Critical factors that influence student nurses' decisions during medication administration

Material Information

Title:
Critical factors that influence student nurses' decisions during medication administration
Series Title:
Barry University Dissertations -- College of Nursing and Health Sciences
Creator:
Perini, Andrea V.
Place of Publication:
Miami, Fla.
Publisher:
Barry University
Publication Date:
Language:
English
Physical Description:
xiii, 160 leaves : illustrations ; 28 cm

Thesis/Dissertation Information

Degree Disciplines:
Nursing

Subjects

Subjects / Keywords:
Nursing -- Decision making ( lcsh )
Drugs -- Administration ( lcsh )
Nursing -- Study and teaching ( lcsh )
Nursing students -- United States ( lcsh )
Genre:
Academic theses ( lcsh )

Notes

Abstract:
Background: Researchers estimate that potentially preventable, adverse drug events kill 7,000 Americans annually. As technology expands and increased responsibilities are placed upon the student nurse, predicted nursing shortages, lack of knowledge, distractions, computer messaging, and interruptions increase the likelihood of medication errors. As a result, nursing instructors may not understand the attitudes and critical factors that influence student nurses’ decisions during the medication administration process. Purpose: The purpose of this qualitative study, using the tradition of grounded theory, was to explore the attitudes and factors that critically influence student nurses’ decisions during medication administration. Philosophical Underpinning: Symbolic interactionism provides the philosophical underpinning for exploring critical factors that influence student nurses’ decisions during medication administration. Methods: A grounded theory approach provided the framework for this study. Open ended questions were used to collect data in accordance with this theory. Interviews were audio-taped and semi-structured. Data were collected and analyzed in accordance with grounded theory tradition, using open, axial, and selective coding. Results: Three themes emerged from the voices of the participants: resilience, acquiring knowledge, and patient safety. The three themes were confirmed by the theoretic sample. The central core category that emerged was gaining confidence. The conceptual model of gaining confidence can be used to better understand student needs and provide an incentive for nurse education to help students develop healthy, confidence-building capabilities. Conclusions: The conceptual model identified, gaining confidence, may serve to increase nurse faculty’s facilitation of confidence-building techniques with student nurses. The increase in development of student nurses’ confidence may assist improvement of the decision-making process during medication administration. Implications for accomplishment of gaining confidence exist in nursing education, nursing practice, nursing research, and public policy.
Thesis:
Thesis (Ph.D.)--Barry University, 2014.
Bibliography:
Includes bibliographical references (leaves 122-136).

Record Information

Source Institution:
Barry University
Holding Location:
Barry University Archives and Special Collections
Rights Management:
Copyright Andrea V. Perini. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
Resource Identifier:
RT42.P47 2014_PeriniAndrea ( BU-Local )
Classification:
RT42.P47 2014 ( lcc )

BUDC Membership

Aggregations:
Barry University
Theses and Dissertations