Evaluating nurses’ adherence to the seven rights of medication administration in an Indonesian hospital: A cross-sectional study
Background: Patient safety is a critical focus in Indonesia, particularly in medication administration, where adherence to the “seven rights”—the right patient, drug, dose, route, time, documentation, and information—is essential. Despite established protocols, medication errors remain a challenge,...
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| Format: | Article |
| Language: | English |
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Belitung Raya Foundation
2024-12-01
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| Series: | Journal of Healthcare Administration |
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| Online Access: | https://www.belitungraya.org/BRP/index.php/joha/article/view/3527 |
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| author | Eka Rokhmiati Wahyu Purnamasari Rina Afrina Ahmad Rizal Nadira Novianti Ervina |
| author_facet | Eka Rokhmiati Wahyu Purnamasari Rina Afrina Ahmad Rizal Nadira Novianti Ervina |
| author_sort | Eka Rokhmiati Wahyu Purnamasari |
| collection | DOAJ |
| description | Background: Patient safety is a critical focus in Indonesia, particularly in medication administration, where adherence to the “seven rights”—the right patient, drug, dose, route, time, documentation, and information—is essential. Despite established protocols, medication errors remain a challenge, highlighting the need for improved adherence among nurses, who are key players in ensuring safety.
Objective: This study aimed to assess nurses' adherence to the “seven rights” of medication administration and explore its relationship with nurse characteristics such as age, education, and career level at Bogor Hospital, Indonesia.
Methods: A cross-sectional descriptive study was conducted in May 2024 with 35 nurses selected via purposive sampling. Data were collected through non-disclosed observations using a questionnaire of “seven rights of medication administration” based on Bogor Hospital’s Standard Operating Procedures. Adherence was evaluated using the Gudman scale. Statistical analyses included descriptive and bivariate (chi-square) tests using SPSS version 23.
Results: The majority (57.1%) of nurses partially adhered to the “seven rights,” 25.7% fully adhered, and 17.1% did not adhere. All nurses consistently performed key practices such as patient identity verification and medication checking (100%). However, only 57% provided patient education. Career level significantly influenced adherence (p = 0.009), with higher-level nurses showing better adherence. Age, gender, and education level showed no significant correlation.
Conclusion: While adherence to core protocols was high, gaps in patient education highlight areas for improvement. Targeted training and educational advancements, especially for entry-level nurses, are essential to enhance patient safety and medication administration practices. However, further studies are needed to validate the findings.
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| format | Article |
| id | doaj-art-0df1cc9855494aefb17e98b18772cf46 |
| institution | Kabale University |
| issn | 2830-3733 2830-3407 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Belitung Raya Foundation |
| record_format | Article |
| series | Journal of Healthcare Administration |
| spelling | doaj-art-0df1cc9855494aefb17e98b18772cf462024-12-25T08:42:26ZengBelitung Raya FoundationJournal of Healthcare Administration2830-37332830-34072024-12-013210.33546/joha.3527Evaluating nurses’ adherence to the seven rights of medication administration in an Indonesian hospital: A cross-sectional studyEka Rokhmiati Wahyu Purnamasari0Rina Afrina1Ahmad Rizal2Nadira Novianti3Ervina4Universitas Indonesia Maju (UIMA), Program Studi Ners, Jakarta 12610, IndonesiaUniversitas Indonesia Maju (UIMA), Program Studi Ners, Jakarta 12610, IndonesiaUniversitas Indonesia Maju (UIMA), Program Studi Ners, Jakarta 12610, IndonesiaUniversitas Indonesia Maju (UIMA), Program Studi Ners, Jakarta 12610, IndonesiaUniversitas Indonesia Maju (UIMA), Program Studi Ners, Jakarta 12610, IndonesiaBackground: Patient safety is a critical focus in Indonesia, particularly in medication administration, where adherence to the “seven rights”—the right patient, drug, dose, route, time, documentation, and information—is essential. Despite established protocols, medication errors remain a challenge, highlighting the need for improved adherence among nurses, who are key players in ensuring safety. Objective: This study aimed to assess nurses' adherence to the “seven rights” of medication administration and explore its relationship with nurse characteristics such as age, education, and career level at Bogor Hospital, Indonesia. Methods: A cross-sectional descriptive study was conducted in May 2024 with 35 nurses selected via purposive sampling. Data were collected through non-disclosed observations using a questionnaire of “seven rights of medication administration” based on Bogor Hospital’s Standard Operating Procedures. Adherence was evaluated using the Gudman scale. Statistical analyses included descriptive and bivariate (chi-square) tests using SPSS version 23. Results: The majority (57.1%) of nurses partially adhered to the “seven rights,” 25.7% fully adhered, and 17.1% did not adhere. All nurses consistently performed key practices such as patient identity verification and medication checking (100%). However, only 57% provided patient education. Career level significantly influenced adherence (p = 0.009), with higher-level nurses showing better adherence. Age, gender, and education level showed no significant correlation. Conclusion: While adherence to core protocols was high, gaps in patient education highlight areas for improvement. Targeted training and educational advancements, especially for entry-level nurses, are essential to enhance patient safety and medication administration practices. However, further studies are needed to validate the findings. https://www.belitungraya.org/BRP/index.php/joha/article/view/3527Indonesianursesmedication administrationpatient safetymedication errorshospitals |
| spellingShingle | Eka Rokhmiati Wahyu Purnamasari Rina Afrina Ahmad Rizal Nadira Novianti Ervina Evaluating nurses’ adherence to the seven rights of medication administration in an Indonesian hospital: A cross-sectional study Journal of Healthcare Administration Indonesia nurses medication administration patient safety medication errors hospitals |
| title | Evaluating nurses’ adherence to the seven rights of medication administration in an Indonesian hospital: A cross-sectional study |
| title_full | Evaluating nurses’ adherence to the seven rights of medication administration in an Indonesian hospital: A cross-sectional study |
| title_fullStr | Evaluating nurses’ adherence to the seven rights of medication administration in an Indonesian hospital: A cross-sectional study |
| title_full_unstemmed | Evaluating nurses’ adherence to the seven rights of medication administration in an Indonesian hospital: A cross-sectional study |
| title_short | Evaluating nurses’ adherence to the seven rights of medication administration in an Indonesian hospital: A cross-sectional study |
| title_sort | evaluating nurses adherence to the seven rights of medication administration in an indonesian hospital a cross sectional study |
| topic | Indonesia nurses medication administration patient safety medication errors hospitals |
| url | https://www.belitungraya.org/BRP/index.php/joha/article/view/3527 |
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