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He Relationship of Medication Errors and Amount of Sleep to Day Shift Nurses, Night Shift Nurses and Graveyard Shift Nurses

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He Relationship of Medication Errors and Amount of Sleep to Day Shift Nurses, Night Shift Nurses and Graveyard Shift Nurses
UNIVERSITY OF SANTO TOMAS The Graduate School Research Methodology (RES_CAL) Thesis Proposal Proponent/s: Pamatmat, Marielle R. Working Title: Variables used:      Definition of Terms:  The Relationship of Medication Errors and Amount of Sleep to Day Shift Nurses, Night Shift Nurses and Graveyard Shift Nurses Medication Error Amount of Sleep Day Shift Nurses Night Shift Nurses Graveyard Shift Nurses Medication Error – any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional (Hughes, R. and Blegen, M.)    Amount of Sleep – quality and quantity of sleep Day Shift Nurses – nurses working 8 hours, established in the morning Night Shift Nurses – nurses carrying out 8 hours of work, starting in the afternoon  Graveyard Shift Nurses – nurses performing 8 hours of work from late at night to early morning Research Simulacrum

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UNIVERSITY OF SANTO TOMAS The Graduate School Research Methodology (RES_CAL) Thesis Proposal Conceptual Hypotheses: H1: Day shift nurses have a significant effect on the rate of medication errors. H2: Night shift nurses cause higher frequency of medication errors. H3: Graveyard shift nurses greatly increase the incidence of medication errors. H4: The amount of sleep affect directly day shift nurses. H5: The amount of sleep significantly influences night shift nurses. H6: The amount of sleep is affecting graveyard shift nurses. H7: The amount of sleep is inversely directed to the occurrence of medication errors. Theoretical Framework: The framework for this research is based Donabedian‟s Model of Quality Health Care, in which he categorized medical care in terms of structure, process, and outcome in order to determine indicators of quality (Aday, Begley, Lairson, & Balkrishnan, 2004; Donabedian, 1980).

In this study, structure shows two characteristics of nurses, namely, work shifts, and amount of sleep, contributing to his/her



References: 1. Abdalkader R & Hayajneh F. (2008) Effect of Night Shift on Nurses Working in Intensive Care Units at Jordan University Hospital. European Journal of Scientific Research ISSN 1450-216X Vol.23 No.1; pp.70-86 2. Aday, L. A., Begley, C. E., Lairson, D. R., & Balkrishnan, R. (2004). Evaluating the healthcare system: Effectiveness, efficiency, and equity (3rd ed.). Chicago: Health Administration Press 3. Armitage, G., & Knapman, H. (2003). Adverse events in drug administration: A literature review. Journal of Nursing Management, 11(2), 130-140. 4. Aspden, P., & Institute of Medicine. (2007). Preventing medication errors. Washington, DC: National Academies Press. 5. Barger LK, Ayas NT, Cade BE, Cronin JW, Rosner B, et al. (2006). Impact of extendedduration shifts on medical errors, adverse events, and attentional failures. PLoS Med 3(12): e487. 6. Barker, K. N., & McConnell, W. E. (1962). The problems of detecting medication errors in hospitals. American Journal of Hospital Pharmacy, 19, 360-369. 7. Bates, D., Cullen, D., Laird, N., Petersen, L., Small, S., Servi, D., et al. (1995). Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE prevention study group. JAMA: Journal of the American Medical Association, 274(1), 2934. 8. Berger, A. M., & Hobbs, B. B. (2006). Impact of shift work on the health and safety of nurses and patients. Clinical Journal of Oncology Nursing, 10(4), 465-471. 9. Crofts L (1999). Challening Shift work: A review of common rostering practices in UK Hospitals. Nursing Progress 9.(30); 46-56 10. De Vries, J., Michielsen, H., & Van Heck, G. (2003). Assessment of fatigue among working people: A comparison of six questionnaires. Occupational and Environmental Medicine, 60 Supplement 1; i10-15. 11. Dean, B., & Barber, N. (2001). Validity and reliability of observational methods for studying medication administration errors. American Journal of Health-System Pharmacy: AJHP: Official Journal of the American Society of Health-System Pharmacists, 58(1), 5459. 12. Demehin, A, Babalola, O, and Erhun, W. (2008). Pharmacists and Nurses Perception of Medication. Errors in a Nigerian University Teaching Hospital. International Journal of 7 UNIVERSITY OF SANTO TOMAS The Graduate School Research Methodology (RES_CAL) Thesis Proposal Health Research; 1(2): 51-61 13. Dorrian, J., Lamond, N., van den Heuvel, C., Pincombe, J., Rogers, A., & Dawson, D. (2006). A pilot study of the safety implications of Australian nurses ' sleep and work hours. Chronobiology International: The Journal of Biological, 23(6); 1149-1163. 14. Ellis, J.R. (2008). Quality of Care, Nurses‟ Work Schedules, and Fatigue: A White Paper, Seattle: Washington State Nurses Association. 15. Gaba, D. M., & Howard, S. K. (2002). Fatigue among clinicians and the safety of patients. The New England Journal of Medicine, 347(16), 1249-1255. 16. Gamble KL, Motsinger-Reif AA, Hida A, Borsetti HM, Servick SV, et al. (2011). Shift Work in Nurses: Contribution of Phenotypes and Genotypes to Adaptation. PLoS ONE, Volume 6(Issue4): e18395. 17. Gold, D., Rogacz, S., Bock, N., Tosteson, T., Baum, T., Speizer, F., et al. (1992). Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses. American Journal of Public Health, 82(7), 1011-1014. 18. Greengold, N. L., Shane, R., Schneider, P., Flynn, E., Elashoff, J., Hoying, C. L., et al. (2003). The impact of dedicated medication nurses on the medication administration error rate: A randomized controlled trial. Archives of Internal Medicine, 163(19); 2359-2367. 19. Hughes, R., and Blegen, M. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses: Vol. 2. Chapter 37. Medication Administration Safety; 397-457. 20. Ito, Hiroto and Yamazumi, Syum. Common types of medication errors on long-term psychiatric care units. International Journal for Quality in Health Care. 2003. Volume 15. Number 3; 207-212. 21. Jha, A. K., Duncan, B. W., & Bates, D. W. (2001). Fatigue, sleepiness, and medical errors. In K. G. Shojania, B. W. Duncan, K. M. McDonald & et al. (Eds.), Making health care safer: A critical analysis of patient safety practices; pp. 519-532 22. Josten, E. J. C., Ng-A-Tham, J. E. E., & Thierry, H. (2003). The effects of extended workdays on fatigue, health, performance and satisfaction in nursing. Journal of Advanced Nursing, 44(6); 643-652. 23. Koller, M (1996). Occupational Health Services for Shift and Night Workers Applied Ergonmics, 27 (1) 31-37. 24. Kunert, K., King, M., & Kolkhorst, F. (2007). Fatigue and sleep quality in nurses. Journal 8 UNIVERSITY OF SANTO TOMAS The Graduate School Research Methodology (RES_CAL) Thesis Proposal of Psychosocial Nursing and Mental Health Services, 45(8); 30-37. 25. Maricle, K., Whitehead, L., & Rhodes, M. (2007). Examining medication errors in a tertiary hospital. Journal of Nursing Care Quality, 22(1); 20-27. 26. Mayo, A., & Duncan, D. (2004). Nurse perceptions of medication errors: What we need to know for patient safety. Journal of Nursing Care Quality, 19(3); 209-217. 27. National Association of Neonatal Nurses. (August, 2008). Bedside Registered Staff Nurse Shift Length, Fatigue, and Impact on Patient Safety. 28. Neonatal Advanced Practice. (August 2007). Nurses Shift Length, Fatigue, and Impact on Patient Safety. Glenview, IL 29. Rogers, A. (2008). The Effects of Fatigue and Sleepiness on Nurse Performance and Patient Safety. Patient Safety and Quality: An Evidence-Based Handbook for Nurses: Vol. 2. Chapter 40; pp. 519-545 30. Rogers, A. (2004). Nurses‟ Working Hours: The Authors Respond. Health Affairs, 23, no.6; 274-275 31. Runciman W, Roughead E, Semple S, and Adams R. (2003). Adverse drug events and medication errors in Australia. International Journal for Quality in Health Care 2003; Volume 15, Supplement 1; pp. i49–i59 9

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