Knowledge, Attitude, and Behaviour with Regard to Medication Errors in Intravenous Therapy: A Cross-Cultural Pilot Study

Abstract

Background: Literature on the prevention of medication errors is growing, highlighting that knowledge, attitude and behavior with regard to medication errors are strategic to planning of educational activities and evaluating their impact on professional practice. In this context, the present pilot study aims to translate and validate nursing professionals’ knowledge, attitudes and behavior (KAB theory) concerning medication administration errors in ICU from English into Persian. Furthermore, two main objectives of the project were: performing a pilot study among Iranian nurses using the translated questionnaire and carrying out a cultural measurement of the KAB theory concerning medication administration errors in an ICU questionnaire across two groups of Italian and Iranian populations. Methods: A cross-cultural adaptation of an instrument, according to the Checklist for reporting of survey studies (CROSS), was performed. The convenience sample was made up of 529 Iranian and Italian registered nurses working in ICU. An exploratory factor analysis was performed and reliability was assessed. A multi-group confirmatory factor analysis was conducted to test the measurement invariance. Ethical approval was obtained. Results: There was an excellent internal consistency for the 19-item scale. Results regarding factorial invariance showed that the nursing population from Italy and Iran used the same cognitive framework to conceptualize the prevention of medication errors. Conclusions: Findings from this preliminary translation and cross-cultural validation confirm that the questionnaire is a reliable and valid instrument within Persian healthcare settings. Moreover, these findings suggest that Italian and Persian nurses used an identical cognitive framework or mental model when thinking about medication errors prevention. The paper not only provides, for the first time, a validated instrument to evaluate the KAB theory in Iran, but it should promote other researchers in extending this kind of research, supporting those countries where attention to medical error is still increasing.

Knowledge, Attitudes, and Behavior in the administration of medication in the home care setting: Cross‐cultural Spanish adaptation

“…In fact, most of them are elderly individuals, suffering from chronic diseases and undergoing a high number of therapy (Cain et al., 2012; Sun et al., 2019; Toivo et al., 2019). In fact, polypharmacy has been identified as an additional risk factor for the genesis of the error (Giannetta et al., 2023).…”

“…With reference to the characteristics of the health care professional, the literature distinguishes errors resulting from a deficiency in the individual health professional's knowledge, attitude and behavior (Mansour et al, 2012;Yung et al, 2016). Recent observational studies have explored and deepened the relationship between personal and professional health worker variables, showing a statistically significant relationship between knowledge attitudes and behaviors (Di Muzio et al, 2017;Giannetta et al, 2021Giannetta et al, , 2023. The analysis of these factors, in addition to providing an overview of what may be the variables on which to act to contain the error, brings out an important element of analysis, namely that of the care setting in which knowledge of the phenomenon is deepened.…”

Family Medicine and Primary Healthcare: The Past, Present and Future

“…Numerous topics are addressed in the Special Issue entitled "The 10th Anniversary of Healthcare-Family Medicine". Some of the studies included investigated the knowledge, attitudes and behaviour of primary care physicians in relation to various aspects: practices of evidence-based medicine (EBM) among primary care physicians in Saudi Arabia [52]; the diagnostic and therapeutic management of Helicobacter pylori infection [56]; and pharmaceutical prescription errors in intensive care units [59] and palliative care education and training in Malaysia [60], particularly exploring the importance of the academic training of university students regarding the need to request diagnostic investigations in order to develop a reflexive approach regarding prescriptive appropriateness [49].…”

“…As evidence of the interest generated by the aforementioned topics of debate, as of 10 July 2023, 18 manuscripts have been accepted for publication in the Special Issue entitled "The 10th Anniversary of Healthcare-Family Medicine" following the peer review process. Specifically, 2 reviews, 1 perspective and 15 articles were published online [39,40,[48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63].…”

Global Trends of Medical Misadventures Using International Classification of Diseases, Tenth Revision Cluster Y62-Y69 Comparing Pre–, Intra–, and Post–COVID-19 Pandemic Phases: Protocol for a Retrospective Analysis Using the TriNetX Platform

“…Seminal studies in the last 3 decades, such as the Canadian Adverse Events Study and the Harvard Medical Practice Study, have highlighted the rates of adverse events in health care settings, which led to severe, sometimes fatal, consequences for patients [ 3 , 4 ]. Moreover, research conducted in various international contexts has emphasized the necessity of rigorous safety protocols and the urgent need for continuous quality improvement plans [ 5 - 7 ]. The criticality of safety and quality in health care is not merely a theoretical construct but is supported by extensive research, governmental reports, and real-world implications [ 8 ].…”