title: Medication management by graduate nurses: before, during and following medication administration.
abstract: The purpose of the present study was to explore graduate nurses' perceptions of their medication management activities in the acute care context. A qualitative research design with a semistructured interview schedule was used to elicit information from participants. The sampling population consisted of graduate nurses involved in direct patient care in medical and surgical wards of a Melbourne metropolitan teaching hospital, completing a graduate nurse program. Twelve graduate nurses participated in the interviews. Two major themes emerged: (i). monitoring medications and (ii). interventions for patient care. The findings indicate that graduate nurses are required to address several facets of the medication management role in their daily practice. It is pertinent to examine ward dynamics to ensure that graduate nurses have ready access to experienced health care professionals. Through collegial support, graduate nurses should also be encouraged to critically examine the different possibilities when making clinical judgments about monitoring patient medications.
authors.affiliation: School of Nursing, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton, Victoria, Australia. emanias@unimelb.edu.au
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Manias
authors.forename: Robyn
authors.initials: R
authors.lastname: Aitken
authors.forename: Trisha
authors.initials: T
authors.lastname: Dunning
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D016903:Drug Monitoring / Q000451:nursing / Q000592:standards; D004358:Drug Therapy / Q000451:nursing* / Q000592:standards; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006785:Hospitals, University; D006786:Hospitals, Urban; D006801:Humans; D008297:Male; D008508:Medication Errors / Q000451:nursing; D008875:Middle Aged; D024802:Nurse's Role; D009730:Nursing Assessment / Q000592:standards; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology*; D036301:Qualitative Research; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D014739:Victoria