Joana Isabel O Mendes Marques1, Jorge Manuel J Polónia2, Adolfo G Figueiras3, Cristina Maria N Costa Santos4, Maria Teresa F Herdeiro5. 1. Northern Pharmacovigilance Center, Center for Health Tecnology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Portugal. 2. Faculty of Medicine and CINTESIS, University of Porto, Porto, Portugal. 3. Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Spain. 4. Health Information and Decision Sciences Department and CINTESIS, Faculty of Medicine, University of Porto, Portugal. 5. Institute for Research in Biomedicine - iBiMED Health Sciences, University of Aveiro, Aveiro, Portugal.
Abstract
AIM: To identify the attitudes and knowledge associated with adverse drug reactions (ADR) under-reporting by nurses. BACKGROUND: The voluntary reporting system is fundamental for expediting the detection of ADR during post-marketing surveillance. METHODS: We performed a case-control study. A self-administered questionnaire was sent by mail to 1325 nurses. The knowledge and attitudes related to ADR under-reporting were primarily based on Inman's seven deadly sins. RESULTS: The overall response rate was 34.2%. Nurses working in primary care were 12-fold more likely to report an ADR. A change of attitude increased the probability of ADR reporting for:'The belief that the one case an individual nurse might see could not contribute to medical knowledge'; 'I do not know how the information reported is used by the system'; 'I would be more likely to report if the method was easier'; 'I think the most correct way to report is to inform the doctor' and 'I do not have time to think about the involvement of the drug in ADRs'. CONCLUSIONS: Our study shows that the beliefs of nurses, such as 'one single report would not make any difference' and 'the pharmacovigilance system is very complex', act as a barrier to ADR reporting. IMPLICATIONS FOR NURSING MANAGEMENT: It is important to clarify the ADR reporting procedure and increase the nurses reporting rate.
AIM: To identify the attitudes and knowledge associated with adverse drug reactions (ADR) under-reporting by nurses. BACKGROUND: The voluntary reporting system is fundamental for expediting the detection of ADR during post-marketing surveillance. METHODS: We performed a case-control study. A self-administered questionnaire was sent by mail to 1325 nurses. The knowledge and attitudes related to ADR under-reporting were primarily based on Inman's seven deadly sins. RESULTS: The overall response rate was 34.2%. Nurses working in primary care were 12-fold more likely to report an ADR. A change of attitude increased the probability of ADR reporting for:'The belief that the one case an individual nurse might see could not contribute to medical knowledge'; 'I do not know how the information reported is used by the system'; 'I would be more likely to report if the method was easier'; 'I think the most correct way to report is to inform the doctor' and 'I do not have time to think about the involvement of the drug in ADRs'. CONCLUSIONS: Our study shows that the beliefs of nurses, such as 'one single report would not make any difference' and 'the pharmacovigilance system is very complex', act as a barrier to ADR reporting. IMPLICATIONS FOR NURSING MANAGEMENT: It is important to clarify the ADR reporting procedure and increase the nurses reporting rate.
Authors: Rabia Hussain; Mohamed Azmi Hassali; Anees Ur Rehman; Jaya Muneswarao; Muhammad Atif; Zaheer-Ud-Din Babar Journal: Int J Environ Res Public Health Date: 2020-04-27 Impact factor: 3.390