Finnish nurses’ and nursing students’ mathematical skills

Grandell-Niemi, Heidi; Hupli, Maija; Puukka, Pauli; Leino‐Kilpi, Helena

doi:10.1016/j.nedt.2005.08.007

Cited by 51 publications

(37 citation statements)

References 22 publications

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“…[1120] In some other studies, the insufficient pharmacological knowledge is referred to as one of the three most important reasons in occurrence of medication errors. [2122] Although, all nursing students should pass pharmacology course at university, some periodic continuing education programs are needed for nurses to improve their pharmacological knowledge particularly because of continuous supply of new drugs to the drug market and the necessity of learning the new indications of old drugs.…”

Section: Discussionmentioning

confidence: 99%

“…[161720] Grandell-Neimi et al ., have pointed out to a linear relationship between education level and professional experience of nurses and medication errors. [22] Nursing is considered as a stressful job, however, various factors such as heavy workload, sleeping disorders, and so on will even intensify this stress, so it can affect the mental and emotional condition of nurses as well as their professional performance. There are so many studies, which have referred to the correlation between some medication errors and mental-emotional problems of the nurses[1617] and health-related quality of life of Nursing staffs.…”

Section: Discussionmentioning

confidence: 99%

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Factors effective on medication errors: A nursing view

Shahrokhi¹,

Ebrahimpour²,

Ghodousi³

2013

J Res Pharm Pract

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Objective:Medication errors are the most common medical errors, which may result in some complications for patients. This study was carried out to investigate what influence medication errors by nurses from their viewpoint.Methods:In this descriptive study, 150 nurses who were working in Qazvin Medical University teaching hospitals were selected by proportional random sampling, and data were collected by means of a researcher-made questionnaire including demographic attributes (age, gender, working experience,…), and contributing factors in medication errors (in three categories including nurse-related, management-related, and environment-related factors).Findings:The mean age of the participant nurses was 30.7 ± 6.5 years. Most of them (87.1%) were female with a Bachelor of Sciences degree (86.7%) in nursing. The mean of their overtime working was 64.8 ± 38 h/month. The results showed that the nurse-related factors are the most effective factors (55.44 ± 9.14) while the factors related to the management system (52.84 ± 11.24) and the ward environment (44.0 ± 10.89) are respectively less effective. The difference between these three groups was significant (P = 0.000). In each aforementioned category, the most effective factor on medication error (ranked from the most effective to the least effective) were as follow: The nurse's inadequate attention (98.7%), the errors occurring in the transfer of medication orders from the patient's file to kardex (96.6%) and the ward's heavy workload (86.7%).Conclusion:In this study nurse-related factors were the most effective factors on medication errors, but nurses are one of the members of health-care providing team, so their performance must be considered in the context of the health-care system like work force condition, rules and regulations, drug manufacturing that might impact nurses performance, so it could not be possible to prevent medication errors without paying attention to our health-care system in a holistic approach.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors effective on medication errors: A nursing view

Shahrokhi¹,

Ebrahimpour²,

Ghodousi³

2013

J Res Pharm Pract

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“…[2][3][4][5][6][7][8][9][10][11][12][13][14][15] The inability to perform accurate calculations may result in a compromise of patient safety which may lead to an under-dosing, overdosing, or a major adverse event such as death.…”

Section: Introductionmentioning

confidence: 99%

Drug calculation ability of qualified paramedics: A pilot study

Boyle¹,

Eastwood²

2018

World Journal of Emergency Medicine

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BACKGROUND:The inability of paramedics to perform accurate calculations may result in a compromise of patient safety which may result from under or over dosing of drugs, incorrect joules for defi brillation, or a major adverse event such as death. The objective of this study was to identify the drug calculation and mathematical ability of qualifi ed operational paramedics. METHODS:The study used a cross-sectional design with a paper-based calculation questionnaire. Twenty paramedics enrolled in an intensive care paramedic course were eligible to participate in the study. The questionnaire consisted of demographic, drug calculation (seven questions), and mathematical (fi ve) questions. Students were given no notice of the impending study and use of a calculator was not permitted. RESULTS:All eligible students participated in the study. The average time employed as a paramedic was 7.25 years, SD 2.5 years, range four years to twelve years. Four (20%) students got all 12 questions correct, and fi ve (41.6%) got 50% or less. The average score was 8.6 (71.7%) correct, SD 2.8 correct, range 3 to 12 correct questions. There were eight (40%) conceptual errors, 12 (60%) arithmetical errors, and fi ve (25%) computational errors. CONCLUSION:The results from this study supports similar international studies where paramedic's ability to undertake mathematical and drug calculations without a calculator varies, with some results highlighting the paramedics mathematical skills as a potential risk to patient safety. These results highlight the need for regular continuing mathematical and drug calculation practice and education to ensure a lower error rate.

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“…Current research identifies mathematical skills as a key component of safe and accurate administration of medications, with the ability to perform basic mathematical calculations, understand decimals and identify errors in calculation as pivotal to safe practice (Andrew et al, 2009;Grandell-Niemi et al, 2006;Harvey et al, 2009;Jukes and Gilchrist, 2006). Basic mathematical ability is a combination of both the students' ability and their personal confidence in performing calculations, which, in turn, influences their ability to accurately administer the medication to the patient (Andrew et al, 2009).…”

Section: Introductionmentioning

confidence: 99%