Authors (including presenting author) :
Tse King Tong Gregory, Melody Wong, Sharron Leung, Lau Muk Mau
Affiliation :
Department of Cardiothoracic Surgery. Queen Mary Hospital. Hong Kong
Introduction :
The rapid development of science and technology enhances and optimizes patient safety. Queen Mary Hospital underwent a transition in the drug administration process. IPMOE was introduced in the Department of Cardiothoracic Surgery at Queen Mary Hospital since March 2018. Upon implementing a new system, we explored some challenges which encountered by fresh graduate nurses to provide insights for developing an effective and efficient IPMOE training program. Facilitating IPMOE system’s adoption would lead to improve work-flow efficacy and enhance medical service quality.
Objectives :
To promote the IPMOE system for fresh graduate nurses in the Department of Cardiothoracic Surgery.
Methodology :
A questionnaire, which was divided into three attributes (relative advantages, compatibility and complexity), was distributed to nurses who have less than 2-year working experience in the cardiothoracic surgical wards. Participated nurses were encouraged to estimate using a five-graded Likert scale whether they agreed or disagreed with a set of statements. Completed questionnaires were analyzed by descriptive-analytical statistical methods.
Result & Outcome :
A total of 21 questionnaires were answered, returned and analyzed. 95% (n=20) participants did not receive IPMOE training at their educational institution. With the transition from student nurses to registered nurses, they were lacking of confidence to perform medication administration independently by using IPMOE system (p< 0.01). Their average adaption period to use the IPMOE system was 3 months and median number of managed medication orders was 58 per day. The respondents offered diverse opinions about the relative advantages of the IPMOE system on work efficiency and patient safety (p< 0.115). Most of them agreed that the electronic system has a better approach than paper form for drug administration (95%), contributed to better information exchange between different caregivers (76%) and help to achieve a high level of patient safety (82%). The majority found the IPMOE system to be more compatible with their professional values (p< 0.01), the system demonstrated adequate support to provide clinically relevant alerts of adverse drug reaction (100%). However, they claimed that the IPMOE system was complex to use during their transition period (p< 0.04), they encountered some computer-related problems (both software and hardware) which extended time used on drug administration (81%). Unfamiliar with the IPMOE system was one of the major factors prohibited their role identification as qualified nurses (100%). Most of fresh graduate nurses believe that IPMOE system is able to reduce medication error, enhance patient safety and improve efficiency on medication administration.
