- 期刊
Development and Validation of the Inventory of Perceptions of Medication Administration Errors for Nurses in Taiwan
護理人員給藥錯誤感受量表的發展與驗證
摘要
背景 給藥錯誤除威脅病人安全與增加醫院成本外，也影響護理人員個人與專業的發展。經由測量知覺給藥錯誤，有助於提供護理人員具體可行的協助。目的 發展護理人員給藥錯誤感受量表（Inventory of Perceptions for Medication Administration Errors, IPMAE）並檢測其信、效度。方法 採用滾雪球抽樣方法，參與者為自願參加且工作達3個月以上的臨床護理人員，共有618位完成個人基本資料與IPMAE的填寫。採用探索性及驗證性因素分析評估IPMAE的建構效度，並以內在一致性信度檢測量表的信度。結果 IPMAE包括12題與四個因素，四個因素為：因應策略、情緒反應、害怕受責備和隔離行為，總解釋變異量為78.80%。總量表Cronbach's α為.90及各次量表α介於.83至.88間，顯示此量表具有良好的信度。結論／實務應用 IPMAE是一個有效和可靠的測量工具，用來了解護理人員給藥錯誤後的感受。依據IPMAE結果的指引，可提供護理主管並減少護理人員因給藥錯誤所造成的負面結果。
並列摘要
Background: Medication administration errors (MAEs) account for most medication errors, which not only threaten the safety of patients and increase hospital medical costs but also damage the personal and professional development of affected nurses. A feasible instrument measures the perceptions of committing an MAE that may provide support for nurses. Purpose: The purpose of this study was to conduct psychometric testing of the Inventory of Perceptions for Medication Administration Errors (IPMAE). Methods: Psychometric testing of the IPMAE used snowball sampling to collect data from nurse volunteers. Six hundred eighteen nurses completed the IPMAE and a personal profile. The construct validity and the Cronbach's alpha of the inventory were tested. Results: The results indicated that the 12-item IPMAE consisted of four factors, including coping strategy, emotional reaction, fear of blame, and segregation behavior. These four factors accounted for 78.8% of the total variance. The IPMAE showed that both fit indices and Cronbach's alpha coefficients (overall=.90 and subscales=.83-.88) were acceptable. Conclusions/Implications for Practice: The IPMAE is a valid and reliable instrument for measuring perceptions of MAE occurring among nurses. Nursing directors may use the results generated by the IPMAE to help reduce the negative consequences of MAE events among nurses.
參考文獻
延伸閱讀
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