The use of communication technology toward accurate processing of prescribed medication / 6
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Maria Criselda T. Sicoy
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- xxvi, 72 pages 28 cm.
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Thesis (M.A.) -- Pamantasan ng Lungsod ng Maynila, 2006;A thesis presented to the faculty of the Graduate School of Health Sciences in partial fulfillment of the requirements for the degree of Master of Arts in Nursing
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ABSTRACT: As most health providers are aware, medication errors are a significant problem in hospital facilities and across the continuum of care. It is estimated that as much as 60% of drug related morbidity and mortality are preventable (Penna, 1999), yet a paucity of research exists on how medication mishaps contribute to the course of hospitalization. While the Filipino medical community has undertaken efforts to curb the odds of misinterpretation of handwritten prescriptions, prescription writing remains one of the last and perhaps most important paper transactions in our increasingly computerized society. Most clinicians still write prescriptions by hand, utilizing memory for drug names, dosage strength and directions. It is this archaic system and the very real threat it poses on Filipino lives that has fueled the researcher's interest in this field of study. For without doubt, the time to shift to an automated or technology-enhanced prescribing function is long overdue. The study aimed to determine the relationship between the profile of nurses and their use of communication technology in processing prescribed medications, as well as, problems encountered and solutions being done in the use of communication technology. A total sample of 80 nurses participated in the study using purposive sampling in the Asian Hospital and Medical Center. Each participant was asked to answer the questionnaire and the questionnaires were collected in 2 weeks. Data gathering and collection were done from February 6 to February 18, 2006. Weighted means were computed to measure the frequency and training of nurses, effects of the use of communication technology on the prescription, transcription and acquisition of prescribed medication, problems encountered and solutions being done in the use of communication technology in processing prescribed medications. Chi square distribution was used to measure the relationship between the profile of nurses and their use of communication technology in processing prescribed medications. The level of significance used was 0.05. The findings of the study revealed that 51% of the participants belong to the ages 21-25, young nurses who graduated Bachelor of Science in Nursing (86%), who were recently employed in 6 to 11 months (38%). It showed that most nurses used computers (WM=4.69) in processing prescribed medications compared to the other communication technology although it also showed that the nurses have not yet fully utilized all the communication technology in processing prescribed medications as what the institution visualizes it to be (WM=2.77). As for the preparation of nurses in the use of communication technology in processing prescribed medications, the mean scores (WM=3.66) revealed the nurses were all prepared after orientations and trainings were provided for them by the institution in the use of these communication technology. The study also revealed that were minimal (WM=1.919) problems identified by the participants as well as minimal need to solve the problems identified by the participants as well as minimal need to solve the problems encountered in the use of communication technology in processing prescribed medications (WM=2.82). The following conclusions were drawn based on the findings of the study: 1. There is no significant relationship between the age of nurses and their use of communication technology in processing prescribed medications. 2. There is no significant relationship between the educational attainment of nurses and their use of communication technology in processing prescribed medications. 3. There is no significant relationship between the length of service or employment of nurses and their use of communication technology. The results of the study highlighted the role of communication technology in the accurate processing medications as well as the continuous training of nurses in using communication technology in hospitals. Hospitals and nursing administrators should continually consider the advances in technology in providing quality care to patients as well as, continually seek means and strategies in the prevention of medication errors.