jumpang, T., Rudtanasudjatum, K., & Jaidee, W. (2012). Factors Influencing the Success of Public Sector Management Quality Award Based on Perception of the Personnel at the Regional Level, Ministry of Public Health. The Public Health Journal of Burapha University, 7(2), 38-52. (in Thai)
Kaewsomsee, S., Wattayu, N., & Suwonnaroop, N. (2017). Factors related to nursing practice for patient safety of registered nurses in community hospitals, Phetchabun Province. Journal of Nursing Science Chulalongkorn University, 29(3), 101-112. (in Thai)
Karnasutha, P. (1999). Statistics for behavioral science research. (3rd ed.). Chulalongkorn University Press. (in Thai)
Khrueawang, K. (2018). Medication errors. Public Health & Health Laws Journal, 4(2), 251-265. (in Thai)
Lamsawadikul, W., & Asawachaiwikrom, W. (2006). Tools for writing a nursing thesis in the Thesis Course 1. Department of Nursing Science, Sukhothai Thammathirat Open University. (in Thai)
Leklersindhu, S. (2019). Management of local government organizations in the central provinces. Journal of Humanities and Social Sciences Thonburi University, 13(3), 41-51. (in Thai)
Mongkolvisut, V., Wingwon, B., Intayos, H., & Meksuwan, A. (2018). The policy perception, executive’s leadership and participation toward the effectiveness of nursing organizations. Journal of Modern Management Science, 11(1), 1-16. (in Thai)
Nakhon Pathom Hospital Quality Center. (2022). Self-assessment report of Nakhon Pathom Hospital nursing group. Nakhon Pathom Hospital. (in Thai)
Ningsanon, T., Chulawathanathon, S., & Monthakantikul, P. (2011). Drug management for patient safety (3rd ed.). Hospital Pharmacy Association (Thailand). (in Thai)
Nursing Department, Nakhon Pathom Hospital. (2023). Self-assessment form for supervision of the nursing profession. Nursing Department, Nakhon Pathom Hospital. (in Thai)
Nursing Division, Ministry of Public Health. (2008). Nursing standards in hospitals (2nd ed.). The War Veterans Organization of Thailand. (in Thai)
Oradee, A., Geeraphong, P., & Pensirinpa, N. (2020). Patient safety culture for pharmacy departments at community hospitals in Kalasin Province. Research and Development Health System Journal, 13(1), 25-33. (in Thai)
Phativikraiwong, P., Chankong, W., & Ratiolan, S. (2018). Factors affecting success of strategic planning in administration at Sirindhorn College of Public Health in Yala. The Southern College Network Journal of Nursing and Public Health, 5(3), 110-120. (in Thai)
Phritphongphan, P. (2011). Factors related to behavior in preventing errors in medication administration of professional nurses in inpatient wards, internal medicine department, Phramongkutklao Hospital [Unpublished Master Thesis]. Kasetsart University. (in Thai)
Plengarom, P. (2021). The development of nursing management model for safety of high alert drug administration Chaophrayayommarat Hospital, Suphan Buri. Region 4-5 Medical Journal, 40(1), 137-150. (in Thai)
Saneha, C., Musikthong, J., Sripasong, S., & Samai, T. (2018). Relationships among personal factors, perception about safety methods in medication administration and safe medication practices of nursing students at a faculty of nursing in Bangkok Metropolis. Journal of Nursing Science, 36(1), 17-30. (in Thai)
Sujcharit, C. (2010). The 7's McKinsey management factors affect the administration procedures of NaThong Sub-district Administrates Organization, Chiang Yuen District, Mahasarakham Province [Unpublished Master Thesis]. Maha Sarakham Rajabhat University. (in Thai)
The Association of Hospital Pharmacist (Thailand). (2022). Professional standards. Hospital Pharmacy 2018 – 2022. http://www.haihp.org/index.php?option=other_detail&lang=th&id=307&sub=-1
Wanthanatas, R., Sritrakul, R., Dapha S., Changming, A., Learahabumrung, P., & Naklamai, A. (2018). Development of a nursing clinical supervision model for high alert drugs (HADs) administration with nurse supervisors’ participation in Nakhon Pathom Hospital. Journal of Nursing and Health Care, 36(1), 234-243. (in Thai)
Waterman, J. R. H., Peters, T. J., & Phillips, J. R. (1980). Structure is not organization. Business Horizons, 23(3), 14-26.
World Health Organization. (2015). The Kingdom of Thailand health system review. World Health Organization Regional Office for the Western Pacific.
World Health Organization. (2017). Medication without harm. https://www.who.int/initiatives/medication-without-harm
