reply to both, with references I chose to talk about the quantitive article fo

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reply to both, with references
I chose to talk about the quantitive article for this week’s discussion post. The title of the article is “Medication errors and drug knowledge gaps among critical-care nurses: a mixed multi-method study”. The authors are Juan Escrivá Gracia, Ricardo Brage Serrano, and Julio Fernández Garrido. The purpose of this study was about how medication errors are a serious and complex problem in clinical practice, especially in intensive care units whose patients can suffer potentially very serious consequences because of the critical nature of their diseases and the pharmacotherapy programs implemented in these patients. Implementing new protocols in regard to medication administration would play a huge role not only in the intensive care units but in all hospital units. Medication errors are not just happening in the intensive care units, maybe there are more errors occurring in that particular area but it is still happening in the hospital in general. One of the major factors that play a role in medication errors is the low level of knowledge that nurses have on pharmacology. Some new protocols that could be addressed would be to have nurses review common drugs and their look-alike or sound-alike drugs to avoid confusion. There can also be a no-distraction zone for nursing during the times of med pass or they can wear a distinct sash around them to notify others that they are med passing to avoid unnecessary distractions. Medication errors are very serious and life-threatening and should not be taken lightly, and as we all know it’s one of the most stressful factors of nursing school.
The article I have chosen that was approved in week 4 is a quantitative article. The name of the article is Formula feeding increases the risk of antibiotic prescriptions in children up to 2 years: results from a cohort study. The authors of this article were Simona Di Mario, Carlo Gagliotti, Andrea Donatini, Sergio Battaglia, Rossella Buttazzi, Sara Balduzzi, Silvana Borsari, Vittorio Basevi, Luca Barbieri, and the Regional breastfeeding monitoring group. The purpose of this article was to determine the possible association between use of infant formula and risk of receiving an antibiotic prescription (considered as a proxy of infections) in the first 2 years of life in a large population of Italian children. This influences my practice in nursing, because of the importance that breastfeeding in OB. As nurses in is our priority to care for the mother and infant, and provide proper interventions to maximize the best care we can offer. It is also important to understand that restricting the analysis to infections leading to hospital admission can underestimate risks of formula, as in at-term infants only a limited proportion of infections results in hospitalization. However, family life can be influenced also by mild infections, often associated with lost school and working days (Di Mario et al., 2019). It is critical for infants to receive adequate nutrition for proper development and growth. The changes I would recommend to my practice in nursing for OB would be emphasizing the importance of prioritizing breast milk and pumping. There are many circumstances that new mothers have to experience, but it is important that the mother tries her best to use all the resources she has for breastfeeding, prior to turning to formula feeding.
References
Di Mario, S., Gagliotti, C., Donatini, A., Battaglia, S., Buttazzi, R., Balduzzi, S., Borsari, S., Basevi, V., Barbieri, L., & and the Regional breastfeeding monitoring group (2019). Formula feeding increases the risk of antibiotic prescriptions in children up to 2 years: results from a cohort study. European journal of pediatrics, 178(12), 1867–1874. https://doi.org/10.1007/s00431-019-03462-0

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