Factors influencing the knowledge and attitude of nurses towards adverse drug reaction reporting in a teaching hospital
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20171679Keywords:
ADR reporting, Attitude, Knowledge, NursesAbstract
Background: Adverse Drug Reactions (ADR) are common in hospitalized patients. Nursing staff spends most time in patient care placing them at a key it position to recognize ADRs at the earliest. However, ADR reporting practices among nurses is very poor. We conducted this study to identify the factors affecting knowledge and attitude of nurses in a teaching hospital towards ADR reporting.
Methods: A pre-tested and validated questionnaire was used. Correct responses in the knowledge section were awarded one mark and incorrect responses were given zero. Based on responses to attitude questions on a 5-point Likert scale, best attitude was scored five and least preferred attitude was given one point. Total knowledge and attitude scores were analyzed with regards to age, gender, educational qualification, average weekly working hours, total working experience in years and past experience with ADRs and ADR reporting. Knowledge scores were also correlated with attitude scores.
Results: Knowledge level was poor with 48.29±23.85% average score while attitude of the respondents was reasonable with 65.69±10.05% average scores. The knowledge scores and attitude scores of BSc degree holders was higher than GNMs and ANMs (p<0.001). Those who had independently identified an ADR had higher knowledge scores (p<0.01) and more positive attitude (p<0.001). Attitude scores also had a significantly strong correlation with knowledge level of the respondents (r=0.72).
Conclusions: Knowledge about ADR reporting is the most important factor determining the attitude towards ADR reporting. Increasing awareness would be pivotal in changing attitude and thus, improving reporting rates.
Metrics
References
Bullard J. Physical Fitness: Who Needs It? Can Fam Physician. 1980;26:477-9.
World Health Organization. International drug monitoring: the role of national centres. WHO technical report series no. 498. Geneva, Switzerland: World Health Organization; 1972. Available from: http://www.who-umc.org/graphics/24756.pdf
Pirmohamed M, James S, Meakin S, Green C, Scott AK, Walley TJ et al. Adverse drug reactions as cause of admission to hospital: prospective analysis of 18820 patients. BMJ. 2004;329:15-9.
Miller GC, Britt HC, Valenti L. Adverse drug events in general practice patients in Australia. Med J Aust 2006;184(6):321-4.
Lundkvist J, Jonsson B. Pharmacoeconomics of adverse drug reactions. Fundam Clin Pharmacol. 2004;18(3):275-80.
Ramesh M, Pandit J, Parthasarathi G. Adverse drug reactions in a south Indian hospital--their severity and cost involved. Pharmacoepidemiol Drug Saf. 2003;12(8):687-92.
World Health Organization. WHO pharmacovigilance Indicators: A Practical Manual for the Assessment of Pharmacovigilance Systems. Available from: http://apps.who.int/iris/bitstream/10665/186642/1/9789241508254_eng.pdf?ua=1.
Hazell L, Shakir SA. Under-reporting of adverse drug reactions: a systematic review. Drug Saf. 2006;29(5):385-96.
Baniasadi S, Fahimi F, Shalviri G. Developing an adverse drug reaction reporting system at a teaching hospital. Basic Clin Pharmacol Toxicol. 2008;102(4):408-11.
Indian Pharmaceutical Industries 2010: Strategies in a Changing World. Available from: http://www.thepharmaletter.com/article/indian-pharmaceutical-industry-new-strategies-in-a-changing-worldwww.espicom.com.
Elizabeth ST, Kia RA, Yagnik RM, Nagaraju K. Knowledge, attitude and skills of nurses of Delhi towards adverse drug reaction reporting. Indian J Pharm Pract. 2012;5:45-51.
Desai CK, Iyer G, Panchal J, Shah S, Dikshit RK. An evaluation of knowledge, attitude, and practice of adverse drug reaction reporting among prescribers at a tertiary care hospital. Perspect Clin Res. 2011;2(4):129-36.
Suke SG, Kosta P, Negi H. Role of Pharmacovigilance in India: An overview. Online J Public Health Inform. 2015;7(2):e223.
Bouvy JC, De Bruin ML, Koopmanschap MA. Epidemiology of Adverse Drug Reactions in Europe: A Review of Recent Observational Studies. Drug Saf. 2015;38(5):437-53.
van der Hooft CS, Dieleman JP, Siemes C, Aarnoudse AJ, Verhamme KM, Stricker BH, et al. Adverse drug reaction-related hospitalisations: a population-based cohort study. Pharmacoepidemiol Drug Saf. 2008;17(4):365-71.
Kongkaew C, Noyce PR, Ashcroft DM. Hospital admissions associated with adverse drug reactions: a systematic review of prospective observational studies. Ann Pharmacother. 2008;42(7):1017-25.
Stausberg. International prevalence of adverse drug events in hospitals: an analysis of routine data from England, Germany, and the USA. BMC Health Serv Res. 2014;14:125.
Bond CA, Raehl CL. Adverse drugs reactions in United States hospitals. Pharmacotherapy. 2006;26:601-8.
Sriram S, Ghasemi A, Ramasamy R. Prevalence of adverse drug reactions at a private tertiary care hospital in south India. J Res in Med Sci. 2011;16(1):16-25.
Hanafi S, Torkamandi H, Hayatshahi A, Gholami K, Javadi M. Knowledge, attitudes and practice of nurse regarding adverse drug reaction reporting. Iran J Nurs Midwifery Res. 2012;17(1):21-5.
Scandashree K, Kumar BP, Udaykumar P, Thomas TM. Knowledge, attitude, and practice of adverse drug reaction reporting among nurses in a South Indian tertiary health-care center. Natl J Physiol Pharm Pharmacol 2017;7(2):143-6.
Hall M, McCormack P, Arthurs N, Feely J. The spontaneous reporting of adverse drug reactions by
nurses. Br J Clin Pharmacol. 1995;40(2):173-5.
Vallano A, Cereza G, Pedrds C, Agusti A, Danes I, Aguilera C, et al. Obstacles and solutions for spontaneous reporting of adverse drug reactions in the hospital. Br J Clin Pharmacol. 2005;60(6):653-8.
Liu J, Zhou Z, Yang S, Feng B, Zhao J, Liu H et al. Factors that affect adverse drug reactions reporting among hospital pharmacists in Western China. Int J Clin Pharm. 2015;37(3):457-64.