Date of Award
Spring 5-12-2018
Level of Access Assigned by Author
Open-Access Dissertation
Language
English
Degree Name
Doctor of Philosophy (PhD)
Department
Nursing
Advisor
Ann Sossong
Second Committee Member
Particia Poirier
Third Committee Member
Kelley Strout
Additional Committee Members
Shihfen Tu
Lynn Thornton
Abstract
EXAMINING THE RELATIONSHIP BETWEEN THE USE OF SIMULATION IN
NURSING EDUCATION AND SAFETY WITH
MEDICATION ADMINISTRATION
IN THE CLINICAL SETTING
Deborah A. Eremita
Thesis Advisors: Dr. Ann Sossong and Dr. Patricia Poirier
An Abstract of the Dissertation Presented
in Partial Fulfillment of the Requirements for the
Degree Interdisciplinary Doctor of Philosophy
In Nursing and Education
May 2018
Medication errors represent a significant threat to patient safety. Administration of medications is a primary role of nursing practice and a critical component of nursing education curricula. Safe medication is a challenging process to teach nursing students. Simulation may provide students with a realistic opportunity to practice the process of safe medication administration. The purpose of this pilot study was to examine the relationship between the use of simulation as a teaching strategy for medication administration and the incidence of medication errors in the clinical setting.
The pilot study consisted of a sample of 26 second semester junior nursing students enrolled in an Adult Health III medical-surgical clinical course using a quasi-experimental, pre-test/post-test design. The teaching intervention included simulation scenarios containing embedded medication errors and distractions which were constructed using Jefferies (2012) nursing education simulation framework. The goal of the simulation scenarios were to increase the students’ ability to administer medications safely. Competency during the simulation sessions was measured using the Creighton Competency Evaluation Instrument. Medication safety knowledge and competency was measured using the Medication Safety Knowledge Assessment tool and the Healthcare Professionals Patient Safety Assessment Curriculum Survey tool. Medication errors and near miss errors were measured by documenting in the clinical setting using the Clinical Medication Administration Assessment Tool. Analysis was done using descriptive statistics, including the means and standard deviations, Chi-square, Pearson’s correlation coefficient, and independent t-tests. The findings of this study will add to the knowledge in the use of simulation as an educational method to enhance nursing students’ competency with medication administration.
Keywords: Simulation, nursing education, medication administration, medication errors
Recommended Citation
Eremita, Deborah A., "Examining the Relationship Between the Use of Simulation in Nursing Education andSafety with Medication Adminstration in the Clinical Setting" (2018). Electronic Theses and Dissertations. 2832.
https://digitalcommons.library.umaine.edu/etd/2832