护理专业应届毕业生在 COVID-19 期间药物管理准备情况的多站点调查研究。
Final year nursing students' preparedness for medication administration during COVID-19: A multi-site survey study.
机构信息
Victoria University, PO Box 14428, Melbourne, VIC 8001, Australia.
Southern Cross University, PO Box 539, Coolangatta 4225, Australia.
出版信息
Nurse Educ Pract. 2024 Jul;78:104011. doi: 10.1016/j.nepr.2024.104011. Epub 2024 Jun 4.
AIM
To examine final-year undergraduate nursing students' characteristics and their perceived preparedness for medication administration across three universities during COVID-19.
BACKGROUND
Medication administration is a complex process and medication errors can cause harm to the patient. Nurses are at the frontline of medication administration; therefore, nursing students must be well-prepared to administer medicines safely before graduation. Little is known about final-year undergraduate nursing students' perceived medication administration preparedness during COVID-19.
DESIGN
A multi-site study using a cross-sectional survey of student demographics, the 'Preparedness for Medication Administration' (Revised) tool and an open-ended question.
METHODS
The questionnaire was distributed to nursing students in their final semester of the program in 2022 across two universities in Australia and one in New Zealand. Completed surveys n=214. Descriptive statistics were used to analyse the demographic data. Differences in demographic data and preparedness scores between the three universities were analysed using ranked means, correlation coefficient, Chi-Square, Mann- Whitney U and Kruskal- Wallace H. Directed content analysis was used to analyse the data from the open-ended question.
RESULTS
Overall, students reported high preparedness scores for medication. International students reported significantly higher preparedness scores (Md =119, n=29) compared with domestic students (Md=112.00, n=164), U=1759.50, z=-2.231, p=02, r=.16. Mean ranked scores for each item were above average across the three universities. The impact of COVID-19 on curriculum and students' opportunity to practice may be one explanation for the difference in preparedness scores between universities. International participants reported significantly higher scores on the Preparedness for Medication Administration (Revised) tool than domestic participants. Older students were more confident in applying principles of pharmacology to practice. Students' comments generated three major categories and five subcategories indicating preparedness gaps.
CONCLUSION
This study provides insights into students' medication management preparedness during restrictions and before transitioning to the role of Registered Nurse. It highlights the need to provide integrated and comprehensive medication education and assessments throughout the curriculum and the need for additional support for newly graduated nurses in medication management due to the restrictions.
目的
在 COVID-19 期间，考察三所大学护理专业本科生的特征及其对药物管理的认知准备程度。
背景
药物管理是一个复杂的过程，用药错误可能会对患者造成伤害。护士是药物管理的第一线人员；因此，护理学生在毕业前必须具备安全给药的充分准备。在 COVID-19 期间，很少有关于护理专业本科生对药物管理的认知准备程度的研究。
设计
这是一项多站点研究，采用对 2022 年澳大利亚两所大学和新西兰一所大学护理专业最后一学期学生的人口统计学数据、“药物管理准备情况”（修订版）工具和一个开放式问题进行横断面调查。
方法
问卷调查分发给在澳大利亚的两所大学和新西兰的一所大学就读的护理专业最后一学期的学生。共完成 214 份调查问卷。使用描述性统计方法对人口统计学数据进行分析。采用等级均值、相关系数、卡方检验、Mann-Whitney U 检验和 Kruskal-Wallis H 检验分析三所大学间人口统计学数据和准备情况评分的差异。采用定向内容分析法分析开放式问题的数据。
结果
总体而言，学生报告的药物管理准备情况得分较高。国际学生的准备情况评分（Md=119，n=29）明显高于国内学生（Md=112.00，n=164），U=1759.50，z=-2.231，p=02，r=.16。三所大学的每个项目的平均等级评分均高于平均水平。对课程和学生实践机会的 COVID-19 影响可能是造成大学间准备情况评分差异的一个解释。国际参与者在“药物管理准备情况”（修订版）工具上的得分明显高于国内参与者。年龄较大的学生在将药理学原理应用于实践方面更有信心。学生的评论生成了三个主要类别和五个子类别，表明了准备方面的差距。
结论
本研究深入了解了学生在限制期间和过渡到注册护士角色之前的药物管理准备情况。它强调了在整个课程中提供综合全面的药物教育和评估的必要性，以及由于限制，对新毕业护士在药物管理方面提供额外支持的必要性。
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