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Safe Drug Administration in Pediatric Nursing Education: A Quasi-Experimental Design Study

Yıl 2023, Cilt: 26 Sayı: 2, 127 - 134, 23.06.2023
https://doi.org/10.5152/JANHS.2023.22156

Öz

Objective: This study was carried out to determine the correlation between the performance of students who received simulation-based pediatric nursing education and their self-confidence
regarding safe drug administrations during simulation.

Methods: The study was conducted in pretest and posttest quasi-experimental design and carried out on a sample group (n=39) based on criteria established at the Nursing Department of a
foundation university. Students were subjected to a simulation of “Drug Management in Children” within the scope of the pediatric nursing course. The researchers collected data through a checklist, a self-confidence scale, and tests (pretest and posttest) used in the simulation application on “Drug Management in Children.”

Results: The students obtained a mean score of 129.00 ± 14.36 on the self-confidence scale. The posttest scores of the students were statistically significantly higher than the pretest scores
(P = .011). The performance mean score of the students from the simulation checklist for safe drug administrations was 36.28 ± 6.65. There was no statistically significant correlation between the
scores from the self-confidence scale, the pretest, the posttest, and the checklist scores (P > .05).

Conclusion: This study underlines the importance of having a suitable level of self-confidence for students’ educational gains and also indicated that there was no correlation between self-confidence and performance.

Kaynakça

  • 1. Bjørk IT, Berntsen K, Brynildsen G, Hestetun M. Nursing students' perceptions of their clinical learning environment in placements outside traditional hospital settings. J Clin Nurs. 2014;23(19-20): 2958-2967. [CrossRef]
  • 2. Swift L, Henderson A, Wu CJ. Self-confidence in clinical skill: A descriptive study of the perspective of first-year nursing students. Nurse Educ Pract. 2022;58:103270. [CrossRef]
  • 3. Bilgin O. Effects on self-confidence levels of students for the programme developed within the scope of “children’s university”. Karaelmas J Educ Sci. 2018;6:146-153. (in Turkish).
  • 4. Feltz DL. Self-confidence and sports performance. In: Smith D., Bar-Eli M., eds. Essential readings in sport and exercise psychology. 2007:278-294.
  • 5. Bandura A. Self-Efficacy: The Exercise of Control. New York: W. H. Freeman; 1997.
  • 6. Kukulu K, Korukcu O, Özdemir Y, Bezci A, Calık C. Self-confidence, gender and academic achievement of undergraduate nursing students. J Psychiatr Ment Health Nurs. 2013;20(4):330-335. [CrossRef]
  • 7. Aoyama M, Tamura Y, Ishikawa Y, Yada M, Miyawaki I. Confidence -weighted testing: a descriptive study of Japanese nursing students. Nurs Health Sci. 2013;15(4):504-509. [CrossRef]
  • 8. Kan Onturk Z, Simülasyon KS. Hemşirelik Eğitimine Katkısı. Hosp Manag. 2016;24-28.
  • 9. Aldhafeeri F, Alosaimi D. Perception of satisfaction and self-confidence with high fidelity simulation among nursing students in government universities. Perception. 2020;11:137-149.
  • 10. Fawaz MA, Hamdan-Mansour AM. Impact of high-fidelity simulation on the development of clinical judgment and motivation among Lebanese nursing students. Nurse Educ Today. 2016;46:36-42. [CrossRef]
  • 11. Labrague LJ, McEnroe-Petitte DM, Bowling AM, Nwafor CE, Tsaras K. High-fidelity simulation and nursing students’ anxiety and self-confidence: a systematic review. Nurs Forum. 2019;54(3):358-368. [CrossRef]
  • 12. MacLean S, Kelly M, Geddes F, Della P. Use of simulated patients to develop communication skills in nursing education: an integrative review. Nurse Educ Today. 2017;48:90-98. [CrossRef]
  • 13. Zapko KA, Ferranto MLG, Blasiman R, Shelestak D. Evaluating best educational practices, student satisfaction, and self-confidence in simulation: a descriptive study. Nurse Educ Today. 2018;60:28-34. [CrossRef]
  • 14. Öner H, Koruklu N, Küçükoğlu NC. Hemşirelik öğrencilerinin profesyonel benlik kavramını yordayan değişkenler: özgüven ve sosyal sorun çözme becerisi. Med Sci. 2019;14(4):194-204.
  • 15. Akın A. Öz-Güven Ölçeği' nin Geliştirilmesi ve Psikometrik Özellikleri. Abant İzzet Baysal Univ Eğitim Fak Derg. 2007;7(2):165-175.
  • 16. Popovich NG, Rogers WJ. An assessment of pharmacy student confidence in learning. Am J Pharm Educ. 1987;51(1):17-23.
  • 17. Stankov L, Crawford JD. Self-confidence and performance on tests of cognitive abilities. Intelligence. 1997;25(2):93-109. [CrossRef]
  • 18. Stankov L, Morony S, Lee YP. Confidence: the best non-cognitive predictor of academic achievement? Educ Psychol. 2014;34(1):9-28. [CrossRef]
  • 19. Stankov L. Noncognitive predictors of academic achievement and intelligence: an important role of self-confidence. Pers Individ Dif. 2014;60:37. [CrossRef]
  • 20. Zimmerman BJ. Self-efficacy: an essential motive to learn. Contemp Educ Psychol. 2000;25(1):82-91. [CrossRef]
  • 21. Gottlieb M, Chan TM, Zaver F, Ellaway R. Confidence-competence alignment and the role of self-confidence in medical education: a conceptual review. Med Educ. 2022;56(1):37-47. [CrossRef]
  • 22. Lin FY, Wu WW, Lin HR, Lee TY. The learning experiences of student nurses in pediatric medication management: a qualitative study. Nurse Educ Today. 2014;34(5):744-748. [CrossRef]
  • 23. Pauly-O'Neill S, Prion S. Using integrated simulation in a nursing program to improve medication administration skills in the pediatric population. Nurs Educ Perspect. 2013;34(3):148-153. [CrossRef]
  • 24. So HY, Chen PP, Wong GKC, Chan TTN. Simulation in medical education. J R Coll Physicians Edinb. 2019;49(1):52-57. [CrossRef]
  • 25. Hoops HE, Burt MR, Deveney K, Brasel KJ. What they may not tell you and you may not know to ask: what is expected of surgeons in their first year of independent practice. J Surg Educ. 2018;75(6): e134-e141. [CrossRef]
  • 26. Aljohani AS, Karim Q, George P. Students’ satisfaction with simulation learning environment in relation to self-confidence and learning achievement. J Health Sci. 2016;4:228-235. [CrossRef]
  • 27. Arkes HR, Garske JP. Psychological Theories of Motivation. Monterey, CA: Brooks. Cole Publishing Company; 1982;14:16-83.
  • 28. Akbari O, Sahibzada J. Students’ self-confidence and its impacts on their learning process. aijssr. 2020;5(1):1-15. [CrossRef]
  • 29. Baumeister RF, Campbell JD, Krueger JI, Vohs KD. Does high self-esteem cause better performance, interpersonal success, happiness, or healthier lifestyles? Psychol Sci Public Interest. 2003;4(1):1-44. [CrossRef]
  • 30. Eva KW, Regehr G. Knowing when to look it up: a new conception of self-assessment ability. Acad Med. 2007;82(10):S81-S84. [CrossRef]
  • 31. Druckman DE, Bjork RA. Learning, Remembering, Believing: Enhancing Human Performance. National Academy Press:Washington, DC. 1994:173-206.
  • 32. Strand I, Gulbrandsen L, Slettebø Å, Nåden D. Digital recording as a teaching and learning method in the skills laboratory. J Clin Nurs. 2017;26(17-18):2572-2582. [CrossRef]
  • 33. Green C. Contemporary issues: the pre-licensure nursing student and medication errors. Nurse Educ Today. 2018;68:23-25. [CrossRef]
  • 34. Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno MF. Medication errors involving nursing students: a systematic review. Nurse Educ. 2018;43(5):E1-E5. [CrossRef]
  • 35. Musharyanti L, Claramita M, Haryanti F, Dwiprahasto I. Why do nursing students make medication errors? A qualitative study in Indonesia. J Taibah Univ Med Sci. 2019;14(3):282-288. [CrossRef]
  • 36. Wolf ZR, Hicks R, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006;22(1):39-51. [CrossRef]
  • 37. Ayık G, Özsoy SA, Çetinkaya A. Hemşirelik öğrencilerinin ilaç uygulama hataları. Florence Nightingale Hemşirelik Derg. 2010;18(3):136-143.
  • 38. Aştı T, Kıvanç M. Ağız yolu ile ilaç verilmesine ilişkin hemşirelerin bilgi ve uygulamaları. Atatürk Univ Hemşirelik Yüksekokulu Derg. 2003;6(3):1-9.
  • 39. Marvanova M, Henkel PJ. Collaborating on medication errors in nursing. Clin Teach. 2018;15(2):163-168. [CrossRef]
  • 40. Clifton-Koeppel R. What nurses can do right now to reduce medication errors in the neonatal intensive care unit. Newborn Infant Nurs Rev. 2008;8(2):72-82. [CrossRef]
  • 41. Eastwood KJ, Boyle MJ, Williams B, Fairhall R. Numeracy skills of nursing students. Nurse Educ Today. 2011;31(8):815-818. [CrossRef]
  • 42. McMullan M, Jones R, Lea S. Math anxiety, self-efficacy, and ability in British undergraduate nursing students. Res Nurs Health. 2012;35(2):178-186. [CrossRef]
  • 43. Hunter Revell SM, McCurry MK. Effective pedagogies for teaching math to nursing students: a literature review. Nurse Educ Today. 2013;33(11):1352-1356. [CrossRef]
  • 44. Mackie JE, Bruce CD. Increasing nursing students' understanding and accuracy with medical dose calculations: a collaborative approach. Nurse Educ Today. 2016;40:146-153. [CrossRef]
  • 45. Brinkman DJ, Tichelaar J, van Agtmael MA, de Vries TP, Richir MC. Self-reported confidence in prescribing skills correlates poorly with assessed competence in fourth-year medical students. J Clin Pharmacol. 2015;55(7):825-830. [CrossRef]
  • 46. Tofil NM, Benner KW, Zinkan L, Alten J, Varisco BM, White ML. Pediatric intensive care simulation course: a new paradigm in teaching. J Grad Med Educ. 2011;3(1):81-87. [CrossRef]
  • 47. Auerbach MA, White ML, Bhargava S, et al. O. Are graduating pediatric residents prepared to perform infant lumbar punctures? a multi institutional descriptive study. Pediatr Emerg Care. 2018;34(2):116-120. [CrossRef]
  • 48. Bandura A. Self-efficacy mechanism in human agency. Am Psychol. 1982;37(2):122-147. [CrossRef]
  • 49. Hays RB, Jolly BC, Caldon LJM, et al. Is insight important? Measuring capacity to change performance. Med Educ. 2002;36(10):965-971. [CrossRef]

Pediatri Hemşireliği Eğitiminde Güvenli İlaç Uygulaması: Yarı-Deneysel Tasarım Bir Çalışma

Yıl 2023, Cilt: 26 Sayı: 2, 127 - 134, 23.06.2023
https://doi.org/10.5152/JANHS.2023.22156

Öz

Amaç: Bu çalışma simülasyon temelli pediatri hemşireliği eğitimi alan öğrencilerin; simülasyon sırasındaki güvenli ilaç uygulamalarına ilişkin performansları ile özgüvenleri arasındaki ilişkinin
saptanması amacıyla yapıldı.

Yöntemler: Araştırma yarı deneysel ön test ve son test tasarımda bir vakıf üniversitesinin Hemşirelik Bölümü'nde kriterleri belirlenen örneklem grubunda (n=39) yapıldı. Öğrencilere pediatri hemşireliği dersi kapsamında bir “Çocuklarda İlaç Yönetimi” konulu simülasyon uygulandı. Veriler, “Çocuklarda İlaç Yönetimi” konulu simülasyon uygulamasında kullanılan kontrol listesi,
özgüven ölçeği ve testler (ön test, son test) kullanılarak toplandı.

Bulgular: Öğrencilerin özgüven ölçeği puan ortalaması 129,00 ± 14,36’dır. Öğrencilerin son test puanları, ön test puanlarından istatistiksel olarak anlamlı düzeyde yüksek saptandı (P = .011).
Öğrencilerin güvenli ilaç uygulamalarına ilişkin simülasyon uygulaması kontrol listesinden aldıkları performans puan ortalaması 36,28 ± 6,65’dir. Özgüven ölçeği, ön-test, son-test ve kontrol listesi
puanları arasında istatistiksel olarak anlamlı bir ilişki saptanmadı (P > ,05).

Sonuç: Bu çalışma öğrencilerin eğitim kazanımları için uygun düzey özgüvenin önemli olduğunu vurgulamaktadır. Ayrıca özgüven ve performans arasında bir ilişki olmadığını göstermektedir.

Kaynakça

  • 1. Bjørk IT, Berntsen K, Brynildsen G, Hestetun M. Nursing students' perceptions of their clinical learning environment in placements outside traditional hospital settings. J Clin Nurs. 2014;23(19-20): 2958-2967. [CrossRef]
  • 2. Swift L, Henderson A, Wu CJ. Self-confidence in clinical skill: A descriptive study of the perspective of first-year nursing students. Nurse Educ Pract. 2022;58:103270. [CrossRef]
  • 3. Bilgin O. Effects on self-confidence levels of students for the programme developed within the scope of “children’s university”. Karaelmas J Educ Sci. 2018;6:146-153. (in Turkish).
  • 4. Feltz DL. Self-confidence and sports performance. In: Smith D., Bar-Eli M., eds. Essential readings in sport and exercise psychology. 2007:278-294.
  • 5. Bandura A. Self-Efficacy: The Exercise of Control. New York: W. H. Freeman; 1997.
  • 6. Kukulu K, Korukcu O, Özdemir Y, Bezci A, Calık C. Self-confidence, gender and academic achievement of undergraduate nursing students. J Psychiatr Ment Health Nurs. 2013;20(4):330-335. [CrossRef]
  • 7. Aoyama M, Tamura Y, Ishikawa Y, Yada M, Miyawaki I. Confidence -weighted testing: a descriptive study of Japanese nursing students. Nurs Health Sci. 2013;15(4):504-509. [CrossRef]
  • 8. Kan Onturk Z, Simülasyon KS. Hemşirelik Eğitimine Katkısı. Hosp Manag. 2016;24-28.
  • 9. Aldhafeeri F, Alosaimi D. Perception of satisfaction and self-confidence with high fidelity simulation among nursing students in government universities. Perception. 2020;11:137-149.
  • 10. Fawaz MA, Hamdan-Mansour AM. Impact of high-fidelity simulation on the development of clinical judgment and motivation among Lebanese nursing students. Nurse Educ Today. 2016;46:36-42. [CrossRef]
  • 11. Labrague LJ, McEnroe-Petitte DM, Bowling AM, Nwafor CE, Tsaras K. High-fidelity simulation and nursing students’ anxiety and self-confidence: a systematic review. Nurs Forum. 2019;54(3):358-368. [CrossRef]
  • 12. MacLean S, Kelly M, Geddes F, Della P. Use of simulated patients to develop communication skills in nursing education: an integrative review. Nurse Educ Today. 2017;48:90-98. [CrossRef]
  • 13. Zapko KA, Ferranto MLG, Blasiman R, Shelestak D. Evaluating best educational practices, student satisfaction, and self-confidence in simulation: a descriptive study. Nurse Educ Today. 2018;60:28-34. [CrossRef]
  • 14. Öner H, Koruklu N, Küçükoğlu NC. Hemşirelik öğrencilerinin profesyonel benlik kavramını yordayan değişkenler: özgüven ve sosyal sorun çözme becerisi. Med Sci. 2019;14(4):194-204.
  • 15. Akın A. Öz-Güven Ölçeği' nin Geliştirilmesi ve Psikometrik Özellikleri. Abant İzzet Baysal Univ Eğitim Fak Derg. 2007;7(2):165-175.
  • 16. Popovich NG, Rogers WJ. An assessment of pharmacy student confidence in learning. Am J Pharm Educ. 1987;51(1):17-23.
  • 17. Stankov L, Crawford JD. Self-confidence and performance on tests of cognitive abilities. Intelligence. 1997;25(2):93-109. [CrossRef]
  • 18. Stankov L, Morony S, Lee YP. Confidence: the best non-cognitive predictor of academic achievement? Educ Psychol. 2014;34(1):9-28. [CrossRef]
  • 19. Stankov L. Noncognitive predictors of academic achievement and intelligence: an important role of self-confidence. Pers Individ Dif. 2014;60:37. [CrossRef]
  • 20. Zimmerman BJ. Self-efficacy: an essential motive to learn. Contemp Educ Psychol. 2000;25(1):82-91. [CrossRef]
  • 21. Gottlieb M, Chan TM, Zaver F, Ellaway R. Confidence-competence alignment and the role of self-confidence in medical education: a conceptual review. Med Educ. 2022;56(1):37-47. [CrossRef]
  • 22. Lin FY, Wu WW, Lin HR, Lee TY. The learning experiences of student nurses in pediatric medication management: a qualitative study. Nurse Educ Today. 2014;34(5):744-748. [CrossRef]
  • 23. Pauly-O'Neill S, Prion S. Using integrated simulation in a nursing program to improve medication administration skills in the pediatric population. Nurs Educ Perspect. 2013;34(3):148-153. [CrossRef]
  • 24. So HY, Chen PP, Wong GKC, Chan TTN. Simulation in medical education. J R Coll Physicians Edinb. 2019;49(1):52-57. [CrossRef]
  • 25. Hoops HE, Burt MR, Deveney K, Brasel KJ. What they may not tell you and you may not know to ask: what is expected of surgeons in their first year of independent practice. J Surg Educ. 2018;75(6): e134-e141. [CrossRef]
  • 26. Aljohani AS, Karim Q, George P. Students’ satisfaction with simulation learning environment in relation to self-confidence and learning achievement. J Health Sci. 2016;4:228-235. [CrossRef]
  • 27. Arkes HR, Garske JP. Psychological Theories of Motivation. Monterey, CA: Brooks. Cole Publishing Company; 1982;14:16-83.
  • 28. Akbari O, Sahibzada J. Students’ self-confidence and its impacts on their learning process. aijssr. 2020;5(1):1-15. [CrossRef]
  • 29. Baumeister RF, Campbell JD, Krueger JI, Vohs KD. Does high self-esteem cause better performance, interpersonal success, happiness, or healthier lifestyles? Psychol Sci Public Interest. 2003;4(1):1-44. [CrossRef]
  • 30. Eva KW, Regehr G. Knowing when to look it up: a new conception of self-assessment ability. Acad Med. 2007;82(10):S81-S84. [CrossRef]
  • 31. Druckman DE, Bjork RA. Learning, Remembering, Believing: Enhancing Human Performance. National Academy Press:Washington, DC. 1994:173-206.
  • 32. Strand I, Gulbrandsen L, Slettebø Å, Nåden D. Digital recording as a teaching and learning method in the skills laboratory. J Clin Nurs. 2017;26(17-18):2572-2582. [CrossRef]
  • 33. Green C. Contemporary issues: the pre-licensure nursing student and medication errors. Nurse Educ Today. 2018;68:23-25. [CrossRef]
  • 34. Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno MF. Medication errors involving nursing students: a systematic review. Nurse Educ. 2018;43(5):E1-E5. [CrossRef]
  • 35. Musharyanti L, Claramita M, Haryanti F, Dwiprahasto I. Why do nursing students make medication errors? A qualitative study in Indonesia. J Taibah Univ Med Sci. 2019;14(3):282-288. [CrossRef]
  • 36. Wolf ZR, Hicks R, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006;22(1):39-51. [CrossRef]
  • 37. Ayık G, Özsoy SA, Çetinkaya A. Hemşirelik öğrencilerinin ilaç uygulama hataları. Florence Nightingale Hemşirelik Derg. 2010;18(3):136-143.
  • 38. Aştı T, Kıvanç M. Ağız yolu ile ilaç verilmesine ilişkin hemşirelerin bilgi ve uygulamaları. Atatürk Univ Hemşirelik Yüksekokulu Derg. 2003;6(3):1-9.
  • 39. Marvanova M, Henkel PJ. Collaborating on medication errors in nursing. Clin Teach. 2018;15(2):163-168. [CrossRef]
  • 40. Clifton-Koeppel R. What nurses can do right now to reduce medication errors in the neonatal intensive care unit. Newborn Infant Nurs Rev. 2008;8(2):72-82. [CrossRef]
  • 41. Eastwood KJ, Boyle MJ, Williams B, Fairhall R. Numeracy skills of nursing students. Nurse Educ Today. 2011;31(8):815-818. [CrossRef]
  • 42. McMullan M, Jones R, Lea S. Math anxiety, self-efficacy, and ability in British undergraduate nursing students. Res Nurs Health. 2012;35(2):178-186. [CrossRef]
  • 43. Hunter Revell SM, McCurry MK. Effective pedagogies for teaching math to nursing students: a literature review. Nurse Educ Today. 2013;33(11):1352-1356. [CrossRef]
  • 44. Mackie JE, Bruce CD. Increasing nursing students' understanding and accuracy with medical dose calculations: a collaborative approach. Nurse Educ Today. 2016;40:146-153. [CrossRef]
  • 45. Brinkman DJ, Tichelaar J, van Agtmael MA, de Vries TP, Richir MC. Self-reported confidence in prescribing skills correlates poorly with assessed competence in fourth-year medical students. J Clin Pharmacol. 2015;55(7):825-830. [CrossRef]
  • 46. Tofil NM, Benner KW, Zinkan L, Alten J, Varisco BM, White ML. Pediatric intensive care simulation course: a new paradigm in teaching. J Grad Med Educ. 2011;3(1):81-87. [CrossRef]
  • 47. Auerbach MA, White ML, Bhargava S, et al. O. Are graduating pediatric residents prepared to perform infant lumbar punctures? a multi institutional descriptive study. Pediatr Emerg Care. 2018;34(2):116-120. [CrossRef]
  • 48. Bandura A. Self-efficacy mechanism in human agency. Am Psychol. 1982;37(2):122-147. [CrossRef]
  • 49. Hays RB, Jolly BC, Caldon LJM, et al. Is insight important? Measuring capacity to change performance. Med Educ. 2002;36(10):965-971. [CrossRef]
Toplam 49 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Çocuk Sağlığı ve Hastalıkları Hemşireliği, Hemşirelik Eğitimi, Hemşirelik (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Zehra Kan Öntürk 0000-0001-7209-5684

Yağmur Şancı Bu kişi benim 0000-0002-7272-1005

Yayımlanma Tarihi 23 Haziran 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 26 Sayı: 2

Kaynak Göster

AMA Kan Öntürk Z, Şancı Y. Safe Drug Administration in Pediatric Nursing Education: A Quasi-Experimental Design Study. Journal of Nursology. Haziran 2023;26(2):127-134. doi:10.5152/JANHS.2023.22156

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