不明な指示に対して看護師はどう行動する? : 看護師の注射薬指示確認行動とチームエラー誘発要因に関する研究<人文・社会科学>
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Objective: The aim of this study was to clarify nurses' verification behavior when doctors' orders are ambiguous and when team error inducing factors exist.Method: A questionnaire survey was conducted in one university, and data was collected from student nurses, graduate nurses, and their colleagues. Two hundred and thirty subjects responded (total response rate: 75.4%).Results: Student nurses and other less experienced nurses tended to obey doctors even when unsure about the appropriateness of the orders given. Those orders that would not be harmful to the patient were followed more often. Moreover, student nurses administered harmful medicines without verification more often than experienced nurses did. When team error inducing factors existed, especially an excessive authority gradient, excessive professional courtesy, and cultures in which order confirmation between doctors and nurses was not a practice, student and graduate nurses tended to carry out doctors' orders.Conclusion: To prevent medical accidents, nurses should be able to detect, indicate, and correct errors. Programs focusing on assertiveness communication, collaborative order verification between doctors and nurses, and the identification of a risk profile for harmful medication errors will aid student and senior nurses in developing these skills.
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