Hospice nurses' views on single nurse administration of controlled drugs.

Background: The involvement of two nurses to dispense and administer controlled drugs is routine practice in most clinical areas despite there being no legal or evidence-based rationale. Indeed, evidence suggests this practice enhances neither safety nor care. Registered nurses at two hospices agree...

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Publicado en:International Journal of Palliative Nursing Vol. 21; no. 7; pp. 319 - 328
Autores principales: Taylor, Vanessa, Middleton-Green, Laura, Carding, Sally, Perkins, Paul
Formato: research tables/charts Journal Article
Publicado: Mark Allen Holdings Limited 2015
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Mark Allen Holdings Limited
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        10.12968/ijpn.2015.21.7.319
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        atl: Hospice nurses' views on single nurse administration of controlled drugs.
      aug:
        au:
          Taylor, Vanessa
          Middleton-Green, Laura
          Carding, Sally
          Perkins, Paul
        affil: Senior Lecturer, School of Nursing, Midwifery and Social Work, University of Manchester, UK
      sug:
        subj:
          Hospice Nursing
          Nurse Attitudes
          Drug Administration
          Work Experiences
          Drugs, Prescription Administration and Dosage
          Patient Safety
          Drug and Narcotic Control
          Hospice Care
          Human
          Semi-Structured Interview
          Qualitative Studies
          Thematic Analysis
          England
          Exploratory Research
          Purposive Sample
          Anxiety
          Quality of Nursing Care
          Stress, Occupational
          Job Satisfaction
          Clinical Competence
          Confidence
      ab: Background: The involvement of two nurses to dispense and administer controlled drugs is routine practice in most clinical areas despite there being no legal or evidence-based rationale. Indeed, evidence suggests this practice enhances neither safety nor care. Registered nurses at two hospices agreed to change practice to single nurse dispensing and administration of controlled drugs (SNAD). Participants' views on SNAD were evaluated before and after implementation. The aim of this study was to explore the views and experiences of nurses who had implemented SNAD and to identify the views and concerns of those who had not yet experienced SNAD. Method: Data was obtained through semi-structured interviews. Results: Qualitative thematic analysis of interview transcripts identified three key themes: practice to enhance patient benefit and care; practice to enhance nursing care and satisfaction; and practice to enhance organisational safety. Conclusion: The findings have implications for the understanding of influences on medicines safety in clinical practice and for hospice policy makers.
      pubtype: Academic Journal
      doctype:
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      ougenre: Article
    language: English
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