Conocimiento de las enfermeras de las dosis de medicamentos en urgencias de pediatría

• Autores: Gloria Guerrero Márquez, Ana Martínez Serrano, Concepción Míguez Navarro, Juan Antonio López Mirón, Marta Espartosa Larrayad
• Localización: Enfermería clínica, ISSN 1130-8621, Vol. 26, Nº. 4, 2016, págs. 213-219
• Idioma: español
• DOI: 10.1016/j.enfcli.2016.04.009
• Títulos paralelos:
  • Knowledge of nurses about medication doses at pediatric urgency departament
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• Resumen
  • español

    Resumen Los fallos relacionados con la medicación son la segunda causa de errores en pacientes hospitalizados. Los niños son un grupo de riesgo, siendo la presión asistencial del servicio de urgencias determinante en la incidencia de errores.

    Objetivo Determinar los conocimientos de las enfermeras sobre las dosis de los medicamentos más utilizados en urgencias pediátricas.

    Material y método Estudio descriptivo transversal realizado a enfermeras de urgencias pediátricas en 14 hospitales de Madrid. Mediante un cuestionario autoadministrado se recogieron datos durante 5 días en enero de 2014: demográficos; del conocimiento en la responsabilidad del personal de enfermería en la administración y en la dosificación de estos medicamentos. Se realizó un análisis descriptivo global y estratificado por tipo de hospital y experiencia laboral.

    Resultados La tasa de respuesta fue de 114 (34,9%). Del personal, 80 (70,8%) comprueban las dosis antes de administrarlas; 20 (18,6%) no creen que sea responsabilidad suya administrar una dosis mal prescrita. Hay mayor conocimiento entre el grupo con experiencia mayor a 5 años, excepto en sedoanalgesia (p<0,05). La media de puntuación obtenida fue de 3,8 sobre 10 (1,99).

    Conclusiones El conocimiento de dosis de medicamentos de las enfermeras es deficiente.

  • English

    Errors in drug administration are the second cause of errors in hospitalized patients. Children are a high risk group. Besides, pressure in care interventions at emergency department leads to increase incidence errors.

    Aim Determining nurses’ knowledge about the most common drug doses at pediatric urgency department.

    Methods Descriptive transversal study. We collected data from nurses of 14 pediatric emergency departments of Madrid. With an “ad hoc” questionnaire we collected the following data during five days in January of 2014: demographic, knowledge of responsibility in administration and doses of drugs. Global descriptive analysis was made and it was stratified by hospital and work experience.

    Results The answer rate was 114 (34.9%). Only 80 (70.8%) of nurses confirm doses before their administration; 20 (18.6%) think that a wrong prescription that they administer is not their responsibility. There is a high knowledge in the group with more than five years of work experience, except for sedative-analgesic drugs (p<0.05). The average score obtained was 3.8 of 10 (1.99).

    Conclusions Nurses’ knowledge about drug doses is low.

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