(Anderson, Anderson & Glanze, 2009) Defines evidence based practice as the practice of nursing in which the nurse makes clinical decisions on the basis of the best available current research evidence, his or her own clinical expertise, and the needs and preferences of the patient. Evidence based practice provides nurses with a method to use critically appraised and scientifically proven evidence for delivering quality health care to their patients. Research is a useful and valuable tool to the field of nursing.
While this particular research article explores nurses’ clinical reasoning when it comes to medication safety. It acknowledges nurses for their expertise in decision making when it comes to safe medication administration. Thesis The introduction section of this article is responsible for identifying medication errors as “the most common type of errors in health care and states that on average a patient could expect at least one medication error per hospital day and that as many as 7,000 deaths might occur each year in hospitals because of medication errors”(Dickson&Flynn, 2011).
These numbers are astounding; to think that as a patient in one’s local hospital he or she could be a victim of medication administration error. The article identifies nurses as the largest segment of the healthcare system and states that they are at the center of patient care” (Dickson&Flynn, 2011). It also accredits nurses for contributing to positive patient outcomes; but still nurses aren’t acknowledged for their perspectives and actions. The explanation of medication errors and the potential of how and when these errors could originate were quite clear.
The article is definitely favorable of nurses and could very well have been written by someone who is a nurse. Evidence of Thesis The evidence of the literature was quite thorough and the authors utilized reputable resources to conduct their study by using a grounded theory design. The authors admit that they had little to no knowledge about the issue of medication errors so they went directly to the sources of such knowledge. The researchers didn’t use novice nurses, (Dickson&Flynn, 2011) reports that they used a seasoned group of 50 registered nurses whom ll worked on surgical care units, with 51% having more than 14 years of nursing experience. An associate’s degree/diploma was the highest degree held by 71% of the nurses, whereas 27% held a baccalaureate degree and one nurse had just completed a master’s degree in nursing. The nurses were encouraged to talk about what they thought help to ensure safe practices when it came to medication administration. The nurses were honest in their reporting, they spoke about how many errors were not reported due to time consummation and how it was just easier to correct the problem and go on with their day since the patient wasn’t harmed.
They talked about how many errors originated from the doctor’s order or maybe even from pharmacy possibly sending the wrong medication for the patient. The authors report that their findings identified an emerging model of nurses’ clinical reasoning, describing the impact of nurses’ safety processes and practices in intercepting medication errors before they reached the patients. Nurses save hospitals thousands of dollars due to their knowledge and use of clinical reasoning to prevent medication errors; yet are not acknowledged for their expertise in decision making. Contribution to Body of Knowledge
Nurses as health care providers are in positions to identify and intervene to prevent medication errors. With an increase in awareness and expansion of knowledge nurses may be able to monitor themselves and their colleagues to be able to recognize potential errors. This article is relevant to the profession of nursing and should be read by every nursing student. This is a prime example of why it is so important to pass a dosage test and it is taught in nursing schools to CYA or CYB, if these nurses had in fact administered the medication they would have been the ones at fault for negligence.
These nurses could have very well faced losing their license or having charges brought against them for loss of life. Every nurse should use “clinical reasoning” while in practice. Recommendations Although the article was found to be quite informative and very useful to the practice of nursing it was redundant in majority of its reporting. It would have been interesting to read the pharmacists and doctors’ opinion on medication errors as well, none of these were consulted.
References: Anderson, K., Anderson, L. E., & Glanze, W. D. (2009). Mosby\\\. (8 ed.). C.V. Mosby. Dickson, G. L., & Flynn, L. (2011). Nurses' clinical reasoning: Processes and practices of medication safety. SAGE Journal, 22(1), 3-16. doi: 10.1177/1049732311420448