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). In the United States, an alarming 400,000 medical errors are made annually, which 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). CBS are effective, innovative learning activities, which focus on the cognitive learning domain, and are underpinned in andragogy. CBS is utilized to increase clinical judgment, critical thinking skills, and clinical reasoning in onsite and online educational settings.
The medication administration CBS objectives are:
(1) learner will assess the patient scenario accurately,
(2) learner will identify normal findings,
(3) learner will identify abnormal findings, and
(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 course was 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 utilized to practice critical thinking skills on medication administration in a safe learning environment for nursing students.
Audience Take Away Notes:
- How to increase critical thinking skills for nursing students
- How to increase nursing student assessment skills with use of CBS
- Ability to incorporate CBS into nursing courses
- Aids in increasing learner engagement and enhances active learning
- May increase learner’s knowledge of medication administration