Content area
Aim
To map factors that may interfere with parenteral medication administration by undergraduate nursing students in hospital settings.
Background
Medication errors are a major patient safety concern, especially during administration often caused by communication failures, distractions and lack of training. Though data often focus on professionals, nursing students also face high error rates and near misses during clinical training.
Design
A scoping review.
Methods
This study was conducted using the Joanna Briggs Institute methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). Data sources—MEDLINE, LILACS, BDENF, Web of Science, Scopus and the Brazilian Digital Library of Theses and Dissertations—were consulted in November 2024. Additionally, citation review of selected studies was performed. Primary studies addressing parenteral medication administration by undergraduate nursing students and reporting influencing factors in the hospital environment were included. Results are presented descriptively, supported by tables and figures.
Results
The final sample comprised 20 studies published between 2002 and 2024, with a higher frequency in Nurse Education Today. Geographically, Australia and the United States predominated, each contributing four investigations. Sample sizes ranged from 10 to 329 students, with a mean of 109 participants. Methodologically, 11 studies employed a quantitative approach and nine used a qualitative design.
Conclusions
Identified factors include student self-confidence, deficiencies in clinical supervision and institutional environmental limitations. This review underscores the imperative for implementing educational strategies that foster clinical competence, strengthen patient safety culture and cultivate safer, more collaborative learning environments during nursing education.
Details
Supervision;
Hospitals;
Patients;
Nursing Education;
Communication (Thought Transfer);
Evidence;
Spreadsheets;
Medical Services;
Information Seeking;
Professional Education;
Educational Environment;
Database Management Systems;
Undergraduate Students;
Influence of Technology;
Distance Education;
Learning Processes;
Educational Technology;
Nursing Students;
Meta Analysis;
Reference Materials;
Environmental Influences;
Search Strategies;
Drug Use
Near misses;
Collaborative learning;
Students;
Errors;
Clinical training;
Communication;
Safety;
College students;
Management;
Clinical skills;
Educational technology;
Learning environment;
Distance learning;
Medical errors;
Medical education;
Patient safety;
Systematic review;
Critical incidents;
Nurses;
Drugs;
Professionals;
Learning;
Drug administration;
Confidence;
Nursing education;
Training;
Cooperative learning;
Competence;
Education;
Miscommunication;
Dissertations & theses;
Nursing;
Higher education;
Patients;
Health care management;
Clinical nursing
; da Silva Fernandes, Ellen 1 ; Barros, Lívia Moreira 1 ; Soto, Claudia Luisa Mosqueira 2 ; de Souza Oliveira, Adriana Catarina 3 ; Rios, Manuel Pardo 3 ; da Silva Felix, John Hebert 1 ; de Vasconcelos, Patrícia Freire 1 1 University of International Integration of Afro-Brazilian Lusophony, Redenção, Ceará, Brazil
2 Universidad Católica del Maule, Talca, Región del Maule, Chile
3 Universidad Católica de Murcia, Guadalupe, Murcia, Spain