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Identifying Nursing Students at Risk to Fail a Dosage Calculation Exam
1Author Affiliation: Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, Pennsylvania (Dr Yoden).
Nurse Educator
|July 17, 2026
Summary
Nursing students struggling with dosage calculations can be identified using academic and demographic factors. Early identification allows for targeted support to improve success rates in this critical nursing skill.
Area of Science:
- Nursing Education
- Academic Competency Assessment
Background:
- Dosage calculation is a fundamental yet challenging competency for nursing students.
- Many students experience difficulties in mastering this essential skill.
Purpose of the Study:
- To identify nursing students at risk of struggling with dosage calculation competency.
- To enable proactive educational interventions for at-risk students.
Main Methods:
- Analysis of a historical dataset of nursing students.
- Utilized logistic regression to identify distinguishing characteristics.
- Examined demographic and academic factors correlating with exam success or failure.
Main Results:
- Four key factors significantly predicted success in dosage calculation exams.
- These factors include high-school GPA, first-semester college GPA, critical thinking scores, and gender.
- Logistic regression identified specific predictors for dosage calculation competency.
Conclusions:
- Nursing students likely to struggle with dosage calculations can be identified prior to failure.
- Proactive identification facilitates targeted educational support and resources.
- Interventions can enhance student success in achieving dosage calculation competency.
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