Abstract
This study describes the use of simulation to increase medication administration knowledge and skill in new RNs enrolled in a residency program. The study sample consisted of 54 new RNs with less than 1 year of nursing experience who were enrolled in a nurse residency program, and it compared medication administration knowledge posttest scores between groups. The medication administration posttest scores for the simulation group were not significantly higher than the scores of the classroom-only group (p = .056), but the simulation group scored significantly higher on questions regarding timing and the rights of medication administration. Participants were also asked their perceptions of medication errors and why they think they occur. Simulation supported improved medication administration knowledge of some concepts; simulation participants were more satisfied with their learning experience; and the use of simulation helped to identify a consistent knowledge gap within the study sample. New RNs also desire earlier medication administration education in their career. [J Contin Educ Nurs. 2021;52(1):30–33.]
- Agency for Healthcare Research and Quality. (2019). Medication errors. Patient safety network. https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events Google Scholar
- Alt-Gehrman P. (2019). Nursing simulation and transfer of knowledge in undergraduate nursing programs: A literature review. Nursing Education Perspectives, 40(2), 95–98
10.1097/01.NEP.0000000000000398 PMID:30148759 Crossref Medline, Google Scholar - Bajaj K., Meguerdichian M., Thoma B., Huang S., Eppich W., Cheng A. (2017). The PEARLS Healthcare Debriefing Tool. https://debrief2learn.org/wp-content/uploads/2017/12/PEARLS-Small-Poster-8.5x11-PDF-EN.pdf Google Scholar
- Blignaut A. J., Coetzee S. K., Klopper H. C., Ellis S. M. (2017). Medication administration errors and related deviations from safe practice: An observational study. Journal of Clinical Nursing, 26(21–11), 3610–3623
10.1111/jocn.13732 Crossref Medline, Google Scholar - Escrivá Gracia J., Brage Serrano R., Fernández Garrido J. (2019). Medication errors and drug knowledge gaps among critical-care nurses: A mixed multi-method study. BMC Health Services Research, 19(1), Article 640.
10.1186/s12913-019-4481-7 PMID:31492188 Crossref Medline, Google Scholar - Frangella G. (2018). Medication administration system policy and procedure. Unpublished internal document. Google Scholar
- Goodstone L., Goodstone M. S. (2013). Use of simulation to develop a medication administration safety assessment tool. Clinical Simulation in Nursing, 9, e609–e615
10.1016/j.ecns.2013.04.017 Crossref, Google Scholar - Kavanagh J. M., Szweda C. (2017). A crisis in competency: The strategic and ethical imperative to assessing new graduate nurses' clinical reasoning. Nursing Education Perspectives, 38(2), 57–62
10.1097/01.NEP.0000000000000112 PMID:29194297 Crossref Medline, Google Scholar - Lim A. G., Honey M. L. (2017). New graduate nurses' knowledge and skills in medication management: Implications for clinical settings. The Journal of Continuing Education in Nursing, 48(6), 276–281
10.3928/00220124-20170517-09 Link, Google Scholar - Perron T., Gascoyne M., Kallakavumkal T. K., Kelly M., Demagistris N. (2019). Effectiveness of nurse residency programs. Journal of Nursing Practice Applications & Reviews of Research, 9(2), 48–52
10.13178/jnparr.2019.09.02.0908 Crossref, Google Scholar - Zimmerman D. M., House P. (2016). Medication safety: Simulation education for new RNs promises an excellent return on investment. Nursing Economic$, 34(1), 49–51 https://www.nursingeconomics.net/necfiles/2016/JF16/49.pdf PMID:
27055312 Medline, Google Scholar
