Supervising medication administration by undergraduate nursing students: influencing factors

Authors

  • Kerry Reid-Searl,

    1. Authors:Kerry Reid-Searl, Bhlth Sc, MClin Ed, MRCNA, RN, RM, Senior Lecturer, Faculty of Science, Engineering and Health, and Institute for Health and Social Science Research; Lorna Moxham, Cert OH & S, Cert QualMngt, DAS (Nsg) (MIHE), BHSc, M Ed, PhD, FACMHN, RN, MHN, Associate Professor, Institute for Health and Social Science Research; Sandra Walker, BN, B Ed, MN, PhD, RN, RM, Senior Lecturer, Faculty of Science, Engineering and Health, and Institute for Health and Social Science Research; Brenda Happell, BA (Hons), Dip Ed., B Ed., M Ed., PhD, RN, RPN, Professor of Contemporary Nursing, Faculty of Science, Engineering and Health, and Deputy Director, Institute for Health and Social Science Research, CQUniversity Australia, Rockhampton, Queensland, Australia
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  • Lorna Moxham,

    1. Authors:Kerry Reid-Searl, Bhlth Sc, MClin Ed, MRCNA, RN, RM, Senior Lecturer, Faculty of Science, Engineering and Health, and Institute for Health and Social Science Research; Lorna Moxham, Cert OH & S, Cert QualMngt, DAS (Nsg) (MIHE), BHSc, M Ed, PhD, FACMHN, RN, MHN, Associate Professor, Institute for Health and Social Science Research; Sandra Walker, BN, B Ed, MN, PhD, RN, RM, Senior Lecturer, Faculty of Science, Engineering and Health, and Institute for Health and Social Science Research; Brenda Happell, BA (Hons), Dip Ed., B Ed., M Ed., PhD, RN, RPN, Professor of Contemporary Nursing, Faculty of Science, Engineering and Health, and Deputy Director, Institute for Health and Social Science Research, CQUniversity Australia, Rockhampton, Queensland, Australia
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  • Sandra Walker,

    1. Authors:Kerry Reid-Searl, Bhlth Sc, MClin Ed, MRCNA, RN, RM, Senior Lecturer, Faculty of Science, Engineering and Health, and Institute for Health and Social Science Research; Lorna Moxham, Cert OH & S, Cert QualMngt, DAS (Nsg) (MIHE), BHSc, M Ed, PhD, FACMHN, RN, MHN, Associate Professor, Institute for Health and Social Science Research; Sandra Walker, BN, B Ed, MN, PhD, RN, RM, Senior Lecturer, Faculty of Science, Engineering and Health, and Institute for Health and Social Science Research; Brenda Happell, BA (Hons), Dip Ed., B Ed., M Ed., PhD, RN, RPN, Professor of Contemporary Nursing, Faculty of Science, Engineering and Health, and Deputy Director, Institute for Health and Social Science Research, CQUniversity Australia, Rockhampton, Queensland, Australia
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  • Brenda Happell

    1. Authors:Kerry Reid-Searl, Bhlth Sc, MClin Ed, MRCNA, RN, RM, Senior Lecturer, Faculty of Science, Engineering and Health, and Institute for Health and Social Science Research; Lorna Moxham, Cert OH & S, Cert QualMngt, DAS (Nsg) (MIHE), BHSc, M Ed, PhD, FACMHN, RN, MHN, Associate Professor, Institute for Health and Social Science Research; Sandra Walker, BN, B Ed, MN, PhD, RN, RM, Senior Lecturer, Faculty of Science, Engineering and Health, and Institute for Health and Social Science Research; Brenda Happell, BA (Hons), Dip Ed., B Ed., M Ed., PhD, RN, RPN, Professor of Contemporary Nursing, Faculty of Science, Engineering and Health, and Deputy Director, Institute for Health and Social Science Research, CQUniversity Australia, Rockhampton, Queensland, Australia
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Brenda Happell, Professor of Contemporary Nursing, Faculty of Science, Engineering and Health, and Deputy Director, Institute for Health and Social Science Research, CQUniversity Australia, Bruce Highway, Rockhampton, 4702, Queensland, Australia. Telephone: +61 7 4930 6971.
E-mail:b.happell@cqu.edu.au

Abstract

Background.  The administration of medication is an important skill nursing students need to learn in the clinical setting to develop safe practices. Legally within Queensland, registered nurses are required to provide personal supervision for this process. Research undertaken by the authors suggests the supervision students receive frequently falls short of what is legally required.

Aims and objectives.  The aim of the study was to examine the factors that influence the experiences of final-year undergraduate nursing students when administering medications in the clinical setting.

Design.  A grounded theory approach was used with constant comparative analysis to identify categories from the data.

Methods.  The experiences of final-year nursing students were explored using a grounded theory approach. In-depth, semi-structured interviews were conducted with 28 final-year undergraduate nursing students in Queensland, Australia.

Results.  Supervision was found to be the central issue influencing medication administration for students. Three main factors were identified as influencing the supervision provided by registered nurses: attitudes of the registered nurse, communication from the university, and busyness and having time.

Conclusions.  The extent to which registered nurses provide direct supervision to nursing students when administering medication is influenced by factors inherent within the clinical environment.

Relevance to clinical practice.  The factors influencing the supervision provided by registered nurses needs further exploration that effective strategies can be implemented to ensure safe practices in relation to medication administration can be implemented.

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