Change of Medication Administration Errors Rate and Burnout of Nurses in Taiwan: Compared with 2005 and 2012

Monday, 22 July 2013

Yu-Hua Lin, PhD
I-Shou University, Department of Nursing,, Kaohsiung, Taiwan
Chia-Chan Kao, RN, PhD
Department of Healthcare Administration, I-Shou University, Kaohsiung, Taiwan
I. Lee, PhD
Nursing, I-Shou University, Kaohsiung City, Taiwan
li Chun Lee, MSN
Department of Nursing, I-Shou University, Kaohsiung County, Taiwan
Hui-Chi Li, RN, MSN
School of Nursing, I-Shou University, Kaohsiung County, Taiwan

Learning Objective 1: the learners will be able to know the changed of medication administration errors rate from 2005 to 2012 in Taiwan.

Learning Objective 2: the learners will be able to know the changed of nurses burnout status from 2005 to 2012 in Taiwan.

Purpose: Burnout is common in nursing professional and a medication administration error (MAE) was relevant high prevalence in Taiwan. Recently years, there are many strategies driven by Taiwan nurses society and government for improvement these two issues. Yet, little study is to examine their changing. The purpose of this study was to compare the prevalence of MAE and the burnout of nurses between 2005 and 2012 in Taiwan.

Methods:  The cross-sectional study was conducted two surveys in Taiwan. Nurses voluntarily participated in this study. Nurses were excluded if they were a supervisor, clinical nurse specialist, or dean of a department. 93% (563/605) in 2005 and 84.4% (389/461) participants completed the structured questionnaire. Data was collected from February 1, 2005 to March 15, 2005 and April 1 to October 30, 2012. The following instruments were used: Maslach Burnout Inventory (MBI), personal features, and one question asked for experience of MAE (Yes/ No). Chi-square was used to compare the changing of the prevalence of MAE and the burnout of nurses.

Results: The results indicated that the nurses reported experiencing MAE was significantly decreased, from 65.5% (369/563) in 2005 to 53% (206/389) in 2012 (χ2 =15.23, p<.001). Nurses experienced median (27.5% vs 32.8%) and high level (19.0% vs 24.8%) emotional exhaustion of MBI was decreased in 2012 when compared with 2005 (χ2 =11.46, p=.003). Nurses reported higher burnout of personal accomplishments in 2012 (15.4% vs 22.7%,χ2 =7.96, p=.019) than 2005. Nurses experienced similarity high level (91.5% vs 87.9%,χ2=5.54, p=.063) depersonalization of MBI.

Conclusion: This study demonstrates that the prevalence of MAE was decreased, but still over 50% nurses reported experience. Although nurses’ emotional exhaustion of burnout wwas diminished, but nurses still experienced high personal accomplishments and depersonalization of burnout.