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New Graduate Registered Nurses'' Confidence in Medication Administration: The Correlations with Educational Preparedness and Perceived Importance

Westman, Jessica
http://rave.ohiolink.edu/etdc/view?acc_num=ucin168477316802796

Abstract Details

2023, PhD, University of Cincinnati, Nursing: Nursing - Doctoral Program.
Background: Medication errors are the most common type of error affecting patient safety and the most preventable cause of adverse medical events globally. Medication errors occur most frequently (33.3%) during the administration phase. New graduate nurses are especially vulnerable to these errors due to reported insufficient educational preparedness and inexperience. There is limited literature examining the nurse’s educational preparedness and perceptions of the importance of the medication competencies to its relationship with their confidence in medication administration. Studies show that the performance of success in a given task is based on a person’s mindset and view of importance of the task. In addition, many nurses feel that the curriculum did not properly prepare them for practice and left them vulnerable to errors suggestive that current nursing curricula may be insufficiently preparing students to perform this task. Purpose: The purpose of this dissertation study was to determine the relationship between educational preparedness and perceived importance of the medication administration competencies for Ohio new graduate Registered Nurses’ to their confidence in clinical medication administration. Design: A descriptive, correlational, cross-sectional design was employed. Methods: Ohio new graduate nurses were surveyed using a research team-created survey. The Likert-style questions asked the participants their opinion on their educational preparedness, perceived importance, and confidence in the nine medication competencies identified. Descriptive and inferential statistical analysis were used with T-tests, ANOVAs, Spearman’s Rho correlations, and logistical regressions to identify relationships between the variables, as well as differences between the demographics. Results: A total of 201 Ohio new graduate nurses completed the study. A significant, positive relationship was found between both educational preparedness and confidence, and perceived importance and confidence. Demographic analyses demonstrated that area of practice, years of nursing experience, and race significantly contributed to differences in educational preparedness and confidence. Both mixing insulins and dosage calculations had a low perceived importance score indicating that these competencies needed increased attention to elevate confidence. Emergency Department (ED) and homecare nurses found the medication competencies overall to be more important than nurses not working in those areas. Conclusions: Results from this research support the relationship between both educational preparedness and perceived importance with confidence in medication administration. This study provides an important initial exploration into the phenomenon and can be used to build upon the current research to inform educational standards and help develop interventions to maintain increased nurse confidence in medication administration in both nursing schooling and in practice.
Kimberly Johnson, PH.D. C.E.N. (Committee Chair)
Carolyn Smith, Ph.D. (Committee Member)
Benjamin Kelcey, Ph.D. (Committee Member)
113 p.
Nursing
medication administration; nursing education; medication errors; perceived importance; educational preparedness

Recommended Citations

Citations

  • Westman, J. (2023). New Graduate Registered Nurses'' Confidence in Medication Administration: The Correlations with Educational Preparedness and Perceived Importance [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin168477316802796

    APA Style (7th edition)

  • Westman, Jessica. New Graduate Registered Nurses'' Confidence in Medication Administration: The Correlations with Educational Preparedness and Perceived Importance. 2023. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin168477316802796.

    MLA Style (8th edition)

  • Westman, Jessica. "New Graduate Registered Nurses'' Confidence in Medication Administration: The Correlations with Educational Preparedness and Perceived Importance." Doctoral dissertation, University of Cincinnati, 2023. http://rave.ohiolink.edu/etdc/view?acc_num=ucin168477316802796

    Chicago Manual of Style (17th edition)

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This open access ETD is published by University of Cincinnati and OhioLINK.
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