An evaluation of nurses' adherence to best practices in medication reconciliation at Akwa Ibom State University Teaching Hospital
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- NGN 5000
Background of the Study
Medication reconciliation is a critical process aimed at ensuring the accuracy and safety of medication prescriptions, particularly during transitions in care such as hospital admissions, transfers, and discharges. It involves verifying the patient's medication history, comparing it with the current medication orders, and addressing discrepancies to prevent medication errors (Ayoola et al., 2023). Medication errors, including omissions, duplications, and dosing errors, are a significant cause of preventable adverse events in healthcare settings, leading to patient harm and increased healthcare costs (Oladele & Lawal, 2024). Nurses, as frontline healthcare providers, play a pivotal role in the medication reconciliation process, ensuring that patients receive the correct medications at all times.
At Akwa Ibom State University Teaching Hospital (AKSU-TH), medication reconciliation practices are essential for patient safety, given the complex patient population and high turnover rates in the hospital. However, adherence to best practices in medication reconciliation among nurses remains a concern. Studies indicate that nurses may struggle with medication reconciliation due to time constraints, lack of training, and the challenges of managing large patient volumes (Okafor et al., 2023). The importance of evaluating nurses' adherence to medication reconciliation protocols at AKSU-TH is critical to identifying areas for improvement and ensuring that patients receive safe and effective medication management.
This study aims to evaluate the level of adherence of nurses to medication reconciliation best practices at AKSU-TH and identify barriers to effective practice.
Statement of the Problem
Medication errors remain a significant challenge in many healthcare settings, including Akwa Ibom State University Teaching Hospital. Nurses are integral to the medication reconciliation process, but their adherence to established best practices is not well understood. Factors such as workload, inadequate training, and limited resources may influence nurses' ability to effectively perform medication reconciliation. This gap in adherence to best practices may contribute to medication errors and compromise patient safety. Therefore, it is important to assess how well nurses adhere to medication reconciliation protocols at AKSU-TH and explore the factors that hinder adherence.
Objectives of the Study
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To assess the level of adherence of nurses to medication reconciliation best practices at Akwa Ibom State University Teaching Hospital.
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To identify factors influencing nurses' adherence to medication reconciliation protocols.
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To propose recommendations to improve nurses' adherence to medication reconciliation best practices at AKSU-TH.
Research Questions
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What is the level of adherence of nurses to medication reconciliation best practices at Akwa Ibom State University Teaching Hospital?
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What factors influence nurses' adherence to medication reconciliation protocols at AKSU-TH?
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How can adherence to medication reconciliation best practices be improved among nurses at AKSU-TH?
Research Hypotheses
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There is a significant relationship between nurses' knowledge of medication reconciliation protocols and their adherence to these protocols.
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Nurses with more years of experience in medication management are more likely to adhere to medication reconciliation best practices.
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Time constraints and inadequate resources significantly hinder nurses' adherence to medication reconciliation protocols at AKSU-TH.
Scope and Limitations of the Study
This study will focus on nurses involved in medication reconciliation processes at Akwa Ibom State University Teaching Hospital, including those working in general wards and specialty units. Limitations include the possibility of response bias and the limited applicability of the findings to other hospitals with different resources and practices.
Definitions of Terms
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Medication Reconciliation: The process of reviewing and reconciling a patient's medication orders at every point of care transition to prevent medication errors.
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Best Practices: Established guidelines and protocols that ensure the accurate and safe administration of medications.
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Adherence: The extent to which nurses follow medication reconciliation protocols to ensure patient safety.
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Nurses: Healthcare professionals responsible for ensuring that patients receive the correct medications during hospitalizations and care transitions.
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