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比较药物错误鼓励培训和基于问题的情景对护理学生药物安全能力和知识的影响:一项准实验研究。

Comparison of the effects of medication error encouragement training and problem-based scenario on the medication safety competence and knowledge of nursing students: A quasi-experimental study.

机构信息

MSc of Nursing. Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Associated Professor, Nursing and Midwifery Care Research Center, Department of Adult Health Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Nurse Educ Pract. 2024 Nov;81:104171. doi: 10.1016/j.nepr.2024.104171. Epub 2024 Oct 23.

Abstract

BACKGROUND

Medication errors among nursing students pose a threat to medication safety. Medication Error Encouragement Training and Problem Based Scenario are two innovative educational methods used in medication education.

AIM

Compare the effects of Medication Error Encouragement Training and Problem Based Scenario on the knowledge and competency of medication safety among nursing students.

DESIGN

Quasi -experimental, double-blind, two-group pretest-posttest study.

METHOD

This study was conducted in 2023. Participants were randomly assigned to two groups: one group received the Medication Error Encouragement Training method, while the other group was taught using the Problem-Based Scenario method. Data collection was performed using the Medication Safety Critical Element Checklist and Medication Safety Knowledge Assessment before and four weeks after the intervention. Data analysis was conducted using SPSS version 16.

RESULTS

The Pair t-test demonstrated that the change in competency and knowledge scores of medication safety before and after the intervention was significant in both groups (P< 0.05). The results of the Mancova test indicated a significant increase in medication safety competency scores in the Medication Error Encouragement Training group compared with the Problem Based Scenario group after the intervention (P< 0.05), while there was no significant difference in medication safety knowledge scores between the two groups after the intervention (P> 0.05).

CONCLUSION

The Medication Error Encouragement and Problem Based Scenario methods were effective in increasing the knowledge and competency of medication safety among students, but the effectiveness of the Medication Error Encouragement method was more pronounced in achieving safe medication administration.

摘要

背景

护理学生中的用药错误对用药安全构成威胁。用药错误鼓励培训和基于问题的情景是药物教育中使用的两种创新教育方法。

目的

比较用药错误鼓励培训和基于问题的情景对护理学生用药安全知识和能力的影响。

设计

准实验、双盲、两组长时间测试前后研究。

方法

本研究于 2023 年进行。参与者被随机分配到两组:一组接受用药错误鼓励培训方法,另一组接受基于问题的情景方法教学。干预前后使用用药安全关键要素检查表和用药安全知识评估收集数据。使用 SPSS 版本 16 进行数据分析。

结果

配对 t 检验表明,两组干预前后的用药安全能力和知识评分变化均有显著差异(P<0.05)。Mancova 检验结果表明,干预后用药错误鼓励培训组的用药安全能力评分显著高于基于问题的情景组(P<0.05),而干预后两组的用药安全知识评分无显著差异(P>0.05)。

结论

用药错误鼓励和基于问题的情景方法都能有效提高学生的用药安全知识和能力,但用药错误鼓励方法在实现安全用药方面的效果更为明显。

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