Interruptions during therapy preparation, administration and monitoring while caring for the paediatric population: a scoping review
Background: Nurses perform many actions during the therapy process. However, the time dedicated to the process of drug therapy is very important for the children’s safety; indeed, assessing the factors that can impact on the whole therapy process represent an important objective. Aim. The primary...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Firenze University Press
2023-01-01
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| Series: | Infermieristica Journal |
| Subjects: | |
| Online Access: | https://riviste.fupress.net/index.php/if/article/view/1931 |
| _version_ | 1797202387660701696 |
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| author | Eustachio Parente Annalisa Cialdi Gabriele Frangioni Daniele Ciofi Khadija El Aoufy |
| author_facet | Eustachio Parente Annalisa Cialdi Gabriele Frangioni Daniele Ciofi Khadija El Aoufy |
| author_sort | Eustachio Parente |
| collection | DOAJ |
| description | Background: Nurses perform many actions during the therapy process. However, the time dedicated to the process of drug therapy is very important for the children’s safety; indeed, assessing the factors that can impact on the whole therapy process represent an important objective.
Aim. The primary aim of this scoping review is to investigate the factors associated to the interruptions of the therapeutic process (i.e., preparation, administration and, monitoring) for inpatient paediatric population. The secondary aim is to investigate possible implementation strategies to prevent interruptions and, thus, prevent medical administration error (MAE).
Materials and method: A scoping review was performed, following the PRISMA guidelines using the keywords ‘paediatric’ AND ‘interruption to therapy administration/preparation/ monitoring’. The search was performed during April 2022.
Results: Out of 242 records retrieved, 8 full text studies met the inclusion criteria and therefore, included in the review. the included full texts were grouped according to the stage of the therapy process they addressed. The majority of the studies adopted an observational design and highlighted how interruptions can occur due to environmental reasons and people. All the included studies focused on the “negative” consequences of interruptions, although, they reveal that the nurses constitute a resilient profession, because they can implement adaptive strategies in extremely disruptive environments and organizations. However, development of new strategies to reduce interruptions during the therapy process is highly needed to guarantee the safety of the children.
Conclusion: we recognize that prioritization is an ongoing challenge, indeed the first step is a cultural change in order to implement new organizational and clinical models where “positive” disruptions are allowed and the “negative” ones are blocked or prevented. |
| first_indexed | 2024-03-08T23:30:40Z |
| format | Article |
| id | doaj.art-56799d75e052406e9687530202c6e424 |
| institution | Directory Open Access Journal |
| issn | 2785-7018 |
| language | English |
| last_indexed | 2024-04-24T08:02:38Z |
| publishDate | 2023-01-01 |
| publisher | Firenze University Press |
| record_format | Article |
| series | Infermieristica Journal |
| spelling | doaj.art-56799d75e052406e9687530202c6e4242024-04-17T15:01:43ZengFirenze University PressInfermieristica Journal2785-70182023-01-01129911110.36253/if-19311758Interruptions during therapy preparation, administration and monitoring while caring for the paediatric population: a scoping reviewEustachio Parente0Annalisa Cialdi1Gabriele Frangioni2Daniele Ciofi3Khadija El Aoufy4InfermiereEmergency Departement, Careggi University HospitalNOS ErgoMeyer, Meyer Children’s Hospital, FlorenceHight Nursing Training, Meyer Health Campus, FlorenceDepartment of Experimental and Clinical Medicine, University of Florence, FlorenceBackground: Nurses perform many actions during the therapy process. However, the time dedicated to the process of drug therapy is very important for the children’s safety; indeed, assessing the factors that can impact on the whole therapy process represent an important objective. Aim. The primary aim of this scoping review is to investigate the factors associated to the interruptions of the therapeutic process (i.e., preparation, administration and, monitoring) for inpatient paediatric population. The secondary aim is to investigate possible implementation strategies to prevent interruptions and, thus, prevent medical administration error (MAE). Materials and method: A scoping review was performed, following the PRISMA guidelines using the keywords ‘paediatric’ AND ‘interruption to therapy administration/preparation/ monitoring’. The search was performed during April 2022. Results: Out of 242 records retrieved, 8 full text studies met the inclusion criteria and therefore, included in the review. the included full texts were grouped according to the stage of the therapy process they addressed. The majority of the studies adopted an observational design and highlighted how interruptions can occur due to environmental reasons and people. All the included studies focused on the “negative” consequences of interruptions, although, they reveal that the nurses constitute a resilient profession, because they can implement adaptive strategies in extremely disruptive environments and organizations. However, development of new strategies to reduce interruptions during the therapy process is highly needed to guarantee the safety of the children. Conclusion: we recognize that prioritization is an ongoing challenge, indeed the first step is a cultural change in order to implement new organizational and clinical models where “positive” disruptions are allowed and the “negative” ones are blocked or prevented.https://riviste.fupress.net/index.php/if/article/view/1931therapy processpaediatricchildreninterruptions |
| spellingShingle | Eustachio Parente Annalisa Cialdi Gabriele Frangioni Daniele Ciofi Khadija El Aoufy Interruptions during therapy preparation, administration and monitoring while caring for the paediatric population: a scoping review Infermieristica Journal therapy process paediatric children interruptions |
| title | Interruptions during therapy preparation, administration and monitoring while caring for the paediatric population: a scoping review |
| title_full | Interruptions during therapy preparation, administration and monitoring while caring for the paediatric population: a scoping review |
| title_fullStr | Interruptions during therapy preparation, administration and monitoring while caring for the paediatric population: a scoping review |
| title_full_unstemmed | Interruptions during therapy preparation, administration and monitoring while caring for the paediatric population: a scoping review |
| title_short | Interruptions during therapy preparation, administration and monitoring while caring for the paediatric population: a scoping review |
| title_sort | interruptions during therapy preparation administration and monitoring while caring for the paediatric population a scoping review |
| topic | therapy process paediatric children interruptions |
| url | https://riviste.fupress.net/index.php/if/article/view/1931 |
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