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Nurse Educ. 2021 Jan/Feb;46(1):59-62. doi: 10.1097/NNE.0000000000000828.

Nursing Student Medication Administration Performance: A Longitudinal Assessment.

Nurse educator

Melissa Jarvill

Affiliations

  1. Author Affiliation: Director of Undergraduate Programs and Assistant Professor, Mennonite College of Nursing, Illinois State University, Normal.

PMID: 33284000 DOI: 10.1097/NNE.0000000000000828

Abstract

BACKGROUND: Nurses must be adequately prepared for safe medication administration.

PURPOSE: The specific aims of the study were to compare first- and final-semester nursing students' medication administration performance, describe graduating nursing student performance, assess the long-term effect of an Individual Simulation-Based Experience (ISBE), and determine if nursing assistant experience impacted performance.

METHODS: The study was a longitudinal, descriptive, experimental, 2-group pretest-posttest design. The Medication Administration Safety Assessment Tool was used to assess nursing student (n = 68) medication administration performance at 3 points in time: after learning the skill, after participation in an ISBE or traditional practice session, and prior to graduation.

RESULTS: Only one-third of senior nursing students accurately demonstrated medication administration. There was no significant difference between first- and last-semester performance.

CONCLUSION: Findings suggest nursing students are not prepared for safe medication administration upon graduation. The reality of practice opportunities to perform this skill throughout a nursing program should be examined.

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