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Drug-safety reporting in Polish nursing practice—Cross sectional surveys
INTRODUCTION: Nurses play a significant role in ensuring the safety and quality of drugs. Our aim was to assess significant factors in nurses’ participation in ensuring pharmacotherapy safety by reporting adverse drug reactions (ADR) and detecting substandard drugs (SD). MATERIALS AND METHODS: The s...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7591060/ https://www.ncbi.nlm.nih.gov/pubmed/33108377 http://dx.doi.org/10.1371/journal.pone.0241377 |
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author | Zimmermann, Agnieszka Flis, Agata Gaworska–Krzemińska, Aleksandra Cohen, Marsha N. |
author_facet | Zimmermann, Agnieszka Flis, Agata Gaworska–Krzemińska, Aleksandra Cohen, Marsha N. |
author_sort | Zimmermann, Agnieszka |
collection | PubMed |
description | INTRODUCTION: Nurses play a significant role in ensuring the safety and quality of drugs. Our aim was to assess significant factors in nurses’ participation in ensuring pharmacotherapy safety by reporting adverse drug reactions (ADR) and detecting substandard drugs (SD). MATERIALS AND METHODS: The study was a cross-sectional, comparative survey, using original questionnaires. Survey questions were grouped to probe the opinions, attitudes and practices of nurses reporting ADRs and SDs. Data were obtained from nurses working in teaching hospitals in Poland (group A) and, for comparison, in the USA (group B). 1200 questionnaires were distributed in Poland (return rate: 55.7%) and 200 questionnaires in the USA (return rate: 73%). Both groups were surveyed during the same period. There were no exclusion criteria. The questionnaires were self-administered. Distribution and collection were anonymous. Participation was voluntary. The Spearman correlation test was used. Both groups’ responses were cross-tabulated and compared using Fisher’s Exact Test for Count Data. RESULTS: The study group comprised 669 Polish and 146 American professionally active nurses working in general care and surgical departments. Age range: 18 to 72 years. Median job seniority: 18.3 years (group A) and 20.6 years (group B). Education levels varied. ADR reporting conditions in Poland are unfavorable: shortage of time—83.9% vs 22.6% in the US (p = 0.01); no incentive—58.2% vs 6.1% in the US (p = 0.01); and no equipment—44.7% vs 2.8% in the US (p < 0.01). Both Polish and American nurses indicate they rarely report SDs, with rates of 0.4% and 11% (p < 0.0001) respectively, during the study period. CONCLUSIONS: Nurses in Poland are insufficiently prepared to ensure drug safety conscientiously and responsibly. Training is required for Polish nurses. Nurses’ employers need to improve conditions to enable reporting of ADRs and SDs. |
format | Online Article Text |
id | pubmed-7591060 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-75910602020-10-30 Drug-safety reporting in Polish nursing practice—Cross sectional surveys Zimmermann, Agnieszka Flis, Agata Gaworska–Krzemińska, Aleksandra Cohen, Marsha N. PLoS One Research Article INTRODUCTION: Nurses play a significant role in ensuring the safety and quality of drugs. Our aim was to assess significant factors in nurses’ participation in ensuring pharmacotherapy safety by reporting adverse drug reactions (ADR) and detecting substandard drugs (SD). MATERIALS AND METHODS: The study was a cross-sectional, comparative survey, using original questionnaires. Survey questions were grouped to probe the opinions, attitudes and practices of nurses reporting ADRs and SDs. Data were obtained from nurses working in teaching hospitals in Poland (group A) and, for comparison, in the USA (group B). 1200 questionnaires were distributed in Poland (return rate: 55.7%) and 200 questionnaires in the USA (return rate: 73%). Both groups were surveyed during the same period. There were no exclusion criteria. The questionnaires were self-administered. Distribution and collection were anonymous. Participation was voluntary. The Spearman correlation test was used. Both groups’ responses were cross-tabulated and compared using Fisher’s Exact Test for Count Data. RESULTS: The study group comprised 669 Polish and 146 American professionally active nurses working in general care and surgical departments. Age range: 18 to 72 years. Median job seniority: 18.3 years (group A) and 20.6 years (group B). Education levels varied. ADR reporting conditions in Poland are unfavorable: shortage of time—83.9% vs 22.6% in the US (p = 0.01); no incentive—58.2% vs 6.1% in the US (p = 0.01); and no equipment—44.7% vs 2.8% in the US (p < 0.01). Both Polish and American nurses indicate they rarely report SDs, with rates of 0.4% and 11% (p < 0.0001) respectively, during the study period. CONCLUSIONS: Nurses in Poland are insufficiently prepared to ensure drug safety conscientiously and responsibly. Training is required for Polish nurses. Nurses’ employers need to improve conditions to enable reporting of ADRs and SDs. Public Library of Science 2020-10-27 /pmc/articles/PMC7591060/ /pubmed/33108377 http://dx.doi.org/10.1371/journal.pone.0241377 Text en © 2020 Zimmermann et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Zimmermann, Agnieszka Flis, Agata Gaworska–Krzemińska, Aleksandra Cohen, Marsha N. Drug-safety reporting in Polish nursing practice—Cross sectional surveys |
title | Drug-safety reporting in Polish nursing practice—Cross sectional surveys |
title_full | Drug-safety reporting in Polish nursing practice—Cross sectional surveys |
title_fullStr | Drug-safety reporting in Polish nursing practice—Cross sectional surveys |
title_full_unstemmed | Drug-safety reporting in Polish nursing practice—Cross sectional surveys |
title_short | Drug-safety reporting in Polish nursing practice—Cross sectional surveys |
title_sort | drug-safety reporting in polish nursing practice—cross sectional surveys |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7591060/ https://www.ncbi.nlm.nih.gov/pubmed/33108377 http://dx.doi.org/10.1371/journal.pone.0241377 |
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