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Type: Theses
Title: Barriers and perceptions to medication administration error reporting among nurses in Saudi Arabia
Author: Albukhodaah, Abdulrahman Abdullah
Issue Date: 2016
School/Discipline: School of Nursing
Abstract: Background: Medication administration errors (MAEs) are considered as a global problem which influences the safety of patients. Due to some factors MAEs are still underreported. However, MAEs have been under-researched in Saudi health settings. The reporting barriers of fear, perception of nurses towards reporting MAEs, and the process of reporting significantly contribute to failure to report. Understanding of factors that may inhibit reporting MAEs among nurses in Saudi Arabia is a primary step to improve the safety culture of hospitals. Furthermore, understanding nurses’ perception toward MAEs reporting is the initial step to increasing the reporting rate. Aims: (1) To identify factors from the literature that facilitate or hinder the reporting of medication administration errors among nurses and (2) to identify factors that nurses perceive as major contributors in the culture of reporting medication administration errors in Saudi Arabia hospitals. Methods: a questionnaire was developed consisting of four pages to examine the nurses’ perceptions and the potential barriers to the reporting of medication administration errors and an open-ended question to seek more understanding of this topic among nurses in Saudi Arabia. The questionnaire items included: demographics and background, nurses’ perceptions of reporting medication administration errors and potential barriers to reporting MAEs. Participants for this study were nurses from three hospitals in Saudi Arabia. The Statistical Package for the Social Sciences Software the IBM (SPSS) Statistics was used to analyses the quantitative data and content analysis was used to analyses the qualitative data. Results: A total of 366 nurses participated in the study with response rate 63.3%. Nurses’ perception and awareness towards the importance of medication administration error reporting were positive. The major perceived barrier was fear of the consequences after reporting. This study found only 28.6% of nurses always reported MAEs when it occurs. Nursing administration (Head Nurse, Nursing Supervisor and/or Nursing Director) was the biggest concern affecting nurses’ willingness to report MAEs. Making the work environment, a non-blame environment may encourage a greater reporting of MAEs. Conclusions: Most nurses in Saudi Arabia’s hospitals believed that MAEs must be reported. However, fear of blame or the possibility of legal action and administration factors lead to underreporting. Implications for nursing management: Nursing administration should work towards establishing a blame free culture and support the safety culture to encourage reporting.
Advisor: McLiesh, Paul Christopher
Dissertation Note: Thesis (M.Nurs.Sc.) -- University of Adelaide, School of Nursing, 2016
Keywords: coursework
medication administration errors
report incident
culture of blame
reporting barriers
Provenance: This electronic version is made publicly available by the University of Adelaide in accordance with its open access policy for student theses. Copyright in this thesis remains with the author. This thesis may incorporate third party material which has been used by the author pursuant to Fair Dealing exceptions. If you are the owner of any included third party copyright material you wish to be removed from this electronic version, please complete the take down form located at:
DOI: 10.4225/55/58cb617c85959
Appears in Collections:School of Nursing

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