Abstract
Drugs administration errors are often used as patient safety indicators in hospitals, being deemed a common and potentially risky event for individual safety. Poor mathematical skills might contribute to medication calculation errors. E-learning is a new training tool that takes advantage of new technology. It constitutes an important development in training and teaching in general.
The purpose of this study was to evaluate the effectiveness of an e-learning teaching course using on-line platform compared to traditional teaching.
Between 1 April 2016 and 22 April 2016, 198 second-year nursing students were randomized: 98 were allocated to the e-learning group (intervention group) and 100 in the control group received lectures with a professor. Students in both groups completed a questionnaire prior (T0) and after the course (T1).
The findings of this study indicated that students, in both groups, boosted their calculation abilities between T0 and T1 test (22.4 vs 25.6 p < 0.001; 20.3 vs 23.5 p < 0.001). However, there was no statistically significant difference between the number of correct responses on both tests or the number of individuals showing improvement for either training course.
Improvements in drug-dosage calculation skills have been observed in e-learning group, although the intervention was no more efficient than traditional lecture. We believe that more studies should be carried out in the future in order to understand better the phenomenon.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Thomas, E.J., et al.: Incidence and types of adverse events and negligent care in Utah and Colorado. Med. Care 38, 261–271 (2000)
Weeks, K.W., Sabin, M., Pontin, D., Woolley, N.: Safety in numbers: an introduction to the nurse education in practice series. Nurse Educ. Pract. 13(2), e4–e10 (2013)
Guchelaar, H.J., Colen, H.B.B., Kalmeijer, M.D., Hudson, P.T.W., Teepe-Twiss, I.M.: Medication errors hospital pharmacist perspective. Drugs 65, 1735–1746 (2005)
Cloete, L.: Reducing medication administration errors in nursing practice. Nurs. Stand. 29, 50–59 (2015)
Armitage, G., Knapman, H.: Adverse events in drug administration: a literature review. J. Nurs. Manag. 11, 130–140 (2003)
Sung, Y.H., Kwon, I.G., 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 28, 943–952 (2008)
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. 10, 233–237 (2010)
Bagnasco, A., et al.: Mathematical calculation skills required for drug administration in undergraduate nursing students to ensure patient safety: a descriptive study: drug calculation skills in nursing students. Nurse Educ. Pract. 16, 33–39 (2016)
Nursing and Midwifery Council.: Standards for pre-registration nursing education. Nurs. Midwifery Counc. 1–152 (2010)
Brown, D.L.: Does 1 + 1 still equal 2? A study of the mathematic competencies of associate degree nursing students. Nurse Educ. 27, 132–135 (2002)
Bambaci, M., et al.: OC16 – Calculation skills and e-learning platform: study pre-post test on students of paediatric nursing in Italy. Nurs. Child. Young People 28, 67 (2016)
Ekenze, S.O., Okafor, C.I., Ekenze, O.S., Nwosu, J.N., Ezepue, U.F.: The value of internet tools in undergraduate surgical education: perspective of medical students in a developing country. World J. Surg. 41, 672–680 (2017)
Della Corte, F., La Mura, F., Petrino, R.: E-learning as educational tool in emergency and disaster medicine teaching. Minerva Anestesiol. 71, 181–195 (2005)
Pinto, A., Brunese, L., Pinto, F., Acampora, C., Romano, L.: E-learning and education in radiology. Eur. J. Radiol. 78, 368–371 (2011)
Calvani, A., Bonaiuti, G., Fini, A.: Lifelong learning: what role for e-learning 2.0? J. e-Learn. Knowl. Soc. 4, 179–187 (2009)
McMullan, M., Jones, R., Lea, S.: The effect of an interactive e-drug calculations package on nursing students’ drug calculation ability and self-efficacy. Int. J. Med. Inform. 80, 421–430 (2011)
Lee, T.Y., Lin, F.Y.: The effectiveness of an e-learning program on pediatric medication safety for undergraduate students: a pretest-post-test intervention study. Nurse Educ. Today 33, 378–383 (2013)
Van Lancker, A., et al.: The effectiveness of an e-learning course on medication calculation in nursing students: a clustered quasi-experimental study. J. Adv. Nurs. 72, 2054–2064 (2016)
Aydin, A.K., Dinç, L.: Effects of web-based instruction on nursing students’ arithmetical and drug dosage calculation skills. CIN - Comput. Inform. Nurs. 35, 262–269 (2017)
Wright, K.: Resources to help solve drug calculation problems. Br. J. Nurs. 18(878–80), 882–883 (2009)
Machin, D., Campbell, M.J., Tan, S.B., Tan, S.H.: Sample Size Tables for Clinical Studies, pp. 18–20. Wiley, Hoboken (2009)
Cohen, J.: Statistical Power Analysis for the Behavioral Sciences, 2nd edn, p. 567. Academic Press, Cambridge (1988)
Simonsen, B.O., Daehlin, G.K., Johansson, I., Farup, P.G.: Improvement of drug dose calculations by classroom teaching or e-learning: a randomised controlled trial in nurses. BMJ Open 4, 6–25 (2014)
Wright, K.: Supporting the development of calculating skills in nurses. Br. J. Nurs. 18, 399–402 (2009)
Acknowledgement
We wish to thank: Abelli Gianfranco, Busca Gabriella, Fanton Monica, Ferrante Francesco, Pronsati Stefano, Spagarino Ermanno, for the content validity evaluation of the collection tool. Also, we would like to thank: Faggiano Fabrizio, Bambaci Marilena, Barresi Federica, Bertozzi Alessandra, Bidone Sara, Borsari Virna, Chilin Giovanni, Ferrauto Laura, Moscatiello Mimma, Scapparone Paola, Suardi Barbara, Tibaldi Antonietta, Zavattaro Irene, for the support given in the conduction of this trial and the statistician Silvano Andorno. In addition, we would like to express our gratitude to Julian Michelle.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Manuela, F. et al. (2019). Effectiveness of E-Learning Training on Drug – Dosage Calculation Skills of Nursing Students: A Randomized Controlled Trial. In: Di Mascio, T., et al. Methodologies and Intelligent Systems for Technology Enhanced Learning, 8th International Conference. MIS4TEL 2018. Advances in Intelligent Systems and Computing, vol 804. Springer, Cham. https://doi.org/10.1007/978-3-319-98872-6_30
Download citation
DOI: https://doi.org/10.1007/978-3-319-98872-6_30
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-98871-9
Online ISBN: 978-3-319-98872-6
eBook Packages: Intelligent Technologies and RoboticsIntelligent Technologies and Robotics (R0)