Emergency Department Nurses Attitudes Toward Barcode Medication Administration

Résumé

Abstract

Background: Barcode medication administration (BCMA) has been widely implemented in the inpatient setting of hospitals throughout the United States, resulting in lower medication administration errors. Understanding nurses’ attitudes toward BCMA in the Emergency Department (ED) may assist administrators with creating implementation strategies that will improve medication administration process turnaround time and remove barriers to use ensuring increased compliance and improved patient safety.

Methods: The aim of this descriptive research study was to identify Emergency Department nurses’ attitudes towards acceptance of this technology, based on the Unified Theory of Acceptance and Use of Technology (UTAUT). Data collection was carried out using an online, cross-sectional survey of nurses (n=55) who were members of the National Emergency Nurses Association of Canada.

Results: The results demonstrated that two-thirds of those surveyed had approximately one year of experience with using BCMA technology. More positive attitudes were found in the following domains: behavioral intent, anxiety, and self-efficacy. Neutral attitudes were perceived regarding facilitating conditions, social influence, and effort expectancy. The most negative attitudes were expressed regarding attitude toward technology and performance expectancy.

Conclusions: The results of this study allow us to conclude that the ED nurse perceived BCMA as easy to master and use and not intimidating or anxiety producing; however, they do not perceive it as useful nor do they perceive it to improve their proficiency or productivity. It is recommended that future studies be conducted on larger samples and also on participants that have had more experience using this technology.

Keywords: Barcode Medication Administration, Emergency Department, Medication Administration, Attitudes.