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Nursing Clinical Information System01:27

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Nursing Clinical Information System (NCIS)
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Nursing Student Medication Administration Practice in the Clinical Setting: A Descriptive Study.

Melissa Jarvill, Judy Neubrander, MyoungJin Kim

    The Journal of Nursing Education
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    Nursing students have limited medication administration experience during clinicals, averaging one experience per semester. Most medication administrations were supervised by registered nurses (RNs).

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    Area of Science:

    • Nursing Education
    • Patient Safety
    • Medication Administration

    Background:

    • Nurses play a critical role in preventing medication errors and ensuring patient safety.
    • Educational interventions and increased practice are recommended to equip nursing students with safe medication administration skills.
    • The actual frequency and quality of nursing students' medication administration practice in clinical settings remain largely unquantified.

    Purpose of the Study:

    • To assess the frequency and quality of medication administration practice among prelicensure nursing students in clinical settings.
    • To provide a quantified account of nursing students' real-world medication administration experiences.

    Main Methods:

    • A cross-sectional descriptive study design was employed.
    • A convenience sample of 222 prelicensure nursing students participated.
    • Students completed an electronic survey after each clinical day for one semester to record medication administration experiences.

    Main Results:

    • On average, participants reported one medication administration experience per semester.
    • Students administered an average of two different drugs.
    • The majority of medication administration experiences involved a single patient and were supervised by bedside registered nurses (RNs).

    Conclusions:

    • Medication administration opportunities for nursing students in clinical settings are inconsistent and unpredictable.
    • Variability exists based on healthcare facility policies and nursing program guidelines.
    • Further research is needed to understand and potentially improve nursing student medication administration practice.