hak Health Academy Kastamonu 2548-1010 Esra DEMİRARSLAN 10.25279/sak.1063112 Nursing Hemşirelik Investigation of the Relationship Between Nursing Students' Math Skills and Drug Dosage Calculation Performance Hemşirelik Öğrencilerinin Matematik Becerileri ile İlaç Dozu Hesaplama Performansı Arasındaki İlişkinin İncelenmesi https://orcid.org/0000-0002-4640-5957 Eraydın Canan ZONGULDAK BÜLENT ECEVİT ÜNİVERSİTESİ https://orcid.org/0000-0003-0896-128X Tezcan Bilge EDİRNE SULTAN 1. MURAT DEVLET HASTANESİ https://orcid.org/0000-0001-5618-1048 Tekin Berna ZONGULDAK BÜLENT ECEVİT ÜNİVERSİTESİ https://orcid.org/0000-0001-9098-6288 Kocaoğlu Selda ZONGULDAK BÜLENT ECEVİT ÜNİVERSİTESİ https://orcid.org/0000-0003-1412-7777 Sesver Leman ZONGULDAK BÜLENT ECEVİT ÜNİVERSİTESİ 12 31 2023 8 3 421 432 01 26 2022 12 27 2022 Copyright © 2016, Health Academy Kastamonu 2016 Health Academy Kastamonu

Introduction: Pharmaceutical applications require high attention and knowledge for patient safety. It is the responsibility of nurses to have basic information about drugs and to apply drug treatment in drug applications. Aim: In this study, it was aimed to examine the relationship between the mathematic skills of student nurses and the performance of drug dose calculation. Materials and Methods: The population of the study consisted of 2nd, 3rd, 4th grade students and newly graduated nursing students studying at a university (n=562). An online survey method was used. A structured questionnaire, which was prepared by the researchers by taking expert opinions, was used in data collection. Data were collected between December 2020 and June 2021. A package statistics program was used to evaluate the data. Results: The scores of the students who are considered to have sufficient mathematical skills (23.8%) in the drug dose calculation skill test were found to be significantly higher than the students who are not considered to have sufficient mathematical skills (6.58%). Students who found the mathematics course difficult (6.05%) got a significantly lower score on the drug dose calculation skill test than students who found this course partially difficult (25.4%). Conclusion and Suggestion: The scores the students got from the drug dose calculation skill test; showed a significant difference in terms of math skills. In future studies, it is thought that in parallel with the development of mathematical skills, forming training groups for drug dose calculations and examining drug dose calculation performance after training will allow valuable data to be obtained.

Giriş: İlaç uygulamaları, hasta güvenliği için yüksek düzeyde dikkat ve bilgi gerektirmektedir. İlaç uygulamalarında ilaçlar ile ilgili temel bilgilere sahip olmak ve ilaç tedavisini uygulamak hemşirelerin sorumluluğundadır. Amaç: Bu araştırmada öğrenci hemşirelerin matematik becerileri ile ilaç dozu hesaplama performansı arasındaki ilişkinin incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Araştırmanın evrenini bir üniversitede öğrenim gören 2., 3., 4. sınıf ve yeni mezun hemşirelik bölümü öğrencileri oluşturmuştur (n=562). Online anket yöntemi kullanılmıştır. Verilerin toplanmasında araştırmacılar tarafından uzman görüşü alınarak hazırlanmış yapılandırılmış anket formu kullanılmıştır. Veriler Aralık 2020-Haziran 2021 tarihlerinde toplanmıştır. Verilerin değerlendirilmesinde paket istatistik programı kullanılmıştır. Bulgular: Matematik becerilerini yeterli gören öğrencilerin (%23.8) ilaç dozu hesaplama beceri testinden almış oldukları puanlar, matematik becerilerini yeterli görmeyen öğrencilere (%6.58) göre anlamlı olarak daha yüksek bulunmuştur. Matematik dersini zor bulan öğrenciler (%6.05) ilaç dozu hesaplama beceri testinden, bu dersi kısmen zor bulan öğrencilere (%25.4) göre anlamlı olarak daha düşük puan almıştır. Sonuç ve Öneriler: Öğrencilerin ilaç dozu hesaplama beceri testinden aldıkları puanlar, matematik becerilerine göre anlamlı değişiklik göstermiştir. Gelecekte yapılacak çalışmalarda, matematik becerilerinin geliştirilmesine paralel olarak, ilaç dozu hesaplamalarına yönelik eğitim grupları oluşturulması ve eğitim sonrası ilaç dozu hesaplama performansının incelenmesi değerli veriler elde edilmesine olanak sağlayacağı düşünülmektedir.

 Hemşirelik eğitimi İleri hemşirelik uygulaması Matematik Hemşirelik nursing Nursing education Advanced practice nursing Mathematics yoktur yoktur Aydın, A. K., Dinç, L. (2017). Effects of web-based instruction on nursing students' arithmetical and drug dosage calculation skills. CIN: Computers, Informatics, Nursing, 35(5), 262-269. https://doi.org/10.1097/CIN.0000000000000317 Bam, V., Safowaa, A., Lomotey, A. Y., Nkansah, A. S. (2021). Nursing students' perception of medical errors: A cross‐sectional study in a university. Nursing Open, 8(6), 3152-3160. https://doi.org/10.1002/nop2.1028 Can, D. (2018). Yoğun bakımda çalışan hemşirelerin ilaç ilaç etkileşimi hakkındaki bilgileri ve uygulamaları incelenmesi (Yayımlanmamış yüksek lisans tezi). İnönü Üniversitesi, Malatya. Dilles, T., Vander Stichele, R. R., Van Bortel, L., Elseviers, M. M. (2011). Nursing students' pharmacological knowledge and calculation skills: ready for practice? Nurse Education Today, 31(5), 499-505. https://doi.org/10.1016/j.nedt.2010.08.009 Eastwood, K., Boyle, M., Kim, V., Stam, N., Williams, B. (2015). Mathematical ability of first year undergraduate paramedic students-A before and after study. Nurse Education Today, 35(11), 1125-1129. https://doi.org/10.1016/j.nedt.2015.05.024 Fleming, S., Brady, A. M., Malone, A. M. (2014). An evaluation of the drug calculation skills of registered nurses. Nurse Education in Practice, 14(1), 55-61. https://doi.org/10.1016/j.nepr.2013.06.002 Frandsen, G., Pennington, S.S. (2014). Abraham’s clinical drug therapy rationales for nursing practice. 10th ed. Philadelphia: Williams & Wilkins, p:58-61. Grandell-Niemi, H., Hupli, M., Puukka, P., Leino-Kilpi, H. (2006). Finnish nurses’ and nursing students’ mathematical skills. Nurse Education Today, 26(2), 151-161. https://doi.org/10.1016/j.nedt.2005.08.007 Güneş, U. Y., Baran, L. (2016). Mathematical and drug calculation skills of nursing students in Turkey. International Journal of Caring Sciences, 9(1), 220. Harris, M. A., Pittiglio, L., Newton, S. E., Moore, G. (2014). Using simulation to improve the medication administration skills of undergraduate nursing students. Nursing Education Perspectives, 35(1), 26-29. https://doi.org/10.5480/11-552.1 Huber, S. W. (2022). The mathematical knowledge for teaching model as a pedagogical framework for clinical nursing educators. Nurse Educator, 47(3), E46-E50. https://doi.org/10.1097/NNE.0000000000001104 Hurley, T. V. (2017). Experiential teaching increases medication calculation accuracy among baccalaureate nursing students. Nursing Education Perspectives, 38(1), 34-36. https://doi.org/10.1097/01.NEP.0000000000000097 Jarvis, D. H., McCullough, K. D., McParland, T. R. (2021). Nurse education and mathematical competency: implementation of an online, self-directed, prerequisite model. International Journal of Environmental Research and Public Health, 18(24), 13106. https://doi.org/10.3390/ijerph182413106 Karaca, A., Açıkgöz, F. (2014). Hemşirelik öğrencilerinin ilaç dozu hesaplama becerileri ve ilaç uygulama hataları. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 17(2), 110-116. McKenna, L., Johnston, J., Cross, R., Austerberry, J., Mathew, T., McKenzie, G. (2022). Mathematics anxiety and associated interventions in nursing: A scoping review. Nurse Education Today, 105335. https://doi.org/10.1016/j.nedt.2022.105335 McMullan, M., Jones, R., Lea, S. (2010). Patient safety: numerical skills and drug calculation abilities of nursing students and registered nurses. Journal of Advanced Nursing, 66(4), 891-899. https://doi.org/10.1111/j.1365-2648.2010.05258.x McMullan, M., Jones, R., Lea, S. (2011). The effect of an interactive e-drug calculations package on nursing students’ drug calculation ability and self-efficacy. International Journal of Medical Informatics, 80(6), 421-430. https://doi.org/10.1016/j.ijmedinf.2010.10.021 Roykenes, K., Larsen, T. (2010). The relationship between nursing students’ mathematics ability and their performance in a drug calculation test. Nurse Education Today, 30(7), 697-701. https://doi.org/10.1016/j.nedt.2010.01.009 Tabassum, N., Khuwaja, H. M. A. (2021). Retention of knowledge regarding mathematics and drug dosage calculation among undergraduate nursing students of a private school of nursing in Pakistan. JPMA. The Journal of the Pakistan Medical Association, 71(4), 1243-1245. https://doi.org/10.47391/JPMA.471 Williams, B., Davis, S. (2016). Maths anxiety and medication dosage calculation errors: A scoping review. Nurse Education in Practice, 20, 139-146. https://doi.org/10.1016/j.nepr.2016.08.005 Wright, K. (2005). An exploration into the most effective way to teach drug calculation skills to nursing students. Nurse Education Today, 25(6), 430-436. https://doi.org/10.1016/j.nedt.2005.04.004 Yaraş, G. (2007). Hemşirelik Öğrencilerinin İlaç Dozu Hesaplama Becerilerinin Değerlendirilmesi (Yayımlanmamış yüksek lisans tezi). Cumhuriyet Üniversitesi, Sivas.