Essay Instructions: Writer?s Username: Writergrrl101, wizzy, writingptb, , FLWriter2011,
Assco5522, rbwpenn, betty, philipj, hophead
Research and comment in own words on the 2 below separately.
1. A review of the literature on Bar Code Medication Administration (BCMA) is an essential part of my capstone project and included scholarly journals and authoritative databases as my primary sources.
Medication administration errors are especially concerning because they have a very low chance of being intercepted before resulting in patient harm when compared to errors in other stages. The Institute of Medicine estimates an incidence of one medication error per day for the average hospitalized patient. BCMA technology is recommended and increasingly implemented by US hospitals as one way to prevent and intercept medication administration errors.
Despite the success related to reduced medication errors after implementation of BCMA in hospitals and long term care facilities there are important fundamental problems and questions that remained unanswered pertaining to non-compliance and acceptance of the technology by nurses. It is important to understand what shapes BCMA acceptance and use by nurses (Holden, Brown, Scanlon, & Tzion-Karsh, 2012)
The objective is to identify predictors of nurses' acceptance of bar coded medication administration (BCMA). This information could be used to plan and implement a BCMA system that nurses will be more likely to accept and use appropriately.
This information will assist in promoting the need to properly measure, understand, and proactively shape clinical Nurses' perceptions of BCMA.
Holden, R., Brown, R., Scanlon, M., & Tzion-Karsh, B. (2012). Modeing nurses acceptance of bar coded medication administration technology at a pediatric hospital. Retrieved November 12th, 2014, from NCBI: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3534453/
2. Healthcare is changing and so is the profession of nursing. ?A strong relationship exists between theory, research, and evidence-based practice; and these three entities are necessary to guide practice and contribute to the body of nursing knowledge? (Roberts, 2013). Throughout the literature that I have come across and practice, it is evident patient safety and quality initiatives are important and ways to improve them within the nursing profession. My project is on conflict management and strategies to enhance communication and develop a culture of teamwork in an organization. Realizing that communication can always be improved, I would like to use conflict management strategies and integrate them into educational purposes that nurse leaders can employ. Poor communication and conflict can increase medical errors, decrease the quality of patient care, and disrupt staff satisfaction/retention. The information gathered contributes to my knowledge base that nurse managers/leaders play a vital part in staff retention and satisfaction, which are correlated to patient safety and quality care. Also, that nurse leaders need organizational backing to be able to distribute actions such as training/education (Duffield, Roche, Blay, & Stasa, 2011). Thus, addressing relationships between nurses may enhance nurse performance and that organizations must be on board to improve communication and satisfaction in the nursing profession (Germain, & Cummings, 2010). Through the literature and course work I have gained a better understanding how crucial effective communication is and how detrimental conflict can be to staff, patients, and the organization. This is also something that I will take away and hopefully be able to enhance an organizational culture of enabling empowerment of nurses to embrace conflict management strategies that foster a good work environment.
Duffield, C. M., Roche, M. A., Blay, N., & Stasa, H. (2011). Nursing unit managers, staff retention and the work environment. Journal of Clinical Nursing, 20(1?2), 23-33.
Germain, P. B., & Cummings, G. G. (2010). The influence of nursing leadership on nurse performance: A systematic literature review. Journal of Nursing Management, 18(4), 425-439. doi: 10.1111/j.1365-2834.2010.01100.x
Roberts, B. R. (2013). Doctor of nursing practice: Integrating theory, research, and evidence-based practice. Clinical Scholars Review, 6(1), 4-8. doi: http://dx.doi.org/10.1891/1939-2095.6.1.4