Main Article Content
Nursing studen*, state anxiety, medication administ* errors, near mis*, medication knowledge, nursing studen* skills
Background and aim. Medication administration errors represent a topic of great scientific interest. Medication administration is considered by nursing students a complex process during which it is easy to make mistakes; therefore, institutional measures have been adopted in order to reduce medication errors. However, it remains a critical issue in nursing practice for which several causes have been identified, including environmental factors and individual knowledge. Mistakes can be made by nurses and especially by students who must cope with additional causal factors including anxiety management. The aim was to investigate state anxiety levels among nursing students when it comes to medication administration.
Research design and methods. An observational study involving a convenience sample of 150 nursing students from a Northern Italy University has been conducted; they were asked to complete a questionnaire to measure the levels of state anxiety in relation to medication administration.
Results. There were no particularly high levels of state anxiety among students associated with medication administration; however, state anxiety levels were slightly higher in third-year students than in second-year students, and this is most likely due to the growing complexity of the medication administration process compared to the lack of experience.
Conclusions. Although the results don’t show statistically significant data, the effectiveness of nursing education plays a crucial role in reducing medication errors, which is why it is essential to provide suitable tools for the professionals of the future and invest in clinical simulations.
2 Latimer S, Hewitt J, Stanbrough R, McAndrew R. Reducing medication errors: Teaching strategies that increase nursing students’ awareness of medication errors and their prevention. Nurse Educ Today. 2017 May;52:7–9.
3 Reid-Searl K, Happell B. Factors influencing the supervision of nursing students administering medication: The registered nurse perspective. Collegian. 2011 Dec;18(4):139–46.
4 Unver V, Tastan S, Akbayrak N. Medication errors: Perspectives of newly graduated and experienced nurses. Int J Nurs Pract. 2012 Aug;18(4):317–24.
5 Brady AM, Malone AM, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice. J Nurs Manag. 2009;17(6):679–97.
6 Teal T, Emory J, Patton S. Analysis of Medication Errors and near Misses Made by Nursing Students. Int J Nurs Educ Scholarsh. 2019 Nov;16(1).
7 Dolansky MA, Druschel K, Helba M, Courtney K. Nursing Student Medication Errors: A Case Study Using Root Cause Analysis. J Prof Nurs. 2013 Mar;29(2):102–8.
8 Wolf ZR, Hicks R, Serembus JF. Characteristics of medication errors made by students during the administration phase: A descriptive study. J Prof Nurs. 2006 Jan;22(1):39–51.
9 Vaismoradi M, Jordan S, Turunen H, Bondas T. Nursing students’ perspectives of the cause of medication errors. Nurse Educ Today. 2014 Mar;34(3):434–40.
10 Musafiri JJ, Daniels F. Nursing students’ perceptions of clinical learning opportunities and competence in administration of oral medication in the Western Cape. Curationis. 2020 Feb;43(1).
11 Musharyanti L, Claramita M, Haryanti F, Dwiprahasto I. Why do nursing students make medication errors? A qualitative study in Indonesia. J Taibah Univ Med Sci. 2019 Jun;14(3):282–8.
12 Suliman WA, Halabi J. Critical thinking, self-esteem, and state anxiety of nursing students. Nurse Educ Today. 2007 Feb;27(2):162–8.
13 Simones J, Neal DO, Schug V, Blazovich LM, Pivec C, Daniels J, et al. Student nurses’ thinking during medication administration. J Nurs Educ Pract. 2014 Sep;4(11).
14 Reid-Searl K, Moxham L, Walker S, Happell B. Shifting supervision: Implications for safe administration of medication by nursing students. J Clin Nurs. 2008 Oct;17(20):2750–7.
15 Reid-Searl K, Moxham L, Walker S, Happell B. Internal conflict: Undergraduate nursing students’ response to inadequate supervision during the administration of medication. Collegian. 2009 Apr;16(2):71–7.
16 Reid-Searl K, Moxham L, Happell B. Enhancing patient safety: The importance of direct supervision for avoiding medication errors and near misses by undergraduate nursing students. Int J Nurs Pract. 2010;16(3):225–32.
17 Reid-Searl K, Happell B. Supervising nursing students administering medication: A perspective from registered nurses. J Clin Nurs. 2012;21(13–14):1998–2005.
18 Everitt B., Skrondal A. The Cambridge dictionary of statistics (Vol. 106). Cambridge: Cambridge University Press, 2002.
19 Spielberger, C.D., Gorsuch, R.L. and Lushene, R.E. STAI Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press, 1970.
20 Pedrabissi L, Santinello M. Verifica della validità dello S.T.A.I. forma Y di Spielberger [Verification of the Spielberg S.T.A.I. Y form validity]. Boll di Psicol Appl. 1989;(191–192).
21 Rennie, K. M. Exploratory and Confirmatory Rotation Strategies in Exploratory Factor Analysis.) Southwest Educ Res Assoc, 1997.
22 Muthen B, Kaplan D. A comparison of some methodologies for the factor analysis of non‐normal Likert variables: A note on the size of the model. Br J Math Stat Psychol. 1992;45(1):19–30.
23 Sax LJ, Gilmartin SK, Bryant AN. Assessing response rates and nonresponse bias in web and paper surveys. Res High Educ. 2003;44(4):409–432
24 Brooks KL, Shepherd JM. The relationship between clinical decision-making skills in nursing and general critical thinking abilities of senior nursing students in four types of nursing programs. J Nurs Educ. 1990 Nov;29(9):391–9.
25 Azizi-Fini I, Hajibagheri A, Adib-Hajbaghery M. Critical Thinking Skills in Nursing Students: a Comparison Between Freshmen and Senior Students. Nurs Midwifery Stud. 2015 Mar;4(1).
26 Vaughan-Wrobel BC, O’Sullivan P, Smith L. Evaluating critical thinking skills of baccalaureate nursing students. J Nurs Educ. 1997 Dec;36(10):485–8.
27 Franklin A, Liu Y, Li Z, Nguyen V, Johnson TR, Robinson D, et al. Opportunistic decision making and complexity in emergency care. J Biomed Inform. 2011 Jun;44(3):469–76.
28 Lan YH, Wang KWK, Yu S, Chen IJ, Wu HF, Tang FI. Medication errors in pediatric nursing: assessment of nurses’ knowledge and analysis of the consequences of errors. Nurse Educ Today. 2014;34(5):821–8.
29 Boztepe H, Özdemir H, Karababa Ç, Yıldız Ö. Difficulties experienced during preparation and administration of oral drugs. Turkish Arch Pediatr Pediatr Arşivi. 2014 Sep;49(3):231.
30 Orr F, Kellehear K, Armari E, Pearson A, Holmes D. The distress of voice-hearing: the use of simulation for awareness, understanding and communication skill development in undergraduate nursing education. Nurse Educ Pract. 2013 Nov;13(6):529–35.
31 Uslu Y, Coskun EY, Sahin G, Ugur E, Karabacak U. Effect of simulation-based learning on first clinical day stress and anxiety levels of nursing students in Turkey. J Pak Med Assoc. 2020 Sep;70(9):1505–9.
32 Arosio L, De Luca S. I criteri di valutazione della desiderabilità sociale delle occupazioni [The criteria for evaluating the occupations’ social desirability]. Quad. sociol. 2007 Dec;(45):101–35.