Effect of Education of Principles of Drug Prescription and Calculation through Lecture and Designed Multimedia Software on Nursing Students’ Learning Outcomes
Keywords:
Medication calculation, Nursing students, Multimedia software, Lecture, Principles of drug administrationAbstract
Introduction: Medication errors are risk factors for patients’ health and may have irrecoverable effects. These errors include medication miscalculations by nurses and nursing students. This study aimed to design a multimedia application in the field of education for drug calculations in order to compare its effectiveness with the lecture method.
Methods: This study selected 82 nursing students of Tabriz University of Medical Sciences in their second and third semesters in 2015. They were pre-tested by a researcher-made multiple-choice questionnaire on their knowledge of drug administration principles and ability to carry out medicinal calculations before training and were then divided through a random block design into two groups of intervention (education with designed software) and control (lecturing) based on the mean grade of previous semesters and the pre-test score. The knowledge and ability post-test was performed using the same questions after 4 weeks of training, and the data were analyzed with IBM SPSS 20 using independent samples t-test, paired-samples t-test, and ANCOVA.
Results: Drug calculation ability significantly increased after training in both the control and experimental groups (p<0.05). However, no significant difference emerged between the two groups in terms of medicinal calculation ability after training (p>0.05). The results showed that both training methods had no significant effect on study participants’ knowledge of medicinal principles (p>0.05), whereas the score of knowledge of medicinal principles in the control group increased non-significantly. The results of the Kolmogorov-Smirnov test show that, since p>0.05, the data in the variable of knowledge of drug prescription principles and ability of medicinal calculations had a normal distribution.
Conclusion: The use of educational software has no significant effect on nursing students’ drug knowledge or medicinal calculation ability. However, an e-learning program can reduce the lecture time and cost of repeated topics, such as medication, suggesting that it can be an effective component in nurse education programs.
References
Soozani A, Bagheri H, Pourheydari M. Factors Affecting Medication Errors by Nurses Working in
Different Wards of Imam Hossein hospital Shahrood. J Sci Heal. 2007; 2(3): 8-13.
Heidari SH, Shahabinejad M, Soltani A, Abdoli F. Rate and type of medication errors and factors in
preventing the report of them in the nursing students of Rafsanjan University of Medical Sciences in 2009.
Community Hlt J. 2013; 7(2-3): 48-55.
Trim J. Clinical skills: a practical guide to working out drug calculations. BJN. 2004; 13(10). doi:
12968/bjon.2004.13.10.13050.
Koohestani H, Baghcheghi N. Comparing the effects of two educational methods of intravenous drug rate
calculations on rapid and sustained learning of nursing students: Formula method and dimensional analysis
method. Nurse Educ Pract. 2010; 10(4): 233-7. doi: 10.1016/j.nepr.2009.11.011. PMID: 20018563.
Kouhestani HR, Baghcheghi N, Khosravi SH. Frequency, type and causes of medication errors in student
nurses. Iran J Nurs. 2008; 21(53): 17-27.
Webster CS, Anderson DJ. A practical guide to the implementation of an effective incident reporting
scheme to reduce medication error on the hospital ward. Int J Nurs Pract. 2002; 8(4): 176-83. doi:
1046/j.1440-172X.2002.00368.x.
Anderson DJ, Webster CS. A systems approach to the reduction of medication error on the hospital ward. J
Adv Nurs. 2001; 35(1): 34-41. doi: 10.1046/j.1365-2648.2001.01820.x.
Nasiri M, Nasiri M, Adarvishi S, Hadigol T. The effectiveness of teaching anatomy by mobile phone
compared with its teaching by lecture. J Med Educ Dev. 2014; 7(14): 94-103.
Namnabati M, Azar EF, Valizadeh S, Tazakori Z. Lecturing or Problem-based Learning: Comparing
Effects of the Two Teaching Methods in Academic Achievement and Knowledge Retention in Pediatrics
Course for Nursing Students. Iran J Med Educ. 2011; 10(4): 474-82.
Khatooni M, Alimoradi Z, Samiei-Seiboni F, Shafiei Z, Atashi V. The impact of an educational software
designed about fundamental of nursing skills on nursing students' learning of practical skills. J Clin Nurs
Midwifery. 2014; 4(3): 9-16.
Moradi E, Mokhtari Nouri J, Ebadi A, Salari MM. Effectiveness of medical nuclear care nursing training
on levels of learning by multimedia software. J Crit Care Nurs. 2010; 3(3): 0-0.
Hosseininasab D, Abdullahzadeh F, Feizullahzadeh H. The effect of computer assisted instruction and
demonstration on learning vital signs measurement in nursing students. Iran J Med Educ. 2007; 7(1): 23-30.
Kaveevivitchai C, Chuengkriankrai B, Luecha Y, Thanooruk R, Panijpan B, Ruenwongsa P. Enhancing
nursing students’ skills in vital signs assessment by using multimedia computer-assisted learning with
integrated content of anatomy and physiology. Nurse Educ Today. 2009; 29(1): 65-72. doi:
1016/j.nedt.2008.06.010. PMID: 18703258.
Feizalahzadeh H, Tafreshi MZ, Moghaddasi H, Farahani MA, Khosrovshahi HT, Zareh Z, et al.
Development and Validation of a Theory-Based Multimedia Application for Educating Persian Patients on
Hemodialysis. Comput Inform Nurs. 2014; 32(5): 242-7. doi: 10.1097/CIN.0000000000000052. PMID:
Ebrahimpour F, Shahrokhi A, Ghodousi A. Patients’ Safety and Nurses’ Medication Administration Errors.
IJFM. 2014; 20(1): 401-8.
Mansouri A, Ahmadvand A, Hadjibabaie M, Kargar M, Javadi M, Gholami K. Types and severity of
medication errors in Iran; a review of the current literature. DARU Journal. 2013; 21(1): 1. doi:
1186/2008-2231-21-49.
Mirzaei M, Khatony A, Faramani RS, Sepahvand E. Prevalence, Types of Medication errors and Barriers to
Reporting Errors by Nurses in an Educational Hospital in Kermanshah. Hayat. 2013; 19(3): 28-37.
Jukes L, Gilchrist M. Concerns about numeracy skills of nursing students. Nurse Educ Pract. 2006; 6(4):
-8. doi: 10.1016/j.nepr.2005.12.002. PMID: 19040877.
Pauly-O'Neill S, Prion S. Using integrated simulation in a nursing program to improve medication
administration skills in the pediatric population. Nurs Educ Perspect. 2013; 34(3): 148-53. doi:
5480/1536-5026-34.3.148.
Mansouri A, Ahmadvand A, Hadjibabaie M, Javadi M, Khoee SH, Dastan F, et al. A review of medication
errors in iran: sources, underreporting reasons and preventive measures. Iran J Pharm Res. 2014; 13(1): 3- 17. PMID: 24734052, PMCID: PMC3985240.
Ahmadieh M, Dehqanpoor M. The Effect of Using Group Work Skills in Mathematical Calculation of
Medication Needed for Clinical Education in Nursing. Iran J Med Educ. 2005; 5(14).
Sung YH, Kwon IG, Ryu E. Blended learning on medication administration for new nurses: Integration of
e-learning and face-to-face instruction in the classroom. Nurse Educ Today. 2008; 28(8): 943-52. doi:
1016/j.nedt.2008.05.007. PMID: 18599162.
Alsulami Z, Conroy S, Choonara I. Medication errors in the Middle East countries: a systematic review of
the literature. Eur J Clin Pharmacol. 2013; 69(4): 995-1008. doi: 10.1007/s00228-012-1435-y. PMID:
, PMCID: PMC3621991.
Armitage G, Knapman H. Adverse events in drug administration: a literature review. J Nurs Manag. 2003;
(2): 130-40. doi: 10.1046/j.1365-2834.2003.00359.x.
Wolf Z, Hicks RW, Serembus J. Characteristics of medication errors made by students during the
administration phase: a descriptive study. J Prof Nurs. 2006; 22(1): 39-51. doi:
1016/j.profnurs.2005.12.008.
Alinier G. Nursing students’ and lecturers’ perspectives of objective structured clinical examination
incorporating simulation. Nurse Educ Today. 2003; 23(6): 419-26. doi: 10.1016/S0260-6917(03)00044-3.
Carpenter J. Interprofessional education for medical and nursing students: evaluation of a programme. Med
Educ. 1995; 29(4): 265-72. doi: 10.1111/j.1365-2923.1995.tb02847.x.
McConville SA, Lane AM. Using on-line video clips to enhance self-efficacy toward dealing with difficult
situations among nursing students. Nurse Educ Today. 2006; 26(3): 200-8. doi:
1016/j.nedt.2005.09.024.
Senn GJ. Comparison of face-to-face and hybrid delivery of a course that requires technology skills
development. J Inf Technol Educ. 2008; 7(20): 267-84.
Ross JG. The effect of simulation training on baccalaureate nursing students' competency in performing
intramuscular injection. Nurs Educ Perspect. 2015; 36(1): 48-9. doi: 10.5480/13-1075.1.
Lau K. Computer‐based teaching module design: principles derived from learning theories. Med Educ.
; 48(3): 247-54. doi: 10.1111/medu.12357.
Gladstone J. Drug administration errors: a study into the factors underlying the occurrence and reporting of
drug errors in a district general hospital. J Adv Nurs. 1995; 22(4): 628-37. doi: 10.1046/j.1365- 2648.1995.22040628.x.
Elliott M, Joyce J. Mapping drug calculation skills in an undergraduate nursing curriculum. Nurse Educ
Pract. 2005; 5(4): 225-9. doi: 10.1016/j.nepr.2004.12.003. PMID: 19038203.
Gillham DM, Chu S. An analysis of student nurses’ medication calculation errors. Contemp Nurse. 1995;
(2): 61-4. doi: 10.5172/conu.4.2.61.
Nick Pima N, Gholamnejad H. Causes of Medication Errors by Nurses. J Sch Nurs Mid. 2009; 19(64):1 8- 24.
Zahmatkeshan N, Bagherzadeh R, Mirzaee K. Analysis of the Types and Causes of Medication Errors by
Nursing Staff at Selected Health Centers in Bushehr Province. Iranian South Medical journal. 2010; 13(3):
-6.
Wright K. Barriers to accurate drug calculations. Nurs Stand. 2006; 20(28): 41-5. doi:
7748/ns2006.03.20.28.41.c4099.
Shams S, Khajehali N, Baghayee R. Comparing pharmacology knowledge and pharmaceutical calculations
skill in Cardiac Care Unit (CCU) among nursing students of Oroumiyeh and Khouy. J Crit Care Nurs.
; 6(3): 181-8.
Haji Hosseini F, Sharifnia H, Nazari R, Rezai R, Saatsaz S. Basic Skills, Medications and Intravenous
Therapy Nursing Students at the End of the Third Year. Orumieh Faculty of Nursing and Midwifery. 2012;
(2): 0-0.
Wright K. Can effective teaching and learning strategies help student nurses to retain drug calculation
skills? Nurse Educ Today. 2008; 28(7): 856-64. doi: 10.1016/j.nedt.2008.01.002. PMID: 18304704.
Holland A, Smith F, McCrossan G, Adamson E, Watt S, Penny K. Online video in clinical skills education
of oral medication administration for undergraduate student nurses: a mixed methods, prospective cohort
study. Nurse Educ Today. 2013; 33(6): 663-70. doi: 10.1016/j.nedt.2012.01.006. PMID: 22341996.
Ma H, Bo W, Liu J, Jian D, Xie Y. Video feedback teaching method in teaching of abdominal physical
examination. Frontier and Future Development of Information Technology in Medicine and Education:
Springer. 2014; 2707-13. doi: 1007/978-94-007-7618-0-340.
Yoo MS, Son YJ, Kim YS, Park JH. Video-based self-assessment: Implementation and evaluation in an
undergraduate nursing course. Nurse Educ Today. 2009; 29(6): 585-9. doi: 10.1016/j.nedt.2008.12.008.
PMID: 19167789.
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