Use of Simulation-Based Learning to Teach High-Alert Medication Safety: A Feasibility Study

Abstract

BackgroundDespite the significant risk of harm, nurses receive little training before licensure on best practices for administering high-alert medications. This study evaluates the feasibility of a simulation-based learning study to improve student nurse competence to safely administer high-alert medications. MethodsFeasibility outcomes for a simulation-based learning trial (participation, simulation resources, simulation scenarios, and technological and administrative support) were assessed. The sample consisted of thirty-three student nurses. ResultsResources to support a simulation-based learning intervention included high-quality simulators, smart pumps, computers, audio-visual recording, rooms for prebriefing and debriefing, and secure areas for data storage. Barriers to feasibility included a lack of electronic health record and electronic medication administration systems and the lack of access to participants during regular semester hours. ConclusionAccess to electronic resources that mimic practice settings, coupled with institutional support allowing student participation during regular semester hours, would be needed for an interventional study. A multisite study is recommended to improve the sample size and access to resources.