Background. Registered nurses (RNs) have a role in the medication administration process (MAP)multiple times per day in a hectic\nhospital environment. This requires a great deal from the RNs in order to accomplish the demanding task of avoiding adverse drug\nevents. However, the process has not been widely studied from the nurses� perspective. Aim.The aim of this study was to describe\nthe different stages of MAP from the RNs� perspective. Methods. A qualitative descriptive research design, with a purposive sample\ninvolving thematic interviews of 20 RNs and questions to them in a paper form, was conducted in two medical units. Data was\nanalyzed by using deductive content analysis. Results.The results revealed that RNs confront numerous problems such as equivocal\nprescriptions, problems with information technology (IT), unavailability or incompatibility of the medicines, a substantial amount\nof generic substitutions, and changing medicine brands. Disruptions and distraction run through each stage of the MAP, excluding\nprescribing. The RNs desire support in all stages of the MAP. Conclusion.There are areas to improve in each stage of the MAP from\nthe RNs perspective. Real-time and ubiquitous documentation, along with software including the data and knowledge required in\nmedication management, is needed.
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