Index Meaningful to Nursing Purpose Method Research Strategy Results Research Study One Study Two Study Three Study Four Discussion Implications of Findings for Nurses Conclusion Limitation References Nursing is the profession essential in the provision of medical services. They are involved in the collection, preparation and administration of medicines for patients as prescribed by the competent authorities. Despite following doctor's orders, research has shown that nurses are prone to errors, incorrect preparation of medical forms, administration of wrong medications, mixing different medications for patients, and incorrect administration, among others. The presence and occurrence of any of these medication errors poses a significant risk to the health and recovery of inpatients and outpatients. According to Gorgich, Barfroshan, Ghoreishi, and Yaghoobi (2015), the source of medication errors in nursing practice is a common phenomenon. Despite this, research has shown that nurses' ability to detect the error in its initial states plays a fundamental role in preventing its progression and severity on the patient's health (Gorgich et al., 2015; Polit & Beck, 2018) . According to Fathi et al. (2017), the source of medication errors in nursing can be traced to, among others, pharmaceutical manufacturing, labeling, poor communication between healthcare professionals, long working hours and burnout, which affects nurses from all walks of life. plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original Essay Medication errors can range from fatal to mild depending on the type of medication offered and the intended use of the medication in treating the patient. While no organization is free from errors, in healthcare organizations the source of nursing errors varies from one organization to another. Therefore, it is essential to formulate preventive measures within healthcare organizations to prevent the recurrence of medication errors among nurses due to organizational or professional factors (Johari, Shamsuddin, Idris, & Hussin, 2013). Significant to Nursing This information is significant to nursing. as medication errors among nurses represent a global challenge that has been shown to increase patient mortality rates, hospital stays and the costs of providing care. Nurses should be at the forefront of reporting these cases whenever they arise because this not only improves the quality of healthcare but also elevates their standing in the profession. And because they spend more time with their patients than anyone else, they should have patients' best interests at heart when delegating their tasks. Purpose This article will explore the literature review of medication errors in different contexts and the underlying causes of these errors, while exploring solutions to omit or reduce such errors among nurses. Method Search Strategy Databases searched included Google Scholar, Journal of Nursing Health and Science, International Journal of Community Health and Public Health, Online Journal of Nursing Issues, US National Library of Medicine, National Institute of Health, and other nursing research journals provide Critical information on medication errors among nurses at different career and experience levels. Various key words and expressions were used in the document: "medical errors among nurses", "causes of medical errors",“intervention on medical errors”, “nursing perception of medical errors”, “nursing students”, “prevention”. For articles to be included in the literature review, they had to meet the specific criteria of being published between 2013 and 2019, have a full journal structure, and be published as peer-reviewed journals to ensure the most up-to-date information was reviewed. Results Over 100 journals met these criteria, so four were selected based on their relevance to medication errors among nurses. FindingStudy One A cross-sectional study published by Mahesh, Saba, and Gopi (2016) explored nurses' experience of medication errors and administrative practices, where 199 nurses were chosen by simple random sampling from Vydehi Hospitals in India were included . The study was conducted over a month and involved nurses from various departments of the hospital. A semi-structured questionnaire was administered to all nurses in a selected sample size (Mahesh et al., 2016). The Chi-Square was used to analyze the data, as the study explored two nominal values (Polit & Beck, 2018). Research has sought to establish the frequency of medication errors by nurses, the sources of errors, and the ability of nurses to prevent or report medical errors (Mahesh et al., 2016). According to researchers, 97% of nurses reported completing the 7 medication administration rights before administering any medications, as well as only administering medications to a maximum of two patients at a time (Mahesh et al., 2016) . Inadequate labeling of medications has been the leading cause of medical errors among nurses, as well as inadequate preparation methodology (Mahesh et al., 2016). According to Mahesh et al. (2016) a greater association was also found between years of experience and a decrease in cross-checking on the drug label before administration. When discussing self-reported medication errors, nurses often feel that it will negatively impact their career (Mahesh et al., 2016). However, if managers took a positive and reassuring attitude, they would encourage nurses to report near misses and medication errors in their practice (Mahesh et al., 2016 & Polit & Beck, 2018). Mahesh et al. (2016) suggest that health authorities provide nurses with specific medication training to minimize medication errors. Limitations to the study included its limitation to a hospital setting. Study two Johari, Shamsuddin, Idris, and Hussin (2013) conducted a study to determine medication errors among nurses in government-run hospitals in Northern Malaysia. A cross-sectional study design was implemented using a self-administered questionnaire (Johari et al., 2013). The study consisted of three demographics; 1 to 4 years, 5 to 10 years and 11+ years of experience as a nurse from various departments of the hospital (Johari et al., 2013). Johari et al., (2013) explored the level of medication knowledge among nurses and its contribution to medication errors. The study ruled out that years of experience were not the main contributor to medication errors, but knowledge of medications, high workload, increased number of new staff without in-depth knowledge of nursing practice, and complicated prescriptions of doctors were the main contributors to medication errors (Jorhari et al., 2013). The nurses' experience only influenced their attitude towards the patient and had no influenceon their knowledge of medications or their practice (Jorhari et al., 2013). Providing proper training to new staff and break rooms for nurses to relieve stress would help prevent medication errors as things become overworked (Jorhari et al., 2013). The study was limited by the lack of a control group and the authentication of information collected from the self-administered questionnaire. Further investigation is needed, as this study focused on a government-run hospital. The study ThreeFathi et al., 2017 conducted a convenience sampling study on 500 nurses, using a self-constructed questionnaire to explore medication errors among nurses in a university hospital in western Iran. The study took place over three months, examining the barriers nurses faced in reporting medication errors (Fathi et al., 2017). Research established that the frequency of medical errors among nurses was 17% in Iraq (Fathi et al., 2017). Heavy workload has been cited as the main cause of medication errors among nurses, unclear medical prescriptions, decreased patient-nurse ratios, and unfamiliarity with medications (Fathi et al., 2017). Despite the increase in self-reports of medication errors, the researchers found that fear was a significant cause for not reporting medication errors or near misses, followed by a lack of knowledge about the errors, and finally supervisors' perception of a therapeutic error (Fathi et al., 2017). As an intervention, strategies such as workload reduction would be effective not only for nurses but also for patients (Fathi et al., 2017). According to Polit and Beck (2018), the best intervention method can be designed accordingly for each health authority and be effective in reducing the incidence. The study indicated two limitations; was conducted in a government-funded hospital and did not focus on private and social security hospital; second, the self-report method lacked authenticity as its questions were self-generated and many participants came from different demographics (Fathi et al., 2017). Study Four A study by Gorgich et al., (2015) took the approach of viewing medication errors causes from the perspective of nurses and nursing students. A cross-sectional descriptive study, including 327 nurses from Khatam-al-Anbia hospitals and 62 interns from the nursing and midwifery program of Zahedan University, was conducted through convenience sampling (Gorgich et al., 2015). Nurses were required to have at least one year of experience in their current position, while nursing students were required to have completed the pharmacology course to participate in the study (Gorgich et al., 2015). A three-part questionnaire was used to collect data (Gorgich et al., 2015). The study established that the main cause of medication errors among nurses was burnout due to high workloads, while nursing students' medication errors were due to medication calculations (Gorgich et al, 2015). Nursing students using unreliable online calculators are more likely to make medication errors, any shortcuts in the process are dangerous and, therefore, unacceptable (Polit & Beck, 2018). The study suggested that reducing workload by increasing the number of nurses in each healthcare facility as a precautionary measure for burnout and introducing electronic medical records for patients could help reduce medication errors (Gorgich et al. , 2015). It is necessary.
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