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Published on: November 9, 2016
Deliberate Practice of Medication Administration Among Nursing Students: A Multisite Study
Ginger Schroers1, Kathryn Vanderzwan, Susan Kilroy
1About the Authors Ginger Schroers, PhD, RN, CNE, is an assistant professor, Marcella Niehoff School of Nursing, Loyola University Chicago, Chicago, Illinois. Kathryn Vanderzwan, DNP, APRN, ACNP-BC, CHSE, is director, Clinical Learning Resource Center and Schwartz Simulation Laboratory, and clinical associate professor, University of Illinois Chicago College of Nursing, Chicago, Illinois. Susan Kilroy, PhD, RN, CHSE, is Kreider Endowed Professor in Healthcare Simulation and Innovation and associate professor, M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania. Laura Klenke-Borgmann, PhD, RN, CHSE, is director of simulation education and clinical associate professor, University of Kansas School of Nursing, Kansas City, Kansas. Jill Pfieffer, MSN, RN, is an instructor, Marcella Niehoff School of Nursing, Loyola University Chicago. Dina Tell, PhD, is clinical associate professor, Marcella Niehoff School of Nursing, Loyola University Chicago. Jenny O'Rourke, PhD, APRN, CHSE, is associate dean of academic affairs and associate professor, Parkinson School of Health Science and Public Health, Loyola University Chicago. The authors received Dorothy Otto Research Grant funding in 2023 from the National League for Nursing and support from the Illinois Nurses Foundation for this research. For more information, contact Dr. Schroers at gschroers@luc.edu.
Aim:
The aim of the study was to determine the effectiveness of deliberate practice of medication administration on decreasing medication administration errors among prelicensure nursing students.
Background:
The deliberate practice method is credited to improving various skills. Little is known about deliberate practice of medication administration.
Method:
A repeated-measures quasi-experimental research study was conducted at four sites. Volunteer participants independently completed eight simulated medication administration scenarios across six study visits spaced by a minimum of four weeks. Each visit included deliberate practice of medication administration. Observational data on medication errors were collected. Changes in errors over assessment times were analyzed using the generalized estimating equations model. Multiple covariates were investigated.
Results:
Sixty students participated. The error rate per medication was 86 percent at baseline and 7 percent at the final assessment. Assessment time was a significant predictor of error (p < .001).
Conclusion:
Findings provide support for deliberate practice in improving and retaining medication administration skills.
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