Table of Contents
Advances in Nursing
Volume 2015 (2015), Article ID 941589, 10 pages
http://dx.doi.org/10.1155/2015/941589
Research Article

Registered Nurses’ Experiences with the Medication Administration Process

1Department of Nursing Science, University of Turku, Lemminkäisenkatu 1, 20520 Turku, Finland
2Turku Centre for Computer Science (TUCS), Department of Information Technologies, Åbo Akademi University, Joukahaisenkatu 3-5 A, 20520 Turku, Finland

Received 21 May 2015; Revised 26 August 2015; Accepted 27 August 2015

Academic Editor: Ann M. Mitchell

Copyright © 2015 Hanna Pirinen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Registered nurses (RNs) have a role in the medication administration process (MAP) multiple times per day in a hectic hospital environment. This requires a great deal from the RNs in order to accomplish the demanding task of avoiding adverse drug events. However, the process has not been widely studied from the nurses’ perspective. Aim. The aim of this study was to describe the different stages of MAP from the RNs’ perspective. Methods. A qualitative descriptive research design, with a purposive sample involving thematic interviews of 20 RNs and questions to them in a paper form, was conducted in two medical units. Data was analyzed by using deductive content analysis. Results. The results revealed that RNs confront numerous problems such as equivocal prescriptions, problems with information technology (IT), unavailability or incompatibility of the medicines, a substantial amount of generic substitutions, and changing medicine brands. Disruptions and distraction run through each stage of the MAP, excluding prescribing. The RNs desire support in all stages of the MAP. Conclusion. There are areas to improve in each stage of the MAP from the RNs perspective. Real-time and ubiquitous documentation, along with software including the data and knowledge required in medication management, is needed.