Nursing staff's assessments of medication management process in the psychiatric and operative domains: A cross‐sectional study after introduction of an electronic medication chart.

Aims and objectives: To describe nursing staff's assessments of medication management process in the psychiatric and operative domains after introduction of an electronic medication chart. Background: The medication management process includes all structures and practices within the organisation tha...

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Published in:Scandinavian Journal of Caring Sciences Vol. 36; no. 4; pp. 935 - 947
Main Authors: Kuusisto, Anne, Santavirta, Jenni, Saranto, Kaija, Suominen, Tarja, Asikainen, Paula
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Dec2022
Online Access:View this record in EBSCOhost
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      dt: Dec2022
      vid: 36
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/scs.12989
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        atl: Nursing staff's assessments of medication management process in the psychiatric and operative domains: A cross‐sectional study after introduction of an electronic medication chart.
      aug:
        au:
          Kuusisto, Anne
          Santavirta, Jenni
          Saranto, Kaija
          Suominen, Tarja
          Asikainen, Paula
        affil: Satakunta Hospital District, Pori, Finland
      sug:
        subj:
          Nursing Staff, Hospital Psychosocial Factors
          Medication Management
          Psychiatric Care
          Medication Systems Finland
          Charting Methods
          Human
          Cross Sectional Studies
          Finland
          Scales
          Questionnaires
          Descriptive Statistics
          Patient Safety
          Patient Satisfaction
          Medication Errors
          Nursing Information Systems
          Coefficient alpha
          Summated Rating Scaling
          Data Analysis Software
          Adult
          Male
          Female
          Comparative Studies
          Mann-Whitney U Test
          Funding Source
          Adult: 19-44 years
          Male
          Female
      ab: Aims and objectives: To describe nursing staff's assessments of medication management process in the psychiatric and operative domains after introduction of an electronic medication chart. Background: The medication management process includes all structures and practices within the organisation that guide and support medication administration and related procedures. Design: A cross‐sectional survey. Methods: A Finnish version of the Medication Administration System – Nurses Assessment of Satisfaction (modified MAS‐NAS) paper‐based questionnaire was sent to all nursing staff (N = 855) working in operative (n = 498) and psychiatric (n = 357) domains in one central hospital. Data were analysed using statistical methods. Results: In total, 324 nursing staff members participated. More than half agreed that medication management is efficient (64%), safe for patients (76%), and that the current medication administration system provides the necessary medical treatment information (e.g. prescriptions by physicians, medication data) (64%). Respondents' overall satisfaction with medication management process was slightly above average on a scale from 1 to 10 (mean = 6.2; SD = 1.8; median = 7, range 2–9). Respondents who used electronic medication chart reported higher overall satisfaction with medication management process (median = 7, mean = 6.1, SD = 1.8 and range 2–9) than those not using it (median = 6.5, mean = 6.3, SD = 1.6 and range 2–9). No statistically significant difference was found (U = 8552.000, p = 0.33). Conclusions: This study revealed several problems in the medication management process. The results can be used in developing the medication management process. Relevance to clinical practice: Electronic medication chart should be used and developed further in terms of efficacy, safety and access. One year after the electronic medication chart was introduced, only half of the respondents had used it. That is why implementation of electronic systems or technological applications should be carefully considered as a whole.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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