Perceptions of undergraduate nursing students regarding their competency in administering medications: A qualitative study

IF 3.3 3区 医学 Q1 NURSING Nurse Education in Practice Pub Date : 2024-08-01 DOI:10.1016/j.nepr.2024.104098
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Abstract

Aim

This study aims to explore and describe self-reported perceptions of nursing students’ competence in the administration of medication.

Background

Medication errors are a significant concern in hospitals, as they can result in serious harm and even death for patients. Nursing students play a crucial role in administering medication and preventing errors, but they are also prone to making mistakes. While numerous studies have extensively examined the factors that contribute to medication errors, few have focused on the assessment of competency among nursing students.

Design

This study employed a qualitative exploratory and descriptive design.

Methods

A total of 10 undergraduate nursing students at a higher education institution consented to participate in face-to-face, semi-structured individual interviews. Data were collected between August and September 2022 using an interview guide. The interviews were audio recorded and analysed using Braun and Clarke's six steps of thematic analysis.

Results

The study revealed two major themes: (1) ‘Perceived barriers to competency’, which include participants' concerns regarding making errors, knowledge in pharmacology, self-efficacy in mathematics and level of supervision; and (2) ‘Mechanisms for improvement’, which centre on enhancing simulation proficiency, improving supervision and integrating pharmacology education in year two of nursing training.

Conclusion

The study findings suggest that student nurses face various barriers to competence, such as a fear of making mistakes, a lack of pharmacology knowledge and low self-confidence in calculating drug dosages. To address these issues, prioritising supervision is crucial to facilitate student learning and ensure safety. Future research should consider investigating the perspectives of nurse educators on pharmacology curricula.

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护理本科生对其用药能力的看法:定性研究
背景用药错误是医院非常关注的一个问题,因为它可能导致患者受到严重伤害,甚至死亡。护生在用药和预防错误方面发挥着至关重要的作用,但他们也很容易犯错。虽然已有大量研究广泛探讨了导致用药错误的因素,但很少有研究关注护理专业学生的能力评估。采用访谈指南在 2022 年 8 月至 9 月期间收集数据。结果研究揭示了两大主题:(1)"能力认知障碍",包括参与者对出错、药理学知识、数学自我效能感和监督水平的担忧;以及(2)"改进机制",其核心是提高模拟熟练度、改进监督和将药理学教育纳入护理培训的第二年。结论研究结果表明,护士学生在提高能力方面面临各种障碍,如害怕犯错、缺乏药理学知识以及对计算药物剂量缺乏自信。要解决这些问题,优先考虑督导对促进学生学习和确保安全至关重要。未来的研究应考虑调查护士教育者对药理学课程的看法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.40
自引率
9.40%
发文量
180
审稿时长
51 days
期刊介绍: Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.
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