Mary Mckay DNP ARNP CNE Jill Sanko PhD MS ARNPBC CHSEA Acknowledgement This research study was supported by a grant from the Florida Blue Foundation ID: 653539
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Bridging the Gap: Making Medication Administration Safer Through Simulation Enhanced Pharmacology Education for Pre licensure Nursing Students
Mary Mckay DNP, ARNP, CNE Jill Sanko, PhD, MS, ARNP-BC, CHSE-ASlide2
AcknowledgementThis research study was supported by a grant from the Florida Blue FoundationSlide3
Background- Medication ErrorsMedication errors continue to be the number one cause of nursing related errors (Joint Commission, 2012). Novice nurses are particularly susceptible to making medication errors. Gap exists between didactic and clinical performanceSlide4
UM School of Nursing Reporting SystemSlide5
Background- SimulationThere is some evidence, promoting the utility of simulation to teach medication-administration (Pauly-O’Neill & Prion, 2013) Slide6
MethodologyIRB approval was obtainedA quasi-experimental design with longitudinal follow up was used to explore the relationship between simulation-enhanced pharmacology education, self reported and observed medication administration errors in pre- licensure nursing students. Slide7
MethodologyTotal of 4 scenarios were developed.Mrs. Morrison is a 67 year old woman who a history of hypertension. She was admitted to the hospital yesterday with complaining of right leg pain. She has been diagnosed with a DVT . Orders have been written for a heparin bolus and drip.Weight Based Protocol Slide8
Critical ActionsCalculates the Heparin bolus per protocolVital signsIDs the patientPerforms the appropriate HHDons the appropriate PPE Draws up the appropriate number of ml for the dosage orderedDetermines the amount of time IV Push Checks orders and labsExplains to the patient what they are doing Checks with a second nurse
Administers IV push meds as correct rate Follows with saline flush slowlySlide9
Methodology
Observation of Subsequent simulation: 308, 320, 411, 453Slide10
Observed ErrorsSlide11
Reporting Errors By GroupSlide12
Observation Tool Slide13
Inter Rater ReliabilityRan on a total of 5 cases with both raters Spearman’s rhoRange: .713 - .929 Average: 0.822Slide14
Competence and Confidence ToolSlide15
Competence / Confidence ResultsSlide16
DiscussionStudy LimitationsSimulation based educational opportunities may provide pre licensure nursing students with opportunities to practice and gain medication administration competency essential for the provision of safe patient care. Slide17
ReferencesShearer, J. ( 2013 ). High fidelity simulation and safety :An integrative review. Journal of Nursing Education. 52(1). 39-45.Pauly-O’Neill, S., Prion, S., & Nguyen, H. (2013). Comparison of quality and safety education for nurses related student experiences during pediatric clinical and simulation rotations. Journal of Nursing Education. 52(9). 534-538.