University of Virginia, School of Nursing, Charlottesville, VA, USA.
University of Virginia, School of Nursing, Charlottesville, VA, USA.
Nurse Educ Today. 2021 Jan;96:104605. doi: 10.1016/j.nedt.2020.104605. Epub 2020 Sep 28.
Nursing student medication errors often result from deficits in knowledge and application of fundamental safe administration practices. Factors such as high faculty-student ratios and legal restrictions have decreased clinical learning opportunities for nursing students to practice safe medication administration in the clinical setting. Evidence suggests that use of a structured medication safety enhancement (MSE) simulation program can significantly improve student knowledge and competency in safe medication administration.
To examine the effects of an educational strategy using a MSE simulation program with integrated technology on the medication administration knowledge, competency, and confidence levels of undergraduate nursing students.
This quasi-experimental replication study designed and implemented medication simulations enhanced by integrated information technologies in an undergraduate-nursing curriculum. Third-year BSN students (n = 83) were randomized into intervention or control groups. Control groups participated in standard training while the intervention group received additional clinical simulation experience and debriefing sessions focused on medication safety practices. Participant knowledge was measured using pre/post Medication Safety Knowledge Assessment (MSKA) and competency was evaluated using the Medication Safety Critical Element Checklist (MSCEC).
The MSKA and MSCEC were analyzed using two-sided independent t-tests. Post-test knowledge scores increased in both groups but results were not statistically significant (α = 0. 05). Students who received the medication safetfy enhancement intervention performed significantly better in a subsequent simulation than students who did not have prior simulation experience (p < .001).
Findings suggest that educators should consider high fidelity simulation as an evidence-based teaching strategy to engage students in understanding and implementing medication safety practices in the clinical setting.
护理专业学生的用药错误通常是由于基础知识和基本安全给药实践应用方面的欠缺导致的。由于师生比例高和法律限制，护理学生在临床环境中进行安全给药实践的学习机会减少。有证据表明，使用结构化的用药安全增强（MSE）模拟方案可以显著提高学生在安全给药方面的知识和能力。
考察使用 MSE 模拟方案和集成技术的教育策略对本科护理学生用药管理知识、能力和信心水平的影响。
本研究采用准实验复制设计，在本科护理课程中实施了增强型用药模拟和集成信息技术。将三年级 BSN 学生（n=83）随机分为干预组和对照组。对照组参加标准培训，而干预组则接受额外的临床模拟体验和用药安全实践重点的辅导课程。参与者的知识通过用药安全知识评估（MSKA）的预/后测试进行衡量，能力通过用药安全关键要素检查表（MSCEC）进行评估。
使用双侧独立 t 检验分析了 MSKA 和 MSCEC。两组的后测知识得分均有所提高，但结果无统计学意义（α=0.05）。接受用药安全增强干预的学生在随后的模拟中表现明显优于没有先前模拟经验的学生（p<0.001）。
研究结果表明，教育工作者应该考虑将高保真模拟作为一种循证教学策略，让学生在临床环境中理解和实施用药安全实践。
