Simulation strategies to increase nursing student clinical competence in safe medication administration practices: A quasi-experimental study

Craig, Sarah Jane; Kastello, Jennifer C.; Cieslowski, Bethany J.; Rovnyak, Virginia

doi:10.1016/j.nedt.2020.104605

Cited by 37 publications

(27 citation statements)

References 11 publications

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“…These results are consistent with those found by Craig et al (2021), Amendoeira et al (2020), Yang et al (2019), Victor (2017), Bussard (2016), Chmil et al (2015), and Aschcraft et al (2013. Yang et al (2019) found that simulation participation enhanced nursing students' clinical judgment skills and the members of the experimental group performed better on their nursing care and responding on patient safety.…”

Section: Quantitative Findingssupporting

confidence: 93%

“…Simulation was also found to be an effective strategy to increase nursing student clinical competence in safe medication administration practices (Craig, et al, 2021). Craig et al (2021) reported that participating with HFS while participating safe medication administration can improve students' knowledge and competency in safe medication management and improve nursing students' thinking skills.…”

Section: Quantitative Findingsmentioning

confidence: 99%

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High Fidelity Simulation and the Development of Clinical Judgment in Senior Nursing Students: A Mixed Method Approach

Nilphet¹

2021

GJHS

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Clinical judgment is defined as an understanding and interpretation regarding patient’s needs, health problems or concerns (Tanner, 2006). There are four interrelated processes in Tanner’s model that consist of noticing, interpreting, responding, and reflecting (Tanner, 2006). Because clinical judgment is extremely complex and encompasses many ways of thinking and types of knowledge, it requires a flexible capability to identify significant features of indeterminate clinical circumstances. Mixed methods study was conducted to describe senior nursing students’ experience in using high-fidelity simulation to evaluate the development of clinical judgment skills. A convenience sampling of 30 senior nursing students who signed the consent, met the inclusion criteria, and attend the selected school of nursing in the fall of 2020 were used for this study. All participants answered questionnaires regarding the quantitative survey. Participants interviewed face-to-face and video call using Zoom meeting program and recorded using an audio recorder. Both the quantitative and qualitative findings identified that learning through high-fidelity simulation supports the improvement in the participants’ clinical judgment skills. All participants reported their perceptions and experiences from using high-fidelity simulation develop and support their clinical judgment skills from the beginning through the end of the simulation, especially improving prioritizing data and working as a team with providing effective communication.

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Section: Quantitative Findingssupporting

confidence: 93%

Section: Quantitative Findingsmentioning

confidence: 99%

High Fidelity Simulation and the Development of Clinical Judgment in Senior Nursing Students: A Mixed Method Approach

Nilphet¹

2021

GJHS

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“…SBL provides the opportunity to practice skills in a safe and nonthreatening environment that facilitates skills acquisition [ 28 ]. A quasi-experimental study on the clinical competence of nursing students in safe medication administration practices revealed that students who received simulation training on medication safety had significantly better performance than those who did not receive it [ 29 ]. Some studies evaluated the effectiveness of specific aspects of simulation, such as debriefing.…”

Section: Introductionmentioning

confidence: 99%

Maintaining Clinical Training Continuity during COVID-19 Pandemic: Nursing Students’ Perceptions about Simulation-Based Learning

Alshutwi

Alsharif

Shibily

et al. 2022

IJERPH

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Background: Simulation-based learning (SBL) in nursing education is an innovative pedagogical approach that has significantly improved nursing education. Adopting SBL provides a controlled environment for meeting educational objectives without the risk of harm to real patients. Given that social distancing is required during the coronavirus disease (COVID-19) pandemic, SBL is a suitable alternative to clinical training for nursing students to learn and acquire the required clinical competencies. The study aimed to describe the effectiveness of SBL as a complete substitute for clinical experience from the perspective of students. This cross-sectional descriptive survey investigated students’ perceptions regarding the description of the effectiveness of SBL in four nursing colleges at four different universities across the Kingdom of Saudi Arabia. Settings: Four nursing colleges at four different universities across the Kingdom of Saudi Arabia. Participants included nursing students who attended simulation sessions. Data were collected by distributing a self-administrated online questionnaire, the Modified Simulation Effectiveness Tool (SET-M), which is a 19-item. Results: Approximately two-thirds of the participants were in their third (30.4%) and fourth (44.5%) academic year. The highest student presentation was for Site 1 (39.5%) and Site 2 (32.5%). Significant differences existed in all domains according to sex and university (p ≤ 0.001). There was a significant difference in relation to the level of agreement for pre-briefing, scenario, and debriefing domains (<0.001). Conclusions: SBL is a valuable teaching strategy that enhances nursing students’ self-awareness, self-confidence, clinical performance, and efficiency in performing procedures with considerable gender variation. Female students had more positive perceptions toward simulation effectiveness.

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“…Teniendo en cuenta, además, que en este estudio los profesionales reportaron menor porcentaje de actualizaciones en administración segura de medicamentos (28,5%) frente a lo reportado por técnicos auxiliares (37,2%), lo cual también pudo influir en las prevalencias reportadas. Se debe considerar que el inadecuado conocimiento y la omisión de las prácticas seguras y de los correctos de medicación puede resultar en EM, que son asociadas a las habilidades (prácticas) del PE [22][23][24] y que son frecuentes debido a que no existe ningún filtro que pueda detectar o prevenir los errores, siendo el mismo PE quien se autocontrola [25] y controla la aparición de EM [26]; en este estudio el 14,3% de los profesionales reportó que autopercibe su conocimiento en administración segura de medicamentos como Malo/Insatisfactorio. La AM es una actividad de enfermería que requiere un proceso reflexivo e implica una responsabilidad, adicional a conocimientos farmacológicos y técnicos [23], pues a partir de los EM las consecuencias son asumidas por el paciente.…”

Section: Discussionunclassified

Prácticas seguras en administración de medicamentos en un hospital de segundo nivel de atención

Barco

Rodríguez²

2021

RIECS

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RESUMEN Las prácticas de administración segura de medicamentos hacen parte importante del compendio de actividades para resguardar la seguridad del paciente, por tanto, la búsqueda de un entorno seguro es una preocupación constante de las instituciones de salud, y la práctica de la administración de medicamentos es esencial para evitar errores de medicación. La medición de las prácticas del personal de enfermería respecto a la administración de medicamentos puede generar datos relevantes para la elaboración de estrategias más fidedignas de la necesidad institucional y en consecuencia disminuir notablemente la aparición de errores de medicación. Objetivo: Determinar el cumplimiento de prácticas en administración segura de medicamentos por parte del personal de enfermería de un hospital de segundo nivel de atención. Metodología: Estudio descriptivo transversal en el que se evaluó el grado de cumplimiento de prácticas de administración segura de medicamentos a través de la aplicación de dos listas de chequeo. Resultados: El ejercicio de prácticas de seguridad en administración de medicamentos en este estudio mostró un rendimiento del 61% en personal técnico auxiliar de enfermería y un 49% en profesionales de enfermería, con Prevalencia de no cumplimiento del 27,9% y 42,9%, respectivamente. Coeficiente de correlación de Spearman 0,71 en los resultados de las listas de chequeo. Conclusiones: El personal de enfermería, en este estudio, mostró cumplimiento de prácticas seguras en administración de medicamentos alrededor de la media de cumplimiento, con un rendimiento similar en ambos grupos del personal de enfermería y en ambas listas de chequeo.

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Simulation strategies to increase nursing student clinical competence in safe medication administration practices: A quasi-experimental study

Cited by 37 publications

References 11 publications

High Fidelity Simulation and the Development of Clinical Judgment in Senior Nursing Students: A Mixed Method Approach

High Fidelity Simulation and the Development of Clinical Judgment in Senior Nursing Students: A Mixed Method Approach

Maintaining Clinical Training Continuity during COVID-19 Pandemic: Nursing Students’ Perceptions about Simulation-Based Learning

Prácticas seguras en administración de medicamentos en un hospital de segundo nivel de atención

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