The effect of clinical supervision model on nursing interns medication safety competence and knowledge: A clinical trial

Document Type : Original Article

Authors

1 Student Research Committee, Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

2 Nursing and Midwifery Care Research Centre, Department of Adult Health Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

3 Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Medication errors are the most serious and common events threatening patient safety. Nursing interns make medication errors due to inexperience and inadequate supervision.
Objectives: This study aimed to examine the effects of the clinical supervision model (CSM) on medication safety competency and knowledge of nursing interns.
Methods: This clinical trial was conducted in 2022 on 70 nursing interns. Data were collected using the Medication Safety Critical Element Checklist, the Medication Safety Knowledge Assessment, and the Manchester Clinical Supervision Scale. The CSM and routine supervision were conducted in six sessions for the intervention and control groups, respectively. Data were analyzed using the independent t-test, paired t-test, chi-square test, and repeated measures analysis of variance.
Results: Between-group analysis showed that the difference between medication safety competence and knowledge scores in the control and intervention groups was not significant at baseline (P>0.05). Within-group analysis showed that medication safety scores in the intervention group increased significantly over time (P<0.001), in contrast to the control group (P=0.137). Within-group analysis revealed significant changes in medication safety knowledge scores in both the control and intervention groups before and after the intervention (P<0.05). However, between-group analysis showed that the increase was higher in the intervention group than in the control group (P<0.001). The mean Manchester Scale score for the intervention group was 127.2, indicating the significant effect of the CSM.
Conclusion: Implementation of the CSM improves the competence and knowledge of nursing interns in the area of medication safety.

Keywords

Main Subjects


  1. Ledlow JH, Patrician PA, Miltner RS. Medication administration errors: A concept analysis. Nurs Forum 2021;6:980-985. doi:10.1111/nuf.12617 PMid:34056718
  2. World Health Organization. Global celebrations of world patient safety day. Available from: https://www.who.int/publications/i/item/WHO-UHL-IHS-2023.1/ [Last access date: 13 May 2023].
  3. Chan R, Booth R, Strudwick G, Sinclair B. Nursing students' perceived self-efficacy and the generation of medication errors with the use of an electronic medication administration record (eMAR) in clinical simulation. Int J Nurs Educ Scholarsh 2019;16: 10.
  4. Vaziri S, Fakouri F, Mirzaei M, Afsharian M, Azizi M, Arab-Zozani M. Prevalence of medical errors in Iran: a systematic review and meta-analysis. BMC Health Serv Res 2019;19:1-11. doi:10.1186/s12913-019-4464-8 PMid:31477096 PMCid:PMC6720396
  5. Park J, Seomun G. Development and Validation of the Medication Safety Competence Scale for Nurses. West J Nurs Res 2021;43:686-697. doi:10.1177/0193945920969929 PMid:33158408
  6. Musharyanti L, Haryanti F, Claramita M. Improving Nursing Students' Medication Safety Knowledge and Skills on Using the 4C/ID Learning Model. J Multidiscip Healthc 2021;14:287-295. doi:10.2147/JMDH.S293917 PMid:33574673 PMCid:PMC7872908
  7. Dehvan F, Dehkordi AH, Gheshlagh RG, Kurdi A. The prevalence of medication errors among nursing students: A systematic and meta-analysis study. Int J Prev Med 2021;12:1-6.
  8. Khalili Z, Shamsizadeh M, Fallahinia GH, Tohidi S, Ali-Mohammadi N, Tapak L. The Types and Causes of Medication Error and Barriers in Reporting it in Internship Nursing Students in Hamadan Nursing Midwifery Faculty. Pajouhan Sci J 2019;17: 16-25. doi:10.52547/psj.17.3.16
  9. Teal T, Emory J, Patton S. Analysis of medication errors and near misses made by nursing students. Int J Nurs Educ Scholarsh 2019; 16:0057. doi:10.1515/ijnes-2019-0057 PMid:31760379
  10. Latimer S, Hewitt J, Stanbrough R, McAndrew R. Reducing medication errors: Teaching strategies that increase nursing students' awareness of medication errors and their prevention. Nurse Educ Today 2017;52:7-9.
  11. Latimer S, Hewitt J, Stanbrough R, McAndrew R. Reducing medication errors: Teaching strategies that increase nursing students' awareness of medication errors and their prevention. Nurse Educ Today 2017;52:7-9
  12. Craig SJ, Kastello JC, Cieslowski BJ, Rovnyak V. Simulation strategies to increase nursing student clinical competence in safe medication administration practices: A quasi-experimental study. Nurs Educ Today 2021;96:104605. doi:10.1016/j.nedt.2020.104605 PMid:33096362                   
  13. Kuo SY, Wu JC, Chen HW, Chen CJ, Hu SH. Comparison of the effects of simulation training and problem-based scenarios on the improvement of graduating nursing students to speak up about medication errors: A quasi-experimental study. Nurs Educ Today 2020;87:104359. doi:10.1016/j.nedt.2020.104359 PMid:32058883
  14. Jarvill M. Nursing Student Medication Administration Performance: A Longitudinal Assessment. Nurs Educ 2021;46: 59-62. doi:10.1097/NNE.0000000000000828 PMid:33284000
  15. Green C. Contemporary issues: The pre-licensure nursing student and medication errors. Nurs Educ Today 2018;68:23-25. doi:10.1016/j.nedt.2018.05.016 PMid:29883911
  16. Crafoord M, Fagerdahl A. Clinical supervision in perioperative nursing education in Sweden-A questionnaire study. Nurs Educ Pract 2017;24:29-33. doi:10.1016/j.nepr.2017.03.006 PMid:28340401
  17. Esfahani AK, Varzaneh FR, Changiz T. The effect of clinical supervision model on high alert medication safety in intensive care units nurses. Iran J Nurs Midwifery Res 2016;21:482-486. doi:10.4103/1735-9066.193394 PMid:27904631 PMCid:PMC5114792
  18. Ekstedt M, Lindblad M, Löfmark A. Nursing students' perception of the clinical learning environment and supervision in relation to two different supervision models-a comparative cross-sectional study. BMC Nurs 2019;18:49.
  19. Mariani B, Ross JG, Paparella S, Allen LR. Medication safety simulation to assess student knowledge and competence. Clin Simul Nurs 2017;13:210-216. doi:10.1016/j.ecns.2017.01.003
  20. Edgar D, Moroney T, Wilson V. Clinical supervision. A mechanism to support personā€centred practice? An integrative review of the literature. J Clin Nurs 2023;32:1935-51. doi:10.1111/jocn.16232 PMid:35118732
  21. Dehghani M, Ghanavati S, Soltan B, Aghakhani N, Haghpanah S. Impact of clinical supervision on field training of nursing students at Urmia University of Medical Sciences. J Adv Med Educ Prof 2016;4:88-92.
  22. Setiawan A, Keliat BA, Rustina Y, Prasetyo S. The effectiveness of educative, supportive, and administrative cycle (ESA-C) clinical supervision model in improving the performance of public hospital nurses. KnE Life Sci 2019;41-56
  23. Khani A, Jaafarpour M, Jamshidbeigi Y. Translating and validating the Iranian version of the Manchester Clinical Supervision Scale (MCSS). J Clin Diagn Res 2009;3:1402-1407.
  24. Nuritasari RT, Rofiqi E, Fibriola TN, Ardiansyah RT. The Effect of Clinical Supervision on Nurse Performance. J Nurs 2019;14:161-164. doi:10.20473/jn.v14i3.16956
  25. Dawson M, Phillips B, Leggat SG. Effective clinical supervision for regional allied health professionals-the supervisee's perspective. Aust Health Rev 2012;36:92-97. doi:10.1071/AH11006 PMid:22513027
  26. Severinsson E, Sand A. Evaluation of the clinical supervision and professional development of student nurses. J Nurs Manag 2010; 18:669-677. doi:10.1111/j.1365-2834.2010.01146.x PMid:20840361
  27. Butterworth T. What is clinical supervision and how can it be delivered in practice? Nurs Times 2022;118:20-22.
  28. Snowdon DA, Sargent M, Williams CM, Maloney S, Caspers K, Taylor NF. Effective clinical supervision of allied health professionals: a mixed methods study. BMC Health Serv Res 2020; 20:1-11. doi:10.1186/s12913-019-4873-8 PMid:31888611 PMCid:PMC6937808
  29. Lee BO, Liang HF, Chu TP, Hung CC. Effects of simulation-based learning on nursing student competences and clinical performance. Nurs Educ Pract 2019;41:102646. doi:10.1016/j.nepr.2019.102646 PMid:31698255