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A meta‐synthesis of how registered nurses make sense of their lived experiences of medication errors

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  • Efstratios Athanasakis

Abstract

Background Medication errors are a frequent phenomenon in nursing, as the nurses are primarily responsible for preparation and administration of medications to patients. Little is known about how nurses make sense of their experiences of medication errors as a lived phenomenon. Objective To aggregate, synthesise and interpret the qualitative evidence of studies which explored nurses' lived experiences of medication errors. Method A meta‐synthesis is presented with thematic analysis by Thomas & Harden (BMC Medical Research Methodology, 8, 2008, 45). Qualitative studies (January 1980–June 2018) retrieved from PubMed, BNI, CINAHL, EMBASE, AMED, PsycINFO, ProQuest, ScienceDirect and Wiley Online Library. The PRISMA flow chart, CASP tool and COREQ checklist are integrated in the meta‐synthesis. Findings Eight primary research studies were included with the follow themes: “moral impact,” “emotional impact,” “constructive learning,” “impact on professional registration and employment,” “nurses' coping strategies with the experience,” “patient and family,” “identification of contributing factors to medication errors” and “preventive measures for medication errors.” Conclusion The moral and emotional impact of medication errors to nurses was devastating for themselves. Yet, they detected strategies to cope with their error and its consequences and even more translated their experience into a constructive lesson and identified ways to prevent future errors. Relevance for clinical practice The meta‐synthesis provides a holistic perspective about how registered nurses made sense of their lived experiences of medication errors. Its findings reveal that the experience has both positive impact and negative impact to the nurses. Its findings should inform mainly the clinical nursing practice, clinical nurses, nurse educators, nurse leaders and policymakers of medication administration.

Suggested Citation

  • Efstratios Athanasakis, 2019. "A meta‐synthesis of how registered nurses make sense of their lived experiences of medication errors," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(17-18), pages 3077-3095, September.
  • Handle: RePEc:wly:jocnur:v:28:y:2019:i:17-18:p:3077-3095
    DOI: 10.1111/jocn.14917
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Mitra Soltanian & Zahra Molazem & Eesa Mohammadi & Farkhondeh Sharif & Mahnaz Rakhshan, 2016. "Iranian Nurses’ Experiences on Obstacles of Safe Drug Administration: A Qualitative Study," Global Journal of Health Science, Canadian Center of Science and Education, vol. 8(10), pages 1-88, October.
    3. Kerry Reid‐Searl & Lorna Moxham & Sandra Walker & Brenda Happell, 2010. "Supervising medication administration by undergraduate nursing students: influencing factors," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(5‐6), pages 775-784, March.
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