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タイトル 不明な指示に対して看護師はどう行動する? : 看護師の注射薬指示確認行動とチームエラー誘発要因に関する研究<人文・社会科学>
別タイトル
What should nurses do when unsure about the appropriateness of doctors' orders? : Team error inducing factors and nurses' verification behavior
著者
関, 由起子 (SEKI, Yukiko)
埼玉大学教育学部学校保健学講座 (Faculty of Education, Saitama University)
高山, 智子 (TAKAYAMA, Tomoko)
国立がん研究センターがん対策情報センター
[出版社版]
出版者 埼玉大学教育学部
日付
出版年: 2010 - 2010
作成日: 2010-10-05
更新日: 2014-12-09
上位タイトル
埼玉大学紀要. 教育学部 (Journal of Saitama University. Faculty of Education). Vol.59, No.2  (2010. ) ,p.201- 213
識別番号
ISSN
18815146
抄録 Objective: The aim of this study was to clarify nurses' verification behavior when doctors' orders are ambiguous and when team error inducing factors exist.
Method: A questionnaire survey was conducted in one university, and data was collected from student nurses, graduate nurses, and their colleagues. Two hundred and thirty subjects responded (total response rate: 75.4%).
Results: Student nurses and other less experienced nurses tended to obey doctors even when unsure about the appropriateness of the orders given. Those orders that would not be harmful to the patient were followed more often. Moreover, student nurses administered harmful medicines without verification more often than experienced nurses did. When team error inducing factors existed, especially an excessive authority gradient, excessive professional courtesy, and cultures in which order confirmation between doctors and nurses was not a practice, student and graduate nurses tended to carry out doctors' orders.
Conclusion: To prevent medical accidents, nurses should be able to detect, indicate, and correct errors. Programs focusing on assertiveness communication, collaborative order verification between doctors and nurses, and the identification of a risk profile for harmful medication errors will aid student and senior nurses in developing these skills.
キーワード
看護師
指示確認
エラー誘発要因
nurse
error inducing factors
verification behavior
言語
jpn
資源タイプ text
ジャンル Departmental Bulletin Paper
Index
/ Public / 埼玉大学 / 教育学部
/ Public / ジャンル別 / 研究紀要 / 埼玉大学 / 教育学部紀要
/ Public / 主題別 / 医歯薬学 / 境界医学
/ Public / 主題別 / 医歯薬学 / 看護学
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