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eileen shepherd

eileen shepherd

Recent activity

Blog Posts (290)

eileen shepherd contributes to:

Comments (38)

  • Comment on: Reducing nurse medicine administration errors

    eileen shepherd's comment 24-May-2015 5:16 pm

    Please see below a response from the authors to comments by Anonymous | 12-May-2015 10:42 am "Thank you for reading our work and for your comments, which we would like to address. We have suggested that Interruption and distraction of nurses during drug administration is one of four main causes of medication administration errors, not the only cause. Our review of the literature would suggest that three further causes make an important contribution - drug calculation skills, insufficient knowledge and lack of confidence among nurses. While we acknowledge our reference to a review by Biron et al (2009), which suggests there is limited evidence to support the contribution interruptions make to MAE’s, we emphasise these are findings from this author, not our own views and not the findings from our own review of the literature. In our review, we have included research (not included in Biron et al’s work) which would suggest that interruptions do make a significant contribution to MAE’s (Dougherty et al 2011;Kreckler et al 2008; Fry and, Dacey 2007). For example Kreckler et al found that nurse’s perceptions on the causes of MAE’s were that interruptions are a significant contributing factor. Studies using participant and non-participant observation of nursing staff (Dougherty et al 2011; Fry and Dacey 2007) had similar findings. We accept that a review by Raban and Westbrook (2013) found more evidence was needed to support the effectiveness of interventions, such as “do not disturb” tabards to reduce MAE’s. However although interventions such as sashes and lanyards were included in these authors review, these were evaluated alongside a variety of other interventions. Additionally, Verweij et al (2014) in a later study, although recognising the complexity of drug errors, found that drug tabards were effective in reducing interruptions leading to MAE’s We thank you for your suggestion for further reading and while we recognise the limitations of covering such a broad research topic within such a restricted review of the literature we would never suggest our review be the definitive work. We would always encourage those in practice, academia and research to consult the full range of evidence available. Biron A et al (2009) Work interruption and their contribution to medication administration errors:an evidence review. Worldview on Evidence-Based Nursing; 6: 2, 70-86. Dougherty L et al (2011). Decision-making process used by nurses during intravenous drug preparation and administration. Journal of Advanced Nursing; 68: 6, 1302-1311. Fry MM, Dacey C (2007). Factors contributing to incidents in medicine administration. Part 2. British Journal of Nursing; 16: 11, 676-681. Kreckler S et al (2008). Interruptions during drug rounds: an observational study. British Journal of Nursing; 17: 21, 1326-1330. Roban, M and Westbrook, J (2013) Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review, BMJ Quality and Safety. 0, 1-8 Verweij, L et al (2014) Quiet Please! Drug Round Tabards: Are They Effective and Accepted? A Mixed Method Study. Journal of Nursing Scholarship. 46(5) 340-348"

  • Comment on: How to use personal protective equipment

    eileen shepherd's comment 12-Jan-2015 12:06 pm

    Thanks for your question. I have checked with the authors and they recommend: "A green apron is to be worn when serving food to patients as this is National specifications for cleanliness in the NHS (NPSA) and to comply with CQC requirements. It acts an reminder to all that you are not to be disturbed whilst serving food to do clinical duties (protected meal time)".

  • Comment on: Using music to maintain the correct rhythm during CPR

    eileen shepherd's comment 16-Sep-2014 2:53 pm

    Thank you for your comment.The researchers in this article assessed the use of music in CPR training to help nurses acheive the correct number of compressions. They did not evaluate its use during actual resuscitation attempts.

  • Comment on: 'Get online to learn and be part of a huge global nursing group'

    eileen shepherd's comment 10-Jun-2014 10:44 am

    Thanks Bill. It is in our print edition as well. Hopefully it will inspire all nurses to see the value of the online community

  • Comment on: Would you value a week away with your team?

    eileen shepherd's comment 24-Mar-2014 5:13 pm

    When I was a ward sister I had time out days . They made a big difference to the team and helped us set priorities. The challenge was to keep the energy going when we returned to the ward. I can't image what it must be like to get a team away for a week. It will be interesting to see the results to this innovation.

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