Evidence map›Paper›PMID 40033469›Full record

ReviewJournal of clinical nursing2025

Contributing Factors to Medication Administration Errors Among Novice Registered Nurses: An Integrative Review.

Chelsea Webb, Elissa Dabkowski, Karen Missen, Amanda Missen

Abstract readReview
In one paragraph

Review in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Chelsea WebbInstitute of Health and Wellbeing, Federation University Australia, Churchill, Victoria, Australia.ORCID 0009-0009-4850-2820
Elissa DabkowskiInstitute of Health and Wellbeing, Federation University Australia, Churchill, Victoria, Australia.ORCID 0000-0003-1199-0698
Karen MissenInstitute of Health and Wellbeing, Federation University Australia, Churchill, Victoria, Australia.ORCID 0000-0001-5427-6297
Amanda MissenLatrobe Regional Health, Traralgon, Victoria, Australia.ORCID 0009-0008-4326-5873

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this review was to explore the influencing factors that contribute to medication administration errors (MAEs) made by novice registered nurses (NRNs).

backgroundMAEs are a significant yet preventable risk to patient safety in healthcare settings, compromising both patient health and care quality. Evidence suggests that NRNs are more prone to MAEs, highlighting the importance of exploring the contributing factors to develop effective prevention strategies.

designAn integrative review.

methodsAn electronic literature search was conducted in which articles were restricted to peer-reviewed, full-text articles published in the English language between January 2013 and December 2023. Quality assessments and data syntheses were conducted by two independent authors. DATA SOURCES: CINAHL Complete, MEDLINE, APA PsycArticles, APA PsycInfo, PubMed, Cochrane Library and Web of Science.

resultsEleven studies met the inclusion criteria. The main influencing factors identified in this review were intrinsic factors (lack of confidence, reduced coping skills and reluctance to seek assistance) and extrinsic factors (time pressures, hectic workloads, low staffing and high-stress environments). Clinical, educational and research implications were also identified.

conclusionThis integrative review explored the various influencing factors contributing to MAEs by NRNs in healthcare settings. These included gaps in pharmacological knowledge, limited simulation-based learning and challenges in using electronic medical records. Addressing these issues through targeted education and increased simulation experiences in undergraduate curricula could enhance NRNs' competence and confidence. REPORTING

methodPreferred Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution was made due to the study design. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Understanding the factors behind medication administration errors among new nurses helps organisations develop strategies to address these issues, reducing patient harm and enhancing nursing practice. Our findings offer recommendations to improve nursing education worldwide.

Indexed as

Medication ErrorsNursing Staff, HospitalClinical CompetenceHumansPatient Safetyerrorgraduatemedicationmedication administrationnovicenursepatient safetyregistered nursesafety

Identifiers

PMID40033469
PMCPMC12489426

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.