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dc.contributor.advisorBlignaut, A J
dc.contributor.authorErasmus, Anelle
dc.date.accessioned2018-06-12T12:10:38Z
dc.date.available2018-06-12T12:10:38Z
dc.date.issued2018
dc.identifier.urihttp://hdl.handle.net/10394/27414
dc.descriptionMCur, North-West University, Potchefstroom Campus, 2018en_US
dc.description.abstractBackground: Several studies have been published with regards to the incidence of medication administration errors as a patient safety concern. However, there is limited literature available on the incidence of asepsis-related deviations from safe practice during parenteral medication administration and no information is available on a more rural context of this patient safety concern within South Africa. Objective: To determine the prevalence of asepsis-related deviations from safe practice during parenteral medication administration within medical and surgical wards of level 2 public hospitals in the North West Province of South Africa. Design: A cross-sectional descriptive quantitative design with contextual strategies was used in this study. Setting and participants: All three level 2 hospitals in the North West Province were included. Two medical and two surgical wards form each hospital were sampled randomly, while all the parenteral medication administrators in the selected wards on the day of data collection were included in the study. Five parenteral medication administrations were observed with each medication administrator (n = 300). Measurements: The incidence of asepsis-related deviations from safe practice during parenteral medication administration was determined by direct observation, using a checklist. Results: 1033 asepsis-related deviations from safe practice during parenteral medication administration were identified. All areas of the hands not disinfected (n = 287; 95.67%) was the most prevalent deviation, the second most prevalent deviation from safe practice was hands not disinfected for at least 15 seconds (n = 281; 93.67%) and the third most prevalent was not disinfecting the IV bottles and vials (n = 145; 62.23%). Of all the areas of hands not disinfected, the fingernails were most often missed (n = 281; 93.67%), the wrist area was second most missed area (n = 268; 89.33%) and between the fingers were the third most missed areas of the hands (n = 257; 85.67). There was a practically and statistically significant association found between ward type and hands cleaned for less than 15 seconds (Cramer’s V = 0.58; p = 0.000). A weak negative correlation (r = -0.09) that was statistically significant (p =0.034) was seen in the relationship between sterility of needles and IV sets not maintained and percentage occupancy. A slight positive correlation (r = 0.13) with a p value of 0.052 indicating a borderline statistical significance was found between hands not disinfected and percentage of required staff available. A positive correlation (r = 0.12) with a statistically significant p value at the tenth percentile (p = 0.074) was found between palms not disinfected and percentage required staff. Conclusions: Asepsis-related deviations from safe practice during parenteral medication administration were seen as prevalent in rural public hospitals of South Africa impeding patient safety. Both differences with and similarities to international literature were noted. The context of the study should not be deemed insignificant, as resource restraints and psychological climate could possibly hinder the improvement of patient safety in the public hospitals of the North West Province of South Africaen_US
dc.description.sponsorshipNorth-West University (NWU)en_US
dc.language.isoenen_US
dc.publisherNorth-West University (South Africa), Potchefstroom Campusen_US
dc.subjectAsepsisen_US
dc.subjectHand hygieneen_US
dc.subjectIntravenousen_US
dc.subjectNurseen_US
dc.subjectParenteral medication administrationen_US
dc.titleAsepsis related deviations from safe practice in parenteral medication administration in the North West Provinceen_US
dc.typeThesisen_US
dc.description.thesistypeMastersen_US


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