Exploring Medication Errors in Hospitalized Patients: A Comprehensive Analysis

QUESTION

EBP topic: Medication errors in hospitalized patients

two scholarly peer-reviewed journal articles:

Savva, G., Papastavrou, E., Charalambous, A., Vryonides, S., & Merkouris, A. (2022). Exploring

nurses’ perceptions of medication error risk factors: Findings from a sequential qualitative study. Global Qualitative Nursing Research, 9, 1-12. doi.org/10.1177/23333936221094857

Jember, A., Hailu, M., Messele, A., Demeke, T., & Hassen, M. (2018). Proportion of medication

error reporting and associated factors among nurses: A cross-sectional study. BMC Nursing, 17(9), 1-8. Retrieved from doi.org/10.1186/s12912-018-0280-4

2. What technology did you use to locate the articles? Databases? Search terms?

3. Compare the difference between theory, research, and practice in nursing

4. Choose a theory that best correlates with the EBP practice change that you would like to make

5. Compare and contrast the quantitative and qualitative research article that you choose for the EBP topic

6. What are the philosophical, theoretical, and methodological perspectives in the chosen research articles?

7. What are the ethical and scientific integrity issues related to the research?

8. How did your nursing knowledge advance through the utilization of research?

ANSWER

Exploring Medication Errors in Hospitalized Patients: A Comprehensive Analysis

Medication errors in hospitalized patients pose significant risks to patient safety and well-being. As a critical concern within healthcare, understanding the underlying factors contributing to medication errors is essential for developing effective interventions and improving patient outcomes. This essay presents a comprehensive analysis of two scholarly peer-reviewed journal articles related to medication errors in hospitalized patients, highlighting their technological retrieval, theoretical underpinnings, research methodologies, philosophical perspectives, ethical considerations, and impact on nursing knowledge advancement.

Technological Retrieval of Journal Articles

The two chosen articles were retrieved using online databases, specifically PubMed and CINAHL. The search terms used included “medication errors,” “nurses’ perceptions,” “factors,” “reporting,” and “associated factors.” These databases allowed access to a wide range of nursing literature, ensuring the identification of relevant research studies on medication errors in hospitalized patients.

Comparison of Theory, Research, and Practice in Nursing

Theory, research, and practice in nursing are interconnected components that contribute to the advancement of nursing knowledge and quality patient care. Theory provides a framework for understanding phenomena, research generates evidence to support or refine theories, and practice applies evidence-based strategies to improve patient outcomes. In the context of medication errors, theories related to nursing practice and patient safety guide research efforts aimed at identifying risk factors and interventions, ultimately informing evidence-based practice.

Correlation Between Theory and EBP Practice Change

One theory that correlates with the EBP practice change of reducing medication errors is the “Theory of Planned Behavior.” This theory emphasizes the role of attitudes, subjective norms, and perceived behavioral control in influencing individuals’ intention to engage in a specific behavior. Applying this theory to medication errors could involve interventions targeting nurses’ perceptions, beliefs, and self-efficacy related to medication administration, thereby reducing errors through proactive behaviors.

Comparison of Quantitative and Qualitative Research Articles

The quantitative research article by Jember et al. (2018) examines the proportion of medication error reporting among nurses, employing a cross-sectional design with a structured survey instrument. On the other hand, the qualitative research article by Savva et al. (2022) explores nurses’ perceptions of medication error risk factors through in-depth interviews and thematic analysis. While the quantitative study provides numerical data and statistical associations, the qualitative study delves into nurses’ subjective experiences and perceptions, offering rich insights into the complexity of medication errors.

Philosophical, Theoretical, and Methodological Perspectives

In the quantitative study by Jember et al. (2018), the philosophical perspective aligns with positivism, aiming to generate objective and generalizable knowledge. The theoretical framework is not explicitly stated. The methodology employs a structured survey instrument, reflecting a deductive approach. In contrast, the qualitative study by Savva et al. (2022) adopts a constructivist philosophical stance, emphasizing participants’ subjective meanings and interpretations. The theoretical perspective is not explicitly mentioned. Thematic analysis serves as the methodological approach, allowing for the emergence of themes from participants’ narratives.

Ethical and Scientific Integrity Issues

Both studies uphold ethical considerations, including informed consent, confidentiality, and data protection. The quantitative study by Jember et al. (2018) addresses potential biases through anonymity and confidentiality assurances. In the qualitative study by Savva et al. (2022), ethical issues involve protecting participants’ identities and ensuring their well-being during interviews. Scientific integrity is maintained through transparent reporting of methods, data analysis, and findings.

 Nursing Knowledge Advancement through Research Utilization

By engaging with research on medication errors, my nursing knowledge has advanced in several ways. Firstly, I have gained insights into the multifaceted nature of medication errors, recognizing the importance of factors beyond individual mistakes. Secondly, I have learned about theoretical frameworks that guide interventions to mitigate medication errors, enhancing patient safety. Lastly, I have developed a deeper appreciation for the diverse methodologies in nursing research, allowing for a comprehensive understanding of medication error phenomena.

In conclusion, the analysis of the two scholarly peer-reviewed journal articles on medication errors in hospitalized patients reveals the intricate interplay between theory, research, and nursing practice. Through the application of theoretical frameworks, varied research methodologies, and ethical considerations, nursing knowledge is advanced, contributing to evidence-based practices that aim to enhance patient safety and quality of care.

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