J Korean Crit Care Nurs.  2022 Jun;15(2):1-13. 10.34250/jkccn.2022.15.2.1.

Critical Thinking Disposition, Medication Error Risk Level of High-alert Medication and Medication Safety Competency among Intensive Care Unit Nurses

• Lee YH
• Lee Y
• Ahn JA
• Kim HJ

• KMID: 2531631
• DOI: http://doi.org/10.34250/jkccn.2022.15.2.1

Abstract

Purpose
: The study aimed to identify relationship among intensive care unit (ICU) nurses’ critical thinking disposition, medication error risk level of high-alert medication, and medication safety competency, as well as the factors affecting medication safety competency.
Methods
: The participants were 266 ICU nurses of one higher-tier general hospital and one general hospital in Province. The data were collected using structured self-administered questionnaire from August 10 to August 31, 2021. Measurements included the critical thinking disposition questionnaire, nurses’s knowledge of high-alert medication questionnaire, the medication safety competency scale. Data were analyzed using hierarchical multiple regressions using SPSS/WIN 28.0.
Results
: In the multiple regression analysis, the medication safety competence has a statistically significant correlation with the working department, the critical thinking disposition, and medication error risk level of high-alert medication.
Conclusion
: Based on the results of this study, it is suggested to develop and apply an educational strategy that can strengthen the knowledge and skills of critical thinking disposition and medication error risk level of high-alert medication to improve the ICU nurse’s medication safety competency.

Keyword

Intensive care units; Critical thinking; High-alert medication errors; Patient safety; 중환자실; 비판적 사고; 고위험약물 투약오류; 환자안전