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Deliberate Practice of Hand Hygiene and Patient Identification During Simulated Medication Administration: A
Ginger Schroers1, Jill Pfieffer, Kathryn Vanderzwan
1Author Affiliations: Marcella Niehoff School of Nursing, Loyola University Chicago, Maywood, Illinois (Dr Schroers, Dr Pfieffer, Dr Tell); University of Illinois Chicago College of Nursing, Chicago, Illinois (Dr Vanderzwan); University of Kansas School of Nursing, Kansas City, Kansas (Dr Klenke-Borgmann); M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania (Dr Kilroy); and Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, Illinois (Dr O'Rourke).
Background:
Nursing students are often noncompliant with foundational patient safety procedures during medication administration.
Purpose:
Determine the effectiveness of deliberate practice on hand hygiene and patient identification compliance among prelicensure nursing students during simulated medication administration.
Methods:
A repeated-measures quasi-experimental study was conducted at 4 schools of nursing. Participants independently completed 8 simulated scenarios across 2 semesters. Deliberate practice occurred after each simulation. Data were collected using the Observational Medication Administration Tool. Changes in compliance were analyzed using the Generalized Estimating Equations model.
Results:
Sixty students participated. Hand hygiene compliance improved from 17% at baseline (T0) to 59% at final assessment (T7). Patient identification compliance improved from 47% at T0 to 90% at T7. Statistically significant ( P < .001) improvements occurred across assessment times.
Conclusions:
Findings provide support for deliberate practice in improving compliance with hand hygiene and patient identification. Continued focus and reinforcement of foundational patient safety procedures with nursing students is recommended.
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