Skill acquisition of safe medication administration through realistic simulation: an integrative review

Santana, Breno de Sousa; Paiva, Alberto Augusto Martins; Magro, Marcia Cristina da Silva

doi:10.1590/0034-7167-2019-0880

Cited by 11 publications

(8 citation statements)

References 44 publications

(78 reference statements)

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“…Our study shows that very positive results were obtained from using simulation as a means of teaching professional skills such as the safe administration of nursing medication, a finding that corroborates previous research in this field [ 18 , 26 – 30 , 43 ]. In general, better results were obtained for the six rights during the simulation than in the prior questionnaire.…”

Section: Discussionsupporting

confidence: 89%

Use of simulation to improve nursing students’ medication administration competence: a mixed-method study

2022

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Background Medication administration errors are among the most important adverse events in healthcare systems. To minimise the risk of this occurring, nursing training programmes should emphasise the overriding priority of patient safety. In this respect, simulation can be a valuable resource in teaching procedures, for patient safety in general and safe medication administration in particular. In this study, we evaluate the use of a simulation-based activity for students to acquire skills in safe medication administration, and consider the students’ perceptions of this activity. Methods Second-year nursing students enrolled in the subject of pharmacology at a Spanish university during the academic year 2018–2019 were invited to participate in this mixed-method study. Their acquisition of professional competencies via a simulation exercise was evaluated according to the ‘six rights’. Before the simulation, each student completed a researcher-developed online questionnaire. The simulation was evaluated by the students’ tutor, using a checklist. A descriptive analysis was made of the data obtained from the questionnaire and during the simulation. At the end of the semester, the students' opinions were recorded in the questionnaire, in response to an open question. A content analysis was made of the responses to the open question. Results The simulation exercise was performed by 179 students, of whom 73 had previously completed the questionnaire. Analysis showed that, in comparison with the pre-simulation questionnaire results, compliance with the six rights improved in all dimensions except data documentation: right patient (from 64.4% to 83.3%); right medication (from 60.3% to 95.8%); right dose (from 60.3% to 100%); right route (from 54.8% to 95.8%); right time (from 24.7% to 70.8%); the right documentation result fell from 54.8% to 45.8%. The students expressed their satisfaction with the simulation method, affirming that it brought them closer to the reality of health care. Conclusions Simulation is a useful tool for the acquisition of skills in medication administration. The students were satisfied with the simulation capacity to bridge the gap between theory and practice. Moreover, simulation represents an added teaching resource in the nursing degree curriculum and is expected to enhance patient safety.

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Section: Discussionsupporting

confidence: 89%

Use of simulation to improve nursing students’ medication administration competence: a mixed-method study

2022

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“…For undergraduate nursing students to be efficient in the performance of the procedure, they must build skills throughout their studies ( 14 , 16 ) . The construction of skills requires the combination of theoretical, practical, and attitudinal knowledge, simultaneously ( 17 ) . Provided with prior experience, undergraduate nursing students’ fear of the procedure is reverted into knowledge and subsequently into safety in future experiences ( 18 ) .…”

Section: Discussionmentioning

confidence: 99%

Undergraduate nursing students’ knowledge and experience in infusion therapy and peripheral vascular acces

et al. 2023

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Objectives: to analyze the knowledge and experience of undergraduate nursing students regarding infusion therapy and peripheral vascular access. Methods: descriptive, cross-sectional, analytical study with 123 undergraduate nursing students who answered a semi-structured instrument. Results: the majority were women, with a median age of 51 years old; 87% considered the teaching received insufficient to perform in clinical practice. The mean overall knowledge score was 78.1 (SD± 8.97). The themes catheter flushing and lock (38.1%), catheter selection (34.2%), infusion equipment (30.9%) and insertion site (30.9%) presented a significant number of errors. Conclusions: practical classes and execution of procedures in health services were predictors for a better knowledge about infusion therapy and vascular access by undergraduate nursing students.

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“…They can learn and practice procedures such as suturing ( 18 ), phlebotomy ( 19 , 20 ), or catheter insertion ( 21 ) on high-fidelity manikins or virtual reality simulators. This early exposure helps students gain proficiency and confidence in performing these skills ( 22 , 23 ).…”

Section: Introductionmentioning

confidence: 99%

Early introduction of simulation in the medical curriculum: the MedInTo perspective

Lembo,

Abate Daga,

Calì

et al. 2024

Front. Med.

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Despite the increasing body of evidence supporting the use of simulation in medicine, a question remains: when should we introduce it into the medical school's curriculum? We present the experience and future perspectives of the MD program in Medicine and Surgery of University of Turin-MedInTo. Since its launch, MedInTo has been dedicated to integrating innovative teaching approaches at the early stages into the medical curriculum. Herewith, we describe a case-based approach for our activities, which includes the utilization of simulation for emergency medical care training for students and the integration of virtual and augmented reality technology. Dedicated surgical training activities using virtual-augmented reality and life-like simulator for students are also described.

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Skill acquisition of safe medication administration through realistic simulation: an integrative review

Cited by 11 publications

References 44 publications

Use of simulation to improve nursing students’ medication administration competence: a mixed-method study

Use of simulation to improve nursing students’ medication administration competence: a mixed-method study

Undergraduate nursing students’ knowledge and experience in infusion therapy and peripheral vascular acces

Early introduction of simulation in the medical curriculum: the MedInTo perspective

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