Nurses' attitudes and spontaneous adverse drug reaction reporting: a case-control study in Portugal

作者：Mendes Marques Joana Isabel O; Polonia Jorge Manuel J; Figueiras Adolfo G; Costa Santos Cristina Maria N; Herdeiro Maria Teresa F

来源：Journal of Nursing Management, 2016, 24(3): 409-416.

DOI：10.1111/jonm.12337

• adverse drug reactions
• nurse attitudes
• pharmacovigilance system
• spontaneous reporting

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.

• 出版日期2016-4