Evaluating a Serious Gaming Electronic Medication Administration Record System Among Nursing Students: Protocol for a Pragmatic Randomized Controlled Trial (Preprint)

Author:

Booth RichardORCID,Sinclair BarbaraORCID,McMurray JosephineORCID,Strudwick GillianORCID,Watson GavanORCID,Ladak HanifORCID,Zwarenstein MerrickORCID,McBride SusanORCID,Chan RyanORCID,Brennan LauraORCID

Abstract

BACKGROUND

Although electronic medication administration record systems have been implemented in settings where nurses work, nursing students commonly lack robust learning opportunities to practice the skills and workflow of digitalized medication administration during their formative education. As a result, nursing students’ performance in administering medication facilitated by technology is often poor. Serious gaming has been recommended as a possible intervention to improve nursing students’ performance with electronic medication administration in nursing education.

OBJECTIVE

The objectives of this study are to examine whether the use of a gamified electronic medication administration simulator (1) improves nursing students’ attention to medication administration safety within simulated practice, (2) increases student self-efficacy and knowledge of the medication administration process, and (3) improves motivational and cognitive processing attributes related to student learning in a technology-enabled environment.

METHODS

This study comprised the development of a gamified electronic medication administration record simulator and its evaluation in 2 phases. Phase 1 consists of a prospective, pragmatic randomized controlled trial with second-year baccalaureate nursing students at a Canadian university. Phase 2 consists of qualitative focus group interviews with a cross-section of nursing student participants.

RESULTS

The gamified medication administration simulator has been developed, and data collection is currently under way.

CONCLUSIONS

If the gamified electronic medication administration simulator is found to be effective, it could be used to support other health professional simulated education and scaled more widely in nursing education programs.

CLINICALTRIAL

ClinicalTrials.gov NCT03219151; https://clinicaltrials.gov/show/NCT03219151 (Archived by WebCite at http://www.webcitation.org/6yjBROoDt)

REGISTERED REPORT IDENTIFIER

RR1-10.2196/9601

Publisher

JMIR Publications Inc.

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