Sandra McDade
- Designation: Nursing Education, Capella University
- Country: USA
- Title: Case Based Patient Scenario Learning Activity on Medication Administration Safety
Abstract
Over 50 percent of nursing students make medication errors worldwide (Dehvan et al., 2021; Spector, 2023). Medication errors range from near-misses to giving the wrong dose, medication, time, route, and environmental issues (Spector, 2023). An alarming 400,000 medical mistakes are made annually in the United States, and medication errors are the most common (Tsegaye et al., 2020).
The scope was for nursing faculty to teach critical thinking skills and clinical reasoning on medication administration safety to prevent medication administration errors to associate degree nursing students. The method utilized is case-based patient scenarios (CBS). CBpracticalective, innovative learning activities focus on the cognitive learning domain. They are underpinned in andragogy, increasing crease clinical judgment, critical thinking skills, and clinical reasoning in onsite and online educational settings.
The medication administration CBS objectives are (1) the learner will assess the patient scenario accurately, (2) the learner will identify normal findings, (3) the learner will identify abnormal findings, and the d (4) learner will apply appropriate clinical judgment to give or hold medication.
CBS based on medication administration safety was conducted in a medical-surgical course. The last 20 minutes of the study course were dedicated to CBS activity. The results were an increase in active learning and engagement with the duration of the activity. The learners asked for CBS to be part of each class with various content from the weekly content taught. The learners stated they felt more prepared for exams and clinical rotations with the CBS activities implemented in the classroom.
In conclusion, CBS is an effective method for nursing students to practice critical thinking skills in medication administration in a safe learning environment.