The Relationship Between Barcode Medication Administration Satisfaction and the Use of Workarounds Among Registered Nurses
School of Nursing
Joan Such Lockhart
Barcode Medication Administration satisfaction, Perceived ease of use, Perceived usefulness, Registered nurses, Technology Acceptance Model, Workarounds
Adverse drug events, resulting in preventable patient harm or death, are of great concern. To keep patients safe, hospitals have implemented barcode medication administration (BCMA) technology for RNs who have accepted this technology with varying levels of satisfaction. When nurses are dissatisfied with a BCMA system, they may find alternative methods to complete their work. Framed by the Technology Acceptance Model (Davis, 1989), this analytic, cross-sectional study aimed to understand the relationship between BCMA satisfaction and workarounds, perceived ease of use (PEOU) and perceived usefulness (PU) of a BCMA system by 80 hospital-based RNs in northeastern US. Data were collected using the Workaround Usage and Satisfaction with Barcoding Instrument for Nurses (WUSBIN), which was adapted from Hurley's (2006) Medication Administration System-Nurses Assessment of Satisfaction Scale (MAS-NAS) Halbesleben and Rathert's (2010) Workaround Assessment. Results suggested that RNs who were more satisfied with the BCMA system were less likely to use workarounds than nurses who were less satisfied (r2(78)= -.681, p < .05). Significant relationships were noted among BCMA Satisfaction and PEOU (r2(78) = -.725, p < .05), Workaround Usage and PEOU (r2(78) =.943, p < .05) and Workaround Usage and PU (r2(78)=.501, p < .05). RNs perceived the BCMA system to be easy to use (PEOU), but not very useful (PU). BCMA Satisfaction was significantly related to the use of six workarounds, while Workaround Usage was significantly related to five. Significant relationships were also noted among both BCMA Satisfaction (r2(78) = -.393, p < .01), and Workaround Usage (r2(78) = .423, p < .01) with the total number of workarounds used. Significant relationships were found among demographic variables, BCMA Satisfaction, and Workaround Usage. Since admitting to the use of workarounds may be a sensitive matter for RNs, measuring BCMA satisfaction may help understand the state of patient safety related to medication administration. Based on high satisfaction scores and low workaround usage, a profile may be developed to identify nurse champions to improve quality of care. Further research is indicated to fully understand these possibilities.
Bennett, S. (2012). The Relationship Between Barcode Medication Administration Satisfaction and the Use of Workarounds Among Registered Nurses (Doctoral dissertation, Duquesne University). Retrieved from https://dsc.duq.edu/etd/302