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KMID : 0388320220290020237
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Journal of Korean Academy of Fundamental Nursing
2022 Volume.29 No. 2 p.237 ~ p.247
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Factors Influencing Clinical Nurses’ Medication Safety Competence
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Kim Ga-Hyun
Lee Hyun-Ju
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Abstract
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Purpose: The purpose of this study was to measure the influence of job stress, critical thinking disposition, andclinical decision-making ability on clinical nurses’ medication safety competence.
Methods: A descriptive surveywas conducted among 140 nurses with more than 6 months of work experience in 4 general hospitals in Busanmetropolitan city. Data were collected from August 15 to October 30, 2021 and analyzed using the independentt-test, one-way ANOVA, Pearson’s correlation coefficients, and stepwise multiple regression.
Results: Medicationsafety competence had significant correlations with job stress (r=.20, p=.021), critical thinking disposition (r=.63,p<.001), and clinical decision-making ability (r=.54, p<.001). Multiple regression analysis for medication safetycompetence revealed that the most powerful predictor was critical thinking disposition. Job stress and criticalthinking disposition explained approximately 45% of the variance in medication safety competence.
Conclusion:This study confirms the need to make systematic efforts in clinical settings to improve nurses’ medication safetycompetence, and seeks ways to do so. To enhance clinical nurses’ medication safety competence in the future,programs that manage job stress and improve critical thinking disposition within the nursing department inparticular and the hospital in general should be developed and implemented.
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KEYWORD
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Clinical competency, Medication errors, Nurses, Safety
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