Nurses perception and satisfaction was assessed by descriptive study using Modified Gladstone Questionnaire. Medication Administration System-Nurses Assessment of Satisfaction Scale was used before and after BCMA. The studies are performed with accuracy and covered related issues why nurses resort to workarounds which is one of my PICO(T) questions. The aim of the study was met by peer- reviewed publications to assessed existence of BCMA work-arounds and build awareness to the nurse leaderships. Nurses compliance in the use of BCMA depends on the ease of use, training, poor scanning capacity unreadable patient’s band to name a few as the article implied. Conclusion derived that BCMA 8
Running head: INTEGRATIVE REVIEWdecreased medical errors and avoid adverse drugs effect resulting in better patient outcome. Workarounds are factors that make the BCMA ineffective, creating a user-friendly process can prevent this problem. The authors were systematically organized and thorough with their research, qualitative study on the nurses’ perception on the system, quasi-experimental study on effect of BCMA pre-post implementation on medication errors data, and quantitative study on the cost and errors post 5 years implementation of BCMA system. I would recommend a detailed study on the neonatal unit that had a successful 47% reduced risk of adverse drug events. What are the factors that contribute to this success compared to other units?Lee, Lee, Kwon, & Yi, authors of, “What are the causes of noncompliance behaviors in bar code medication administration system processes?”, a study to identify reasons why noncompliance behaviors occurs with BCMA by using a comprehensive literature review. The method use was collection of articles related to BCMA that were published from 2000-2012 using keywords such as “non-compliance”, “work-arounds”, “nursing process”, & “bar-code scanning”. There were 418 papers reviewed and 128 cases were identified and classified into 6 categories. Results were poor visual and audio interface, abnormal use or situation poor physicalergonomic use and poor information integrity. Limitation of the study started with the hypothesis that noncompliance behavior results in unproductive performance. Although, some research revealed that noncompliance behaviors prompt individual to find alternative ways for improvement resulting in increased productivity. The conclusion of the study revealed that individual use is not the primary reason of noncompliance but various reasons are to be blamed. Individual behaviors are influenced by environmental factors and in this case, Health informationsystem (HIS) is a contributory element. Recommendation for future study is to considers other elements that contribute to noncompliance behaviors, empirical evaluation study is critical.9
Running head: INTEGRATIVE REVIEWThe article supports my PICO(T) questions that nurses ‘compliance need an overall support technologically, training, and environmental factors.
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- Summer '18
- Dr. S
- Nursing, Systematic review, Patient safety, BCMA