Abstract
One in ten patients is harmed while receiving health care in hospital settings (World Health Organization [WHO], 2008). The WHO has highlighted patient safety research as essential toward identifying major modifiable factors leading to unsafe care and patient harm globally. The Objective Structured Clinical Evaluation (OSCE) allows nurse educators an opportunity to evaluate skills important to patient safety, teamwork, and communication. Nursing literature discusses problems seen when nursing students administer medications: incorrect calculations, poor hand hygiene, not checking patient identification, and not completely addressing the 5 rights of medication administration. Not all pediatric hospitals allow nursing students to administer medications during clinical experiences. The purpose is to evaluate undergraduate nursing students' skills and competencies in pediatric medication administration during an OSCE performance. Upon completion of a 7-hour pediatric medication administration simulation lab and within the first four weeks of pediatrics, all Senior 1 nursing students completed a videotaped solo OSCE performance of medication administration to an infant manikin (two oral and one intravenous medication). This study analyzes data from two semesters (N = 210). Quantitative data was obtained from performance rubric scores (0-not done; 1-done) while viewing OSCE videos; lists of common psychomotor errors were compiled. Data collection will be completed by May, 2011; data analysis by August, 2011. Data from one semester (N=105) shows that most students checked patient ID and allergies, performed accurate calculations, communicated well to parent and infant, and administered oral meds appropriately. Common student errors/omissions were: poor hand hygiene and/or gloving, poor cleansing of IV port with alcohol, administration of heparin as pre-med flush, giving IV infusion med as IV push, giving an oral med IV. Implications for nursing and patient safety include: repetition of foundational nursing skills throughout curriculum, early use of OSCEs in nursing programs, and use of reflective writing immediately following OSCE.
Sigma Membership
Unknown
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Objective Structured Clinical Evaluation, Nursing Education, Patient Safety
Recommended Citation
Cazzell, Mary A., "Surprise findings from pediatric medication administration OSCE research: It's not only about the 5 rights!" (2012). Convention. 130.
https://www.sigmarepository.org/convention/2011/presentations_2011/130
Conference Name
41st Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Grapevine, Texas, USA
Conference Year
2011
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Acquisition
Proxy-submission
Surprise findings from pediatric medication administration OSCE research: It's not only about the 5 rights!
Grapevine, Texas, USA
One in ten patients is harmed while receiving health care in hospital settings (World Health Organization [WHO], 2008). The WHO has highlighted patient safety research as essential toward identifying major modifiable factors leading to unsafe care and patient harm globally. The Objective Structured Clinical Evaluation (OSCE) allows nurse educators an opportunity to evaluate skills important to patient safety, teamwork, and communication. Nursing literature discusses problems seen when nursing students administer medications: incorrect calculations, poor hand hygiene, not checking patient identification, and not completely addressing the 5 rights of medication administration. Not all pediatric hospitals allow nursing students to administer medications during clinical experiences. The purpose is to evaluate undergraduate nursing students' skills and competencies in pediatric medication administration during an OSCE performance. Upon completion of a 7-hour pediatric medication administration simulation lab and within the first four weeks of pediatrics, all Senior 1 nursing students completed a videotaped solo OSCE performance of medication administration to an infant manikin (two oral and one intravenous medication). This study analyzes data from two semesters (N = 210). Quantitative data was obtained from performance rubric scores (0-not done; 1-done) while viewing OSCE videos; lists of common psychomotor errors were compiled. Data collection will be completed by May, 2011; data analysis by August, 2011. Data from one semester (N=105) shows that most students checked patient ID and allergies, performed accurate calculations, communicated well to parent and infant, and administered oral meds appropriately. Common student errors/omissions were: poor hand hygiene and/or gloving, poor cleansing of IV port with alcohol, administration of heparin as pre-med flush, giving IV infusion med as IV push, giving an oral med IV. Implications for nursing and patient safety include: repetition of foundational nursing skills throughout curriculum, early use of OSCEs in nursing programs, and use of reflective writing immediately following OSCE.
Description
41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & Convention Center.