Research Article

Perceived patient safety culture and pediatric medication administration self-efficacy among nursing students: a cross-sectional study

Volume: 9 Number: 6 October 25, 2026

Perceived patient safety culture and pediatric medication administration self-efficacy among nursing students: a cross-sectional study

Abstract

Aims: This study examined the association between perceived patient safety culture in medication administration and pediatric medication administration self-efficacy among nursing students. Methods: This analytical cross-sectional study was conducted at a public university in southwestern Türkiye between May 18 and July 1, 2026. The analysis included 200 third- and fourth-year nursing students who had participated in pediatric nursing education and provided complete data. Data were collected using the Student Descriptive Information Form, the Patient Safety Culture Scale in Medication Administration, and the Pediatric Medication Administration Self-Efficacy Scale for Nursing Students. Associations were examined using Pearson correlation and multiple linear regression adjusted for prespecified covariates. Results: The participants’ mean age was 21,77 ± 1,23 years. Mean total scores were 56,95 ± 16,48 for perceived patient safety culture and 47,72 ± 13,62 for pediatric medication administration self-efficacy. The two scores were moderately positively correlated (r = 0,422; 95% confidence interval [CI], 0,301–0,530; p < 0,001). Perceived patient safety culture remained independently associated with self-efficacy after adjustment for age, sex, year of study, academic achievement, previous medication or patient safety training, and witnessing a medication error (B = 0,358; 95% CI, 0,251–0,465; p < 0,001). The adjusted model explained 19,8% of the variance. Conclusion: More positive perceptions of patient safety culture in medication administration were associated with higher pediatric medication administration self-efficacy. These cross-sectional, self-reported findings do not establish causality or demonstrate safer clinical performance. Further multicenter longitudinal studies incorporating objective performance measures are warranted.

Keywords

Supporting Institution

None.

Ethical Statement

The study was approved by the Non-Interventional Clinical Research Ethics Committee of Burdur Mehmet Akif Ersoy University (Meeting Date: May 13, 2026; Meeting No: 2026/5; Decision No: GO 2026/3129). Written informed consent was obtained from all participants. The study was conducted in accordance with the principles of the Declaration of Helsinki.

Thanks

The authors thank the nursing students who participated in the study.

References

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  2. World Health Organization. Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. World Health Organization; 2021. Accessed August 6, 2026. https://www.who.int/publications/i/item/9789240032705
  3. dos Santos Sousa VT, da Silva Fernandes E, Barros LM, et al. Factors associated with medication administration by nursing students: a scoping review. Nurse Educ Pract. 2025;88:104535. doi:10.1016/j.nepr.2025.104535
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  5. Schroers G, Ross JG, Moriarty H. Medication administration errors made among undergraduate nursing students: a need for change in teaching methods. J Prof Nurs. 2022;42:26-33. doi:10.1016/j.profnurs.2022.05.012
  6. Irvine S, Whiteing N, Andrew S. Assessment of undergraduate nursing students’ medication administration competency: a systematic review. Nurse Educ Today. 2025;151:106744. doi:10.1016/j.nedt.2025.106744
  7. Tomas N, Fillipus PN. Perceptions of undergraduate nursing students regarding their competency in administering medications: a qualitative study. Nurse Educ Pract. 2024;79:104098. doi:10.1016/j.nepr.2024.104098
  8. Öztürk Şahin Ö, Aközlü Z, Taşdelen Y. Pediatric nursing students’ self-efficacy regarding medication administration and clinical comfort and worry: a pre-posttest comparative study of nurse mentoring versus peer mentoring. Nurse Educ Pract. 2023;71:103712. doi:10.1016/j.nepr.2023.103712

Details

Primary Language

English

Subjects

Pediatric Health and Illnesses Nursing

Journal Section

Research Article

Publication Date

October 25, 2026

Submission Date

August 9, 2026

Acceptance Date

October 4, 2026

Published in Issue

Year 2026 Volume: 9 Number: 6

APA
Belli, M., Çobankaya, S., & Sarıbey Akay, E. (2026). Perceived patient safety culture and pediatric medication administration self-efficacy among nursing students: a cross-sectional study. Journal of Health Sciences and Medicine, 9(6), 1791-1798. https://izlik.org/JA45SC77ST
AMA
1.Belli M, Çobankaya S, Sarıbey Akay E. Perceived patient safety culture and pediatric medication administration self-efficacy among nursing students: a cross-sectional study. J Health Sci Med / JHSM. 2026;9(6):1791-1798. https://izlik.org/JA45SC77ST
Chicago
Belli, Mustafa, Sümeyye Çobankaya, and Elif Sarıbey Akay. 2026. “Perceived Patient Safety Culture and Pediatric Medication Administration Self-Efficacy Among Nursing Students: A Cross-Sectional Study”. Journal of Health Sciences and Medicine 9 (6): 1791-98. https://izlik.org/JA45SC77ST.
EndNote
Belli M, Çobankaya S, Sarıbey Akay E (October 1, 2026) Perceived patient safety culture and pediatric medication administration self-efficacy among nursing students: a cross-sectional study. Journal of Health Sciences and Medicine 9 6 1791–1798.
IEEE
[1]M. Belli, S. Çobankaya, and E. Sarıbey Akay, “Perceived patient safety culture and pediatric medication administration self-efficacy among nursing students: a cross-sectional study”, J Health Sci Med / JHSM, vol. 9, no. 6, pp. 1791–1798, Oct. 2026, [Online]. Available: https://izlik.org/JA45SC77ST
ISNAD
Belli, Mustafa - Çobankaya, Sümeyye - Sarıbey Akay, Elif. “Perceived Patient Safety Culture and Pediatric Medication Administration Self-Efficacy Among Nursing Students: A Cross-Sectional Study”. Journal of Health Sciences and Medicine 9/6 (October 1, 2026): 1791-1798. https://izlik.org/JA45SC77ST.
JAMA
1.Belli M, Çobankaya S, Sarıbey Akay E. Perceived patient safety culture and pediatric medication administration self-efficacy among nursing students: a cross-sectional study. J Health Sci Med / JHSM. 2026;9:1791–1798.
MLA
Belli, Mustafa, et al. “Perceived Patient Safety Culture and Pediatric Medication Administration Self-Efficacy Among Nursing Students: A Cross-Sectional Study”. Journal of Health Sciences and Medicine, vol. 9, no. 6, Oct. 2026, pp. 1791-8, https://izlik.org/JA45SC77ST.
Vancouver
1.Mustafa Belli, Sümeyye Çobankaya, Elif Sarıbey Akay. Perceived patient safety culture and pediatric medication administration self-efficacy among nursing students: a cross-sectional study. J Health Sci Med / JHSM [Internet]. 2026 Oct. 1;9(6):1791-8. Available from: https://izlik.org/JA45SC77ST

 

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