Document Type : Original Article


1 Department of Palliative Care, Nursing and Midwifery Care Research Centre, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

2 Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

3 Department of Adult Health Nursing, Nursing and Midwifery Care Research Centre, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran


BACKGROUND: Unsafe medication administration and medication errors pose a threat to medication
safety. Safe medication is one of the most important nursing practices that plays an important role
in preventing medication errors. The aim of this study was to assess the medication administration
of nurses in cardiac wards and its relationship with some demographic characteristics.
MATERIALS AND METHODS: The present study was conducted as an observational study in 2021
with the 60 nurses who working in the medical cardiac wards of one selected hospital affiliated with
the Isfahan University of Medical Sciences. Data were collected using three‑part tools (demographic
information, medication checklist (55 items), and documentation checklist (8 items). The checklist
was completed by the observer after observing the nurses’ medication administration. Data analysis
was conducted using descriptive and inferential statistics in the SPSS software (version 16, SPSS
Inc., Chicago, IL, USA). A P < 0.05 was considered statistically significant.
RESULTS: The mean total score of the principles of injection and oral medication administration
were 82.53 ± 10.75 and 75.76 ± 9.62, respectively. The mean score of the principles of injection
and oral medication administration in the morning shift was significantly higher than the evening
and night shifts (P < 0.001). The relationship between the mean score of the principles of injection
medication (r = 0.234, P = 0.067), oral medication (r = 0.222, P = 0.083), and the nurses’ work
experience no significant. The rate of adherence to the principles of medication administration in the
premedication administration stage was higher than during and after drug administration.
CONCLUSION: Although the mean score of medication administration of nurses in the medical
cardiac wards was at the desired level, it is necessary to monitor and plan by nursing managers to
improve medication administration. Reducing the number of night shifts, adhering to accreditation
programs in the hospital, continuous monitoring of nurses in terms of compliance with the principles
of medication are among the proposed solutions to improve the safe medication in nurses.


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