Abstract:

Objective To understand the dilemma and coping experience of pediatric nurses participating in medication safety management，so as to provide a reference for improving the quality of medication safety management. Methods This study was a descriptive phenomenological study. The purposive sampling method was used to conduct semi-structured interviews with 21 pediatric nurses from in a tertiary A hospital in Nanjing from January to February 2024. The interview data were extracted，coded，cluster screened，interpreted and verified by the Colaizzi seven-step analysis method. Results In terms of the dilemmas of pediatric nurses involved in medication safety management，there were 3 themes，including knowledge and skills，environment and resources，understanding and cooperation，and 7 sub-themes. In terms of coping experience of pediatric nurses involved in medication safety management dilemma，there were 3 themes，including responsibility and emotion，communication and collaboration，system and supervision，and 4 sub-themes. Conclusion Pediatric nurses will encounter various difficulties and actively adopt various coping strategies when participating in medication safety management. It is recommended that nursing managers strengthen education and training，quality management，continuously improve nurses’ safety responsibility awareness and empathy ability，encourage parents of children to participate in medication safety management，and actively improve the pediatric working environment，continuously strengthen organizational support，and promote communication and collaboration to ensure medication safety.

Key words: Nurses, Medication Safety, Dilemma, Coping Experience, Qualitative Study, Pediatric Nursing

摘要：

目的 了解儿科护士参与用药安全管理的困境及应对体验，为提高用药安全管理质量提供参考。 方法 该研究为描述性现象学研究。采用目的抽样法，于2024年1月—2月选取南京市某三级甲等医院的21名儿科护士作为研究对象，进行半结构式访谈，采用Colaizzi 7步分析法对访谈资料进行提取编码、聚类筛选、解释验证。 结果 儿科护士参与用药安全管理的困境，包括知识与技能、环境与资源、理解与配合3个主题和7个亚主题。儿科护士参与用药安全管理困境的应对体验，包括责任与情感、沟通与协作、制度与监管3个主题和4个亚主题。 结论 儿科护士在参与用药安全管理过程中会遭遇多方面的困境，并采取多种应对措施。建议护理管理者加强教育培训、质量管理，不断提升护士的安全责任意识及共情能力，鼓励患儿家长参与用药安全管理，同时积极改善儿科环境、不断强化组织支持、促进沟通协作，以保障用药安全。

关键词: 护士, 用药安全, 困境, 应对体验, 质性研究, 儿科护理学