Grandell-Niemi Heidi, Hupli Maija, Leino-Kilpi Helena, Puukka Pauli
Department of Nursing Science, University of Turku, Turku, Finland.
J Clin Nurs. 2005 Jul;14(6):685-94. doi: 10.1111/j.1365-2702.2005.01131.x.
PURPOSES AND OBJECTIVES: The purposes of this study were to investigate the pharmacological skills of Finnish nurses and graduating nursing students, to determine how pharmacological skills are related to background factors and to identify differences between nurses and students and, finally, to examine how the instrument used, the Medication Calculation Skills Test, works.
Pharmacology is a relevant and topical subject. In several studies, however, pharmacological skills of nurses and nursing students have been found insufficient. In addition, pharmacology as a subject is found to be difficult for both nursing students and nurses.
The study was evaluative in nature; the data were collected using the Medication Calculation Skills Test, developed for the purposes of this study. The instrument was used to gather information on background factors and self-rated pharmacological and mathematical skills and to test actual skills in these areas.
Results concerning pharmacological skills are reported in this paper. The maximum Medication Calculation Skills Test score was 24 points. The mean score for nurses was 18.6 and that for students 16.3. Half of (50%) the students attained a score of 67% and 57% of nurses attained a score of 79%.
Nurses and students had some deficiencies in their pharmacological skills. Nurses had better pharmacological skills than students according to both self-ratings and actual performance on the test.
It is vitally important that nurses have adequate pharmacological skills to administer medicines correctly. This study showed that the Medication Calculation Skills Test seems to work well in measuring pharmacological skills, even though it needs further evaluation. Findings from this study can be used when planning the nursing curriculum and further education for Registered Nurses.
目的与目标：本研究的目的是调查芬兰护士和即将毕业的护理专业学生的药理技能，确定药理技能与背景因素之间的关系，识别护士和学生之间的差异，最后检验所使用的工具——药物计算技能测试的效果。
药理学是一门相关且热门的学科。然而，在多项研究中，护士和护理专业学生的药理技能被发现不足。此外，药理学这门学科对于护理专业学生和护士来说都很难。
本研究本质上是评估性的；数据通过为本研究开发的药物计算技能测试收集。该工具用于收集背景因素、自我评估的药理和数学技能方面的信息，并测试这些领域的实际技能。
本文报告了关于药理技能的结果。药物计算技能测试的最高分为24分。护士的平均得分为18.6分，学生的平均得分为16.3分。一半（50%）的学生得分达到67%，57%的护士得分达到79%。
护士和学生在药理技能方面存在一些不足。根据自我评估和测试中的实际表现，护士的药理技能比学生更好。
护士具备足够的药理技能以正确给药至关重要。本研究表明，药物计算技能测试在测量药理技能方面似乎效果良好，尽管它需要进一步评估。本研究的结果可用于规划护理课程和注册护士的继续教育。
