The In-Hospital Medication Administration Process from the Nurse's Point of View.
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| Title: | The In-Hospital Medication Administration Process from the Nurse's Point of View. |
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| Alternate Title: | El proceso intrahospitalario de administración de medicamentos desde la mirada de la enfermera. O processo de administração de medicamentos no hospital do ponto de vista do enfermeiro. |
| Authors: | Tejada Pérez, Indira Islem1 (AUTHOR) indira.tejada@udea.edu.co, Ramírez Barrientos, Adriana María1 (AUTHOR), Montoya Tamayo, Diana Patricia1 (AUTHOR), Quintero Pérez, Daniel Esteban1 (AUTHOR), Rivera Capera, Clarent Danitza2 (AUTHOR) |
| Source: | Universitas Médica. 2025, Vol. 66, p1-10. 10p. |
| Subjects: | NURSES, DRUG administration, CLINICAL governance, MEDICATION errors, QUALITATIVE research, DRUG therapy, PATIENT safety |
| Geographic Terms: | MEDELLIN (Colombia) |
| Abstract (English): | Introduction: The nurse holds both an ethical and legal responsibility in medication administration, ensuring correct indications and monitoring side effects. Despite strategies set by the World Health Organization (WHO), errors continue to occur. This study describes the strategies nurses use to ensure safe and quality medication administration, highlighting often-unrecognized actions that are essential for effective pharmacological therapy. Objective: To describe the hospital-based experiences of nurses in the medication administration process in Medellín, Colombia, in 2024. Methodology: A qualitative study with a particularistic ethnographic approach, including 80 hours of observation, 8 interviews, and field note recording. Results: Medication administration involves the following steps: prescription, dispensing, organization, preparation, administration, and documentation. At each stage, nurses perform "invisible" activities that are not always recognized, which are crucial for organizing and preparing the medication, as well as providing support during dispensing, to enhance the safety of the process. Discussion: The findings highlight the importance of strengthening existing strategies to prevent medication errors. The six steps identified by nurses in the medication administration process contribute to establishing a safety culture for the patient. Conclusion: The creativity and resourcefulness of nurses are essential to ensuring the timeliness, safety, and effectiveness of pharmacological treatment. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: La enfermera tiene un compromiso ético y legal en la administración de medicamentos, verificando indicaciones y efectos secundarios. A pesar de las estrategias de la Organización Mundial de la Salud, siguen ocurriendo errores. Esta investigación describe las estrategias de la enfermera para garantizar una administración segura y de calidad, resaltando acciones no reconocidas, pero clave para una terapia farmacológica efectiva. Objetivo: Describir la experiencia intrahospitalaria de la enfermera en el proceso de administración de medicamentos en Medellín (Colombia), 2024. Metodología: Estudio cualitativo con etnografía particularista, mediante ochenta horas de observación, ocho entrevistas y registro en el diario de campo. Resultados: La administración de medicamentos incluye: prescripción, dispensación, organización, preparación, aplicación y registro. En cada etapa, la enfermera realiza unas actividades "invisibles" no siempre reconocidas, para la organización, preparación del medicamento y apoyo en la dispensación con el fin de mejorar la seguridad del proceso. Discusión: Los resultados de esta investigación muestran el fortalecimiento de las estrategias existentes para prevenir los errores de la medicación. Los seis pasos planteados por las enfermeras en el proceso de administración de medicamentos se convierten en una cultura de seguridad para el paciente. Conclusión: Se evidencia la creatividad y recursividad de la enfermera para garantizar la oportunidad, seguridad y efectividad del tratamiento farmacológico. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Introdução: O enfermeiro tem compromisso ético e legal na administração de medicamentos, verificando indicações e efeitos colaterais. Apesar das estratégias da Organização Mundial da Saúde, erros continuam a ocorrer. Esta pesquisa descreve as estratégias do enfermeiro para garantir uma administração segura e de qualidade, destacando ações não reconhecidas, mas fundamentais para uma terapia farmacológica eficaz. Objetivo: Revelar o processo de administração de medicamentos em nível intra-hospitalar na perspectiva do enfermeiro, Medellín - Colombia, 2024. Metodologia: Etnografia qualitativa e particularista; 80 horas de observação, 8 entrevistas e registro em diário de campo. Resultados: A administração de medicamentos inclui: prescrição, dispensação, organização, preparo, aplicação e registro. Em cada etapa, o enfermeiro realiza atividades "invisíveis" e nem sempre reconhecidas, para organização, preparo da medicação, apoio na dispensação a fim de melhorar a segurança do processo. Discussão: Os resultados desta pesquisa mostram o fortalecimento das estratégias existentes para prevenção de erros de medicação. As seis etapas propostas pelos enfermeiros no processo de administração de medicamentos tornam-se uma cultura de segurança para o paciente. Conclusão: Fica evidente a criatividade e desenvoltura do enfermeiro para garantir a oportunidade, segurança e eficácia do tratamento farmacológico. [ABSTRACT FROM AUTHOR] |
| Copyright of Universitas Médica is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Abstract: | Introduction: The nurse holds both an ethical and legal responsibility in medication administration, ensuring correct indications and monitoring side effects. Despite strategies set by the World Health Organization (WHO), errors continue to occur. This study describes the strategies nurses use to ensure safe and quality medication administration, highlighting often-unrecognized actions that are essential for effective pharmacological therapy. Objective: To describe the hospital-based experiences of nurses in the medication administration process in Medellín, Colombia, in 2024. Methodology: A qualitative study with a particularistic ethnographic approach, including 80 hours of observation, 8 interviews, and field note recording. Results: Medication administration involves the following steps: prescription, dispensing, organization, preparation, administration, and documentation. At each stage, nurses perform "invisible" activities that are not always recognized, which are crucial for organizing and preparing the medication, as well as providing support during dispensing, to enhance the safety of the process. Discussion: The findings highlight the importance of strengthening existing strategies to prevent medication errors. The six steps identified by nurses in the medication administration process contribute to establishing a safety culture for the patient. Conclusion: The creativity and resourcefulness of nurses are essential to ensuring the timeliness, safety, and effectiveness of pharmacological treatment. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00419095 |
| DOI: | 10.11144/Javeriana.umed66.pamn |
