<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "https://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <article-meta>
      <title-group>
        <article-title>Nurses’ knowledge on practice of safe medication administration in Halibet Hospital from February 14, 2013 to May 30, 2013, Asmara</article-title>
      </title-group>
      <contrib-group content-type="author">
        <contrib contrib-type="person">
          <name>
            <given-names>Dr. Kavitha. P, PhD Ob-Gyn Nursing</given-names>
          </name>
          <email>aroun2000@gmail.com</email>
          <xref ref-type="aff" rid="aff-1"/>
        </contrib>
      </contrib-group>
      <aff id="aff-1">
        <institution>Assistant Professor, Fatima College of Health Sciences, Abu Dhabi, UAE.</institution>
        <country>United Arab Emirates</country>
      </aff>
      <history>
        <date date-type="received" iso-8601-date="2020-08-11">
          <day>11</day>
          <month>08</month>
          <year>2020</year>
        </date>
        <date data-type="published" iso-8601-date="2020-08-11">
          <day>11</day>
          <month>08</month>
          <year>2020</year>
        </date>
      </history>
    </article-meta>
  </front>
  <body>
    <fig>
      <graphic mimetype="image" mime-subtype="jpeg" xlink:href="image1.jpeg"/>
    </fig>
    <p>
      <bold>
        <italic>IJAMSCR |Volume </italic>
      </bold>
      <bold>
        <italic>6</italic>
      </bold>
      <bold>
        <italic> | Issue </italic>
      </bold>
      <bold>
        <italic>4</italic>
      </bold>
      <bold>
        <italic> | </italic>
      </bold>
      <bold>
        <italic>Oct</italic>
      </bold>
      <bold>
        <italic> - </italic>
      </bold>
      <bold>
        <italic>Dec</italic>
      </bold>
      <bold>
        <italic>–</italic>
      </bold>
      <bold>
        <italic> 201</italic>
      </bold>
      <bold>
        <italic>8</italic>
      </bold>
    </p>
    <p>
      <bold>www.ijamscr.com</bold>
    </p>
    <p><bold><italic>Research article</italic></bold><bold><italic>                                                                                               Medical research</italic></bold></p>
    <sec id="sec-1">
      <title>Nurses’ knowledge on practice of safe medication administration in Halibet Hospital from February 14, 2013 to May 30, 2013, Asmara</title>
      <sec id="sec-1_1">
        <title>Dr. Kavitha. P, Mhreteab Medhanie, Mulubrhan Hagos, Tesfu G/hiwet, Wegahata Kdane</title>
      </sec>
    </sec>
    <sec id="sec-2">
      <title>Assistant Professor, Fatima College of Health Sciences, Abu Dhabi, UAE.</title>
      <p><bold>*Corresponding Author</bold>: <bold>Dr. </bold><bold>Kavitha</bold><bold>. P, PhD</bold><bold>Ob-Gyn Nursing</bold></p>
      <p>
        <bold>Email id: </bold>
        <bold>aroun2000@gmail.com</bold>
      </p>
      <sec id="sec-2_1">
        <title>ABSTRACT</title>
        <p>Medication administration is a crucial part in nursing. Having a study concerning the contributing factors that lead to medication error is important as this study creates awareness about the medication error and its consequences will affect patient’s safety. Descriptive study design was used as research design. Study  conducted in HALIBET hospital, Asmara, Eritrea. Simple random sampling was used to collect the samples; the total sample size was 82 associate nurses from Halibet hospital. The data was collected by using self administered questionnaire. The results showed that out of 82 associate nurse majority (59.7%) were having adequate knowledge on practice, 39.1% were having moderate knowledge on practice and 1.2% were having inadequate knowledge on practice. Regarding the causes of medication error25.6% nurses stated personal issue, 24.4% were stated workload, 19.5% stated knowledge, 14.6% stated complicated order, 11.0% stated unfamiliarity with medication, 4.9% were stated lack of staff as main cause of medication error.</p>
        <sec id="sec-2_1_1"/>
        <sec id="sec-2_1_2">
          <title>Background</title>
          <p>Medication administration is a crucial part in nursing. Having a study concerning the contributing factors that lead to medication error is important as this study creates awareness about the medication error and its consequences will affect patient’s safety. There are many type of medical error that leads to injury and may jeopardize patient’s safety. According to Hughes and Ortiz (2005), the most common type of medical error, that happen universally is medication error. Medication errors were estimated to account for more than 7,000 deaths annually [4].</p>
        </sec>
        <sec id="sec-2_1_3">
          <title>General Objective</title>
          <p>To assess the level of knowledge on practice of safe medication administration and to identify the contributing factors to medication error among the nurses.</p>
        </sec>
        <sec id="sec-2_1_4">
          <title>Specific Objective</title>
          <list list-type="order">
            <list-item>
              <p>To assess the level of knowledge on practice of safe medication administration.  </p>
            </list-item>
            <list-item>
              <p>To identify contributing factor for medication error.</p>
            </list-item>
            <list-item>
              <p>To assess the demographic variable.</p>
            </list-item>
            <list-item>
              <p>To assess whether the nurses know to administer medication at the right time.</p>
            </list-item>
          </list>
        </sec>
        <sec id="sec-2_1_5">
          <title>Research hypothesis</title>
          <p>There will be a significant difference in administering medication by the nurses in Halibet Hospital.</p>
        </sec>
      </sec>
      <sec id="sec-2_2">
        <title>METHODOLOGY</title>
        <p>Descriptive study design was used. It was conducted in HALIBET hospital, Asmara, Eritrea. Simple random sampling was used to collect the samples; the total sample size was 82 associate nurses from Halibet hospital. The pilot study was conducted at Orotta national referral hospital. The data was collected over a period of 4 weeks by using self administered questionnaire. The data was organized in frequency distribution table, analyzed in terms of percentage and presented in different tables and graphs based on the type of data.</p>
      </sec>
      <sec id="sec-2_3">
        <title>RESULTS</title>
        <sec id="sec-2_3_1">
          <title> SECTION - A: Frequency and percentage distribution of demographic variables</title>
        </sec>
        <sec id="sec-2_3_2">
          <title>Age distribution </title>
          <p>
            <bold>Table 1</bold>
          </p>
          <table-wrap>
            <table>
              <tr>
                <td colspan="2">
                  <bold>Age </bold>
                </td>
                <td>
                  <bold>Frequency</bold>
                </td>
                <td>
                  <bold>Percentage (%)</bold>
                </td>
              </tr>
              <tr>
                <td rowspan="3"/>
                <td>20-35 year</td>
                <td>70</td>
                <td>85.3%</td>
              </tr>
              <tr>
                <td/>
                <td>36-50 year</td>
                <td>8</td>
                <td>9.8%</td>
              </tr>
              <tr>
                <td/>
                <td>51-65 year</td>
                <td>4</td>
                <td>4.9%</td>
              </tr>
            </table>
          </table-wrap>
          <p><bold>Table 1</bold>   Shows out of 82 majority of (85.3%) them were between the age group 20 to 35 years. 9.8% of the associate nurse were between 36 and 50 and 4.9% of the associate nurse were between the age group of51 to 65.</p>
        </sec>
        <sec id="sec-2_3_3">
          <title>Gender distribution</title>
          <p>
            <bold>Table 2</bold>
          </p>
          <table-wrap>
            <table>
              <tr>
                <td>
                  <bold>Gender</bold>
                </td>
                <td>
                  <bold>Frequency</bold>
                </td>
                <td>
                  <bold>Percentage</bold>
                </td>
              </tr>
              <tr>
                <td>Male</td>
                <td>24</td>
                <td>29.3%</td>
              </tr>
              <tr>
                <td>Female</td>
                <td>58</td>
                <td>70.7%</td>
              </tr>
            </table>
          </table-wrap>
          <p>n=82</p>
          <p>Table 2 shows that majority of the associate nurses (70.7%) were female and 29.3% were male</p>
        </sec>
        <sec id="sec-2_3_4">
          <title> Distribution of work experience </title>
          <p>
            <bold>Table.3</bold>
          </p>
          <table-wrap>
            <table>
              <tr>
                <td>
                  <bold>Work experience</bold>
                </td>
                <td>
                  <bold>Frequency</bold>
                </td>
                <td>
                  <bold>Percent (%)</bold>
                </td>
              </tr>
              <tr>
                <td>1-3 year</td>
                <td>47</td>
                <td>57.3%</td>
              </tr>
              <tr>
                <td>4-6 year</td>
                <td>19</td>
                <td>23.2%</td>
              </tr>
              <tr>
                <td>&gt;6 years</td>
                <td>16</td>
                <td>19.5%</td>
              </tr>
            </table>
          </table-wrap>
          <p>n=82</p>
          <p><bold>Table 3</bold> Shows out of 82 associate nurse ,majority (57.3%) were 1-3 year of work experience, 23.2%  were 4-6 year of work experience and 19.5% were having &gt;6 years of work experience.</p>
        </sec>
        <sec id="sec-2_3_5">
          <title>Distribution according to lecture attained</title>
          <p>
            <bold>Table.4</bold>
          </p>
          <table-wrap>
            <table>
              <tr>
                <td>
                  <bold>Lecture attained</bold>
                </td>
                <td>
                  <bold>Frequency</bold>
                </td>
                <td>
                  <bold>Percent (%)</bold>
                </td>
              </tr>
              <tr>
                <td>
                  <bold>seminar</bold>
                </td>
                <td>
                  <bold>7</bold>
                </td>
                <td>7.3%</td>
              </tr>
              <tr>
                <td>workshop</td>
                <td>35</td>
                <td>42.7%</td>
              </tr>
              <tr>
                <td>no</td>
                <td>40</td>
                <td>50%</td>
              </tr>
            </table>
          </table-wrap>
          <p>n=82</p>
          <p>Table 4 shows out of all associate nurse majorities (50%) were not attended any lecture regarding medication administration, 42.7% were attending workshop on it and 7.3% were attending seminar on medication administration.</p>
          <p><bold>SECTION B- </bold>Distribution of frequency and percentage of level of knowledge on practice of safe medication administration</p>
          <p>
            <bold>Level of knowledge on practice Table5</bold>
          </p>
          <table-wrap>
            <table>
              <tr>
                <td>
                  <bold>Level of knowledge on practice</bold>
                </td>
                <td>
                  <bold>Frequency </bold>
                </td>
                <td>
                  <bold>Percentage (%)</bold>
                </td>
              </tr>
              <tr>
                <td>Adequate</td>
                <td>49</td>
                <td>59.7%</td>
              </tr>
              <tr>
                <td>Moderate</td>
                <td>32</td>
                <td>39.1%</td>
              </tr>
              <tr>
                <td>Inadequate</td>
                <td>1</td>
                <td>1.2%</td>
              </tr>
            </table>
          </table-wrap>
          <p>                                                                                                              n=82</p>
          <p>Table 5 shows out of 82 associate nurse majority (59.7%) were having adequate knowledge on practice, (39.1%) were having moderate knowledge on practice and (1.2%) were having inadequate knowledge on practice.</p>
          <p><bold>SECTION C-</bold> distribution of frequency and percentage of causes of medication error</p>
          <p>
            <bold>Causes of medication error: Table.6</bold>
          </p>
          <table-wrap>
            <table>
              <tr>
                <td>
                  <bold>Cause of medication error</bold>
                </td>
                <td>
                  <bold>Frequency</bold>
                </td>
                <td>
                  <bold>Percent (%)</bold>
                </td>
              </tr>
              <tr>
                <td>personal issue</td>
                <td>21</td>
                <td>25.6%</td>
              </tr>
              <tr>
                <td>Workload</td>
                <td>20</td>
                <td>24.4%</td>
              </tr>
              <tr>
                <td>Knowledge</td>
                <td>16</td>
                <td>19.5%</td>
              </tr>
              <tr>
                <td>complicated order</td>
                <td>12</td>
                <td>14.6%</td>
              </tr>
              <tr>
                <td>unfamiliarity with medication</td>
                <td>9</td>
                <td>11.0%</td>
              </tr>
              <tr>
                <td>lack of staff</td>
                <td>4</td>
                <td>4.9%</td>
              </tr>
            </table>
          </table-wrap>
          <p>       n=82</p>
          <p>Table 6 show out of all associate nurse <bold>25.6%</bold> stated personal issue, <bold>24.4%</bold> were stated workload, <bold>19.5%</bold> stated knowledge, <bold>14.6%</bold> stated complicated order,<bold> 11.0%</bold> stated unfamiliarity with medication, <bold>4.9</bold><bold>% </bold>were stated lack of staff as main cause of medication error.</p>
          <p><bold>SECTION D-</bold> Distribution of frequency and percentage of right time administration <bold>Right time administration</bold></p>
          <p>
            <bold>Table 7</bold>
          </p>
          <p>                                                                                                              n=87</p>
          <table-wrap>
            <table>
              <tr>
                <td>
                  <bold>Right time administration</bold>
                </td>
                <td>
                  <bold>Frequency</bold>
                </td>
                <td>
                  <bold>Percent</bold>
                </td>
              </tr>
              <tr>
                <td>Always</td>
                <td>68</td>
                <td>82.9%</td>
              </tr>
              <tr>
                <td>Usually</td>
                <td>8</td>
                <td>9.8%</td>
              </tr>
              <tr>
                <td>Sometimes</td>
                <td>2</td>
                <td>2.4%</td>
              </tr>
              <tr>
                <td>Never</td>
                <td>4</td>
                <td>4.9%</td>
              </tr>
            </table>
          </table-wrap>
          <p>Table 7 shows majority of the associate nurses (82.9%) always ensure that the medication is administered at the right time, 9.8% usually, 2.4% sometimes and 4.9% never ensure that the medication is administered at the right time.</p>
        </sec>
      </sec>
      <sec id="sec-2_4">
        <title>Conclusion</title>
        <list list-type="order">
          <list-item>
            <p>From the research, participants were having adequate knowledge on practice in administering medication. So majority of the associate nurses in Halibet hospital have adequate knowledge on practicing medication administration safely thereby improving patient safety.</p>
          </list-item>
          <list-item>
            <p>The findings of this study conclude that all the factors listed have it own percentage leading to medication error. Personal issues are the most contributing factor lead to medication error and follow by workload, knowledge, complicated order, unfamiliarity of medication and lack of staffs. Although the majority of respondent considered nurses personal issues (personal neglect) as the incident lead to medication errors.</p>
          </list-item>
        </list>
      </sec>
      <sec id="sec-2_5"/>
      <sec id="sec-2_6"/>
      <sec id="sec-2_7">
        <title>BOOKS  </title>
        <list list-type="order">
          <list-item>
            <p>Berntsen, K. J.  The Patient's Guide to Preventing Medical Errors. Westport CT: Praeger.2004.</p>
          </list-item>
          <list-item>
            <p>Hansen, E. C. Successful Qualitative Health Research, a Practical Introduction. Allen and Unwin: Crows Nest, NSW. 2006.</p>
          </list-item>
          <list-item>
            <p>Hardey, M. and Mulhall, A. Nursing Research, Theory and Practice. Chapman and Hall: London. 1994.</p>
          </list-item>
          <list-item>
            <p> Institute of Medicine. To err is human, building a safer health system. Washington, DC: National Academy Press. L.T. Kohn, J.M. Corrigan, M.S. Donaldson. 1999.</p>
          </list-item>
          <list-item>
            <p>National Patient Safety Agency. Right Patient– Right Care: Improving Patient Safety Through Better Manual and Technology-Based Systems for Identification and Matching of Patients and Their Care. London, NPSA. 2004.</p>
          </list-item>
          <list-item>
            <p>Potter, Patricia A., and Anne Griffin Perry Fundamentals of Nursing: Concepts, Process, and Practice, (4th Ed). St Louis: Mosby-Year Book. 1997.</p>
          </list-item>
        </list>
      </sec>
      <sec id="sec-2_8">
        <title>JOURNALS</title>
        <list list-type="bullet">
          <list-item>
            <p>Allan, E. L., &amp; Barker, K. N. Fundamentals of medication error research. American Journal of Hospital Pharmacy, 47(3), 1990, 555-571.</p>
          </list-item>
          <list-item>
            <p>Baker, H., &amp; Napthine, R. Nurses and medication. A literature review. North Fitzroy, Victoria: Australian Nursing Federation Publications Unit.1994.</p>
          </list-item>
          <list-item>
            <p>Bates D. W., Cullen, D. J., and Laird, N. F. Incidence of adverse drug events and potential adverse drug events: implications for prevention, JAMA, 274, 2000, 29–34.</p>
          </list-item>
          <list-item>
            <p> Beattie, J., Cheek, J., &amp; Gibson, T. Development of a curriculum and self-directed learning package for the quality use of medications by registered nurses. Unpublished manuscript. The Queen Elizabeth Hospital and University of South Australia1996.</p>
          </list-item>
          <list-item>
            <p>Beattie, J., Cheek, J., &amp; Gibson, T. Nurses and medication. Developing your professional practice: A see directed learning package. The Queen Elizabeth Hospital: Woodville, in collaboration with the University of South Australia, Faculty of Nursing: Underdale.1996.</p>
          </list-item>
          <list-item>
            <p> Booth, B.  Management of drug errors. Nursing Times, 90, 2008, 30-31.</p>
          </list-item>
          <list-item>
            <p>Cohen M. A. Patient safety alert: “high-alert” medications and patient safety. IntJQual Health Care, 13, 2001, 339–40.</p>
          </list-item>
          <list-item>
            <p>Creswell, J. W. Research Design. Qualitative and Quantitative Approaches, Sage, Thousand Oaks, CA.1994.</p>
          </list-item>
          <list-item>
            <p>Dillman, D. A. Mail and Internet Surveys. The Tailored Design Method, Wiley, New York.2000.</p>
          </list-item>
          <list-item>
            <p> Jeongeun K. B. edication administration errors by nurses: adherence to guidelines. Journal of Clinical Nursing, 22(3-4), 2013, 590–598.</p>
          </list-item>
          <list-item>
            <p> O’Shea E. Factors contributing to medication errors: a literature review. Journal of Clinical Nursing, 8, 2007, 496–504.</p>
          </list-item>
          <list-item>
            <p> Schneider M. P., Cotting, J. M. and Pannatier, A. J. Evaluation of nurses’ errors associated in the preparation and administration of medication in a pediatric intensive care unit. Pharm World Science, 20, 1998, 178–82.</p>
          </list-item>
        </list>
        <list list-type="bullet"/>
      </sec>
      <sec id="sec-2_9">
        <title>On line searches</title>
      </sec>
    </sec>
    <sec id="sec-3">
      <title><bold>Cam</bold><bold>illa, H. </bold><bold>T.</bold><bold>An</bold><bold> observational study of medication administration errors in old-age psychiatric inpatients.</bold><bold>Retrieved from </bold>chaw@standrew.co.uk. <bold>2010</bold></title>
      <list list-type="bullet">
        <list-item>
          <p>Food and Drug Administration, Center for Drug Evaluation and Research. Drugs@FDA glossary of terms. Retrieved from www​.fda.gov/Cder/drugsatfda/glossary​.htm#M.2009.</p>
        </list-item>
        <list-item>
          <p>Kelly J. G. (2012). Journal of Nursing Education and Practice, Retrieved   from www.sciedu.ca/jne. 2(1).</p>
        </list-item>
        <list-item>
          <p>Massachusetts Nurses Association (MNA) Nurses’ six rights for safe medication administration. Paper presented at MNA Congress on Nursing Practice; Canton, MA. Retrieved from www​.massnurses.org/nurse_practice​/sixrights.htm.2006.</p>
        </list-item>
        <list-item>
          <p> Murphy, J. H. Rights of medication administration. Retrieved from www.grayandwhitelaw.com/.../...ert-medications.cfm.2012.</p>
        </list-item>
        <list-item>
          <p>National Coordinating Council for Medication Error Reporting and Prevention. What is a medication error? Retrieved from www​.nccmerp.org/aboutMedErrors.html. 2008.</p>
        </list-item>
        <list-item>
          <p>Siobhan, w. D. Strategy to improve medication administration in nursing essay. Retrieved fromwww.ukessays.com › Essays › Nursing.2012.</p>
        </list-item>
        <list-item>
          <p>Szczepura, A. L. Medication administration errors for older people in long-term residential care. Retrieved from http://www.biomedcentral.com/1471-2318/11/82. 2011.</p>
        </list-item>
      </list>
      <list list-type="order"/>
    </sec>
  </body>
  <back/>
</article>
