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A Correlational Study of Medication Knowledge Versus Confidence Levels in Student Nurses
Lynn L Wiles1, Christine Sump2
1About the Authors Lynn L. Wiles, PhD, RN, ANEF, is an associate professor, Macon and Joan Brock Virginia Health Sciences Ellmer School of Nursing, Old Dominion University, Virginia Beach, Virginia.
Nursing Education Perspectives
|March 11, 2026
Summary
Nursing students
Area of Science:
- Nursing Education
- Patient Safety
- Medication Administration
Background:
- Nurses' medication knowledge and confidence are critical for patient safety.
- Limited research exists on the relationship between medication knowledge and confidence levels in nursing students.
Purpose of the Study:
- To compare Bachelor of Science in Nursing students' medication knowledge with their perceived confidence using a certainty scale.
- To investigate the alignment between knowledge accuracy and confidence in medication administration skills.
Main Methods:
- Utilized a certainty scale to assess medication knowledge among Bachelor of Science in Nursing students.
- Compared students' correct and incorrect medication knowledge responses with their confidence levels.
Main Results:
- Students reported 71% confidence when correct and 43% confidence when incorrect.
- A significant positive correlation was found between knowledge correctness and certainty.
- A significant negative correlation existed between incorrect answers and certainty, indicating a mismatch.
Conclusions:
- Confidence of certainty did not accurately reflect medication knowledge in nursing students.
- The discrepancy between confidence and knowledge poses a potential risk for medication administration errors.
- Further research and educational interventions are needed to improve medication knowledge and accurate self-assessment in nursing students.
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