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    Causes and reporting of nursing medication errors
    (Maltepe Üniversitesi, 2019) Filiposka, Simona; Dimitrovska, Senior Lecturer Gordana Ristevska
    INTRODUCTION: Nurses are responsible for correct and safe administration of oral, subcutaneous, intramuscular and intravenous medication. Medication errors (ME) are common health threatening mistakes that as a global problem increase mortality rates, length of hospital stay, and healthcare costs. This survey was conducted to evaluate the causes and reporting of nursing medication errors. MATERIALS AND METHODS: The study is crosssectional and conducted in 2018. Ten nurses, working in PHI General Hospital Ohrid filled out a self-constructed questionnaire about medication errors. RESULTS: When asked what is the most common reason for medication errors, nurses answered: 3/10 using shortcuts; 3/10 errors in dosage; 1/10 similarities in medication name; 1/10 lack of pharmacological knowledge; and 2/10 all of the above.7/10 nurses would accept responsibility if they make an ME. Five nurses would tell a doctor about their error in medication, 2 would approach the director of the hospital and 3 nurses would tell the nursing director.9/10 nurses never made/witnessed an ME, and would know what to say if they did;10/10 would know whom to inform and would like to talk to somebody; 4/10 would not know how to react if someone from their team makes an ME; 4/10 think that the night shift increases chances for ME; 8/10 think that interruptions during preparation of therapy increase chances for ME; 6/10 think they have the necessary knowledge in pharmacology; 4/10 think that they risk their employment if they report an ME; 6/10 think that inexperienced nurses are prone to more ME. CONCLUSION: Our results show that interviewed nurses well understand the circumstances that increase medication errors, but struggle with reporting ME. We found that 1/3 of the interviewed nurses would not accept the responsibility for their medication error. The fear of losing employment is high among the interviewed nurses, which makes ME to be underreported. Most of the interviewed nurses prefer to inform a doctor for medication error rather than a responsible nurse. Only 2/3 of nurses find that they have sufficient pharmacological knowledge, something that should be further addressed in nursing education.
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    Nursing home violence a constant worry
    (Maltepe Üniversitesi, 2020) Filiposka, Simona
    Introduction: Violence against health workers is unacceptable. It has not just a negative effect on the mental and physical prosperity of healthcare staff, yet additionally influences their job motivation. Health workers are exposed to a higher danger of violence everywhere throughout the world. Somewhere in the range of 8% and 38% of health workers endure physical attacks while working on their vocations. Many more are threatened or presented to verbal aggression. This survey was conducted to evaluate causes and reporting violence in nursing professionals who work with the elderly. Materials and Methods: The study is crosssectional and conducted in 2020. Seven nurses working in Ohrid General Hospital - Geriatric Ward, filled out a self-constructed questionnaire about workplace violence. Results: Three of the seven medical attendants who participated in the interview were physically attacked. Generally, all medical attendants were verbally attacked and undermined by patients and their relatives. When asked what the foremost common reason for the violence is,nurses, replied: 4/7 dementia; and 3/7 aggression. About the reporting of violent behavior:4 nurses said that they would not tell anyone;2/7 would tell their colleagues and 1 to the family of the patient. Conclusion: Our results show that interviewed nurses were more exposed to verbal violence and as a result of this, they experienced demoralization and stress. Most of the interviewed nurses prefer not to inform someone when experiencing violence. As a result of this, we think that nurses are not sufficiently informed about the violence and the ways to protect themselves.