Saf Health Work.  2018 Dec;9(4):447-453. 10.1016/j.shaw.2017.12.005.

Impact of Psychosocial Factors on Occurrence of Medication Errors among Tehran Public Hospitals Nurses by Evaluating the Balance between Effort and Reward

Affiliations
  • 1School of Health, Tabriz University of Medical Sciences, Tabriz, Iran. nazari_j@yahoo.com
  • 2Shahid Beheshti University of Medical Science, Tehran, Iran.

Abstract

BACKGROUND
Patient safety and accurate implementation of medication orders are among the essential requirements of par nursing profession. In this regard, it is necessary to determine and prevent factors influencing medications errors. Although many studies have investigated this issue, the effects of psychosocial factors have not been examined thoroughly.
METHODS
The present study aimed at investigating the impact of psychosocial factors on nurses' medication errors by evaluating the balance between effort and reward. This cross-sectional descriptive study was conducted in public hospitals of Tehran in 2015. The population of this work consisted of 379 nurses. A multisection questionnaire was used for data collection.
RESULTS
In this research, 29% of participating nurses reported medication errors in 2015. Most frequent errors were related to wrong dosage, drug, and patient. There were significant relationships between medications errors and the stress of imbalance between effort and reward (p < 0.02) and job commitment and stress (p < 0.027).
CONCLUSION
It seems that several factors play a role in the occurrence of medication errors, and psychosocial factors play a crucial and major role in this regard. Therefore, it is necessary to investigate these factors in more detail and take them into account in the hospital management.

Keyword

Balance effort–reward; Medication error; Nurse; Psychosocial factors; Stress
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