Abstract
Objective: This study aimed to assess the frequency and types of medication administration errors, nurse-related non-compliance, and the association of anxiety and depression with MAEs among nurses.
Study Design: A cross-sectional correlational study was conducted.
Place and duration of study: A cross-sectional correlational study was conducted at Saidu Group of Teaching Hospital.
Material and Methods: A cross-sectional correlational study was conducted at Saidu Group of Teaching Hospital. A total of 155 registered nurses were selected through enumerative sampling. Data were collected using a validated self-reported questionnaire and analyzed using SPSS version 22. Ethical approval was obtained from Iqra National University and Saidu Group of Teaching Hospital.
Results: Wrong time was the most frequently reported MAE (29.7%), while wrong route was the least common (3.9%). Nurse-related non-compliance was highest in patient education omission (49.7%) and monitoring drug effects (23.2%). Among psychological factors, anxiety was generally mild, with excessive worry being the most common symptom (25.8%). Depression was more prominent, with fatigue (18.7%) and psychomotor symptoms (16.8%) most frequently reported; 9% of nurses reported suicidal ideation. Correlation analysis showed a significant association between depression and MAEs (r=0.249,p=0.002)(r=0.249,p=0.002),whereas anxiety had a non-significant association with MAEs (r=0.154,p=0.055)(r=0.154,p=0.055).
Conclusion: The study revealed a substantial burden of MAEs, non-compliance, and psychological distress among nurses. Depression was significantly associated with MAEs, indicating the need for supportive workplace interventions and a non-punitive environment to improve patient safety and nurses’ mental well-being.
Keywords: Medication administration error, medication error, nurses, tertiary care hospital, anxiety, depression.
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