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系統識別號 U0026-1602201800091300
論文名稱(中文) 線上客觀結構式影像測試於提升護理人員給藥自我效能與辨認給藥錯誤行為之成效
論文名稱(英文) Effect of online objective structured video examination on promoting medicating self-efficacy and identifying medication errors in nurses
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 106
學期 1
出版年 107
研究生(中文) 林貞余
研究生(英文) Chen-Yu Lin
學號 T26044011
學位類別 碩士
語文別 中文
論文頁數 88頁
口試委員 指導教授-陳幸眉
口試委員-顏妙芬
召集委員-劉怡
中文關鍵字 自我效能  客觀結構式影像測試  給藥錯誤行為 
英文關鍵字 self-efficacy  objective structured video examination (OSVE)  medication errors 
學科別分類
中文摘要 護理人員給藥錯誤將危害病人的安全,未執行三讀五對、給藥過程被干擾是常見主要的錯誤給藥行為;高度自我效能可以改善個人表現,是故,若發展線上模擬情境教育於護理人員給藥,有助於引發其行為改變動機、提升給藥自我效能,正確辨認給藥錯誤行為,進而影響其實際給藥行為。
本研究目的為探討護理人員給藥自我效能與辨認給藥錯誤行為之相關性,與線上客觀結構式影像測試(objective structured video examination, OSVE)於提升護理人員給藥自我效能與辨認給藥錯誤行為之成效。採類實驗(quasi-experimental research design)前測、後測研究設計、線上調查,以回應者引介抽樣(respondent-driven sampling),納入條件為醫院臨床第一線照顧病人的護理人員,且已完成新進人員3個月職前訓練;排除條件為護理主管、個案管理師、專科護理師、門診護理師、診所護理師,最終樣本數112人納入本研究分析,以G -power 3.1.9.2以單變項分析以配對t檢定、事後檢定執行檢定力計算,給藥自我效能的effect size = .67、辨認給藥錯誤行為的effect size = .59,設定α = .05,兩個變項的power均達 .99。透過給藥OSVE網站收集資料,自擬研究工具包含「人口學與護理經歷問卷」、「給藥自我效能問卷(前、後測)」、「給藥OSVE(前、後測)」。以描述性統計呈現各變項的分布情形,以皮爾森績差相關係數、成對樣本t檢定、變異數分析進行推論性統計分析。
研究結果顯示(1)護理人員的給藥自我效能後測總分的平均分數(Mpretest = 38.88 ± 4.45 vs. Mposttest = 41.69 ± 4.58),與辨認給藥錯誤行為後測總分的平均分數(Mpretest = 10.71 ± 7.16 vs. Mposttest = 15.32 ± 4.94)均高於前測。(2)性別與給藥自我效能前測(t = 2.21, p = .030)、後測(t = 3.52, p = .001)呈現顯著差異;婚姻(t = 2.27, p = .025)、職級(F = 7.60, p < .001)、工作單位(F = 5.24, p = .007)、工作年資(r = .22, p = .021)與辨認給藥錯誤行為前測均呈現顯著相關。(3)給藥自我效能前、後測呈顯著正相關(r = .57, p < .001),辨認給藥錯誤行為前、後測呈顯著正相關(r = .20, p = .041);但給藥自我效能與辨認給藥錯誤行為的前測r = .03(p = .756)、後測相關係數r = - .03(p = .725),均無統計上的顯著相關。(4)成對樣本t檢定顯示給藥自我效能前測與後測呈現顯著差異(t = 7.11, p < .001),辨認給藥錯誤行為前測與後測達顯著差異(t = 5.90, p < .001)。
由研究結果可知,介入給藥OSVE教育後,辨認給藥錯誤行為的正確性可立即改善,並可提高自我效能程度,推論給藥OSVE能做為有效之教育方式。護理人員從OSVE學習到正確三讀五對以及處理干擾,自信心提升,但是辨認錯誤給藥行為測量仍非護理人員實際給藥行為,僅屬於個人給藥能力(competence),未來仍須進一步探討自我效能與給藥行為間之相關。
英文摘要 Nurses’ medication errors will affect the safety of patients, especially the five rights of and interruptions during medication administration. The aim of this project was to investigate the association between medication self-efficacy and identification of medication errors in nurses, and the effect of online objective structured video examination (OSVE) for promoting medication self-efficacy and identification of medication errors. A quasi-experimental, pretest-posttest design and internet survey was employed, and participants were recruited by using respondent-driven sampling (RDS). Results showed both medication self-efficacy and identification of medication errors’ posttest average scores were higher than pretest average scores. Gender was significantly correlated with medication self-efficacy. Marriage, nursing ladder, working unit had significant association with the pretest of identifying medication errors. By the paired samples t test, the pretest and posttest showed significant differences included medication self-efficacy and identification of medication errors. Findings from this study support that the medication OSVE education can improve identifying medication errors immediately and increase the medication self-efficacy. We inferred that OSVE can be an effective strategy of medication education.
論文目次 中文摘要 I
Abstract III
致謝 VI
目錄 VII
表目錄 IX
圖目錄 X
附錄 XI
第一章 緒論 1
第一節 研究背景 1
第二節 研究重要性 2
第三節 研究目的 4
第四節 研究假設 4
第二章 文獻探討 5
第一節 護理人員給藥 5
第二節 客觀結構式影像測試 8
第三節 線上學習 12
第四節 自我效能及給藥自我效能 15
第三章 研究方法 20
第一節 研究架構 20
第二節 研究設計 21
第三節 名詞定義 21
第四節 研究場所與對象 23
第五節 研究工具 25
第六節 資料收集流程 37
第七節 資料分析 39
第八節 研究倫理考量 42
第四章 研究結果 43
第一節 護理人員的人口學特性與護理經歷之分布狀況 43
第二節 護理人員的給藥自我效能、辨認給藥錯誤行為之得分狀況 45
第三節 人口學特性、護理經歷與給藥自我效能、辨認給藥錯誤行為之相關性 47
第四節 自我效能與辨認給藥錯誤行為之前、後測及兩變項間的相關性 51
第五節 線上客觀結構式影像測試於護理人員給藥自我效能與辨認給藥錯誤行為之成效 52
第五章 研究討論 55
第一節 護理人員的人口學特性、護理經歷的分布狀況 55
第二節 給藥自我效能、辨認給藥錯誤行為之前後測得分與改變狀況 56
第三節 人口學特性、護理經歷與給藥自我效能、辨認給藥錯誤行為之相關性探討 58
第四節 自我效能與辨認給藥錯誤行為之前、後測及兩變項間的相關性 61
第五節 線上客觀結構式影像測試於護理人員給藥自我效能與辨認給藥錯誤行為之成效探討 63
第六章 結論與限制 65
參考文獻 68
附錄 82
參考文獻 王采芷(2014)‧OSCE在護理教育的應用‧台灣護理教育學會會訊,19,取自http://www.tane.org.tw/newsletter_show.php?news_no=228
方文輝、朱紀洪、于大雄、汪志雄、張耀文、羅慶徽(2010)‧話題影片於醫學教育的應用‧醫學教育,14(2),91-95。
江如萍(2009)‧因材施教-OSCE首次運用在新進護理人員訓練‧志為護理-慈濟護理雜誌,8(4),64-65。
江惠英(2007)‧病人安全文化與藥物安全‧深遠護理,1(2),5-9。
邱皓政(2006)‧量化研究與統計分析‧五南圖書出版股份有限公司。
李雅惠、許玉珍、洪英俊(2007)‧安全的給藥作業‧慈濟醫學雜誌,19(1_s),41-44。
李尹暘、林曉佩、林君怡(2007)‧自我效能理論之分析與應用‧澄清醫護管理雜誌,3(2),46-52。
林麗華、黃令宜、蔡欣玲(2006)‧護理人員給藥錯誤認知之探討‧榮總護理,23(2),171-180。doi:10.6142/vghn.23.2.171
林麗珍、陳淑嬌、李麗雲、蘇麗惠、畢耜春、李小凰、林綽娟(2007)‧護理人員對給藥錯誤原因看法之初探‧中臺灣醫學科學雜誌,12(3),157-165。
林貴滿、李選(2010)‧由性別觀點探討男性護理人員在護理專業之發展‧澄清醫護管理雜誌,6(2),44-48。
黃衍文、陳玉貞、楊琇斐、鄭珮容、施靜怡、顏燕君(2006)‧護理身體評估多媒體教學系統之開發‧醫療資訊雜誌,15(3),1-10。
童恆新、王采芷(2009)‧身體評估之OSCE 臨床能力鑑定簡介‧於蔡秀鸞總校閱,身體評估之OSCE 臨床能力鑑定,1-7。台北:台灣愛思唯爾。
張念中、謝銘勳、陳榮邦、朱娟秀、蔡純娟、曾啟瑞(2010)‧客觀結構式臨床測試之規劃及執行‧北市醫學雜誌,7(1),1-12。 doi:10.6200/tcmj.2010.7.1.01
陳施妮、陳光琦、孫嘉玲(2007)‧台灣地區兩性護理人員護理能力特性分析‧領導護理,8(2),1-13。
蔡詩力、陳震寰、方基存、蔡景仁、張上淳(2008)‧客觀結構式臨床測驗(OSCE)執行指引‧醫學教育,12(2),60-74。
衛生福利部(2015,12月).105-106年度醫院醫療品質及病人安全工作目標.取自 http://www.tjcha.org.tw/
衛生福利部(2017,12月).醫事機構及醫事人員統計.取自 http://www.tjcha.org.tw/
盧瑞華、王瑜欣(2014)‧客觀結構式臨床測試於護理教育之應用‧長庚護理,25(3),274-282。
賴維淑、洪玉珠、曾明月、許淑敏、陳春香、黃美凰、黃秀梨(2014)‧深耕職涯護理能力養成教育新趨勢‧領導護理,15(3),2-13。
駱俊宏、陳勝皇、傅綢妹(2011)‧性別角色期待的枷鎖:擺盪於「性別」與「專業」之間的男性護理人員‧醫療品質雜誌,5(4),16-19。
謝生蘭、劉芹芳、李金德、林秀鳳、張肇松(2009)‧護理人員給藥錯誤現況及其相關因素之探討‧醫務管理期刊,10(1),48-62。doi: 10.6174/jhm2009.10(1).48
醫策會 (2016,11月).台灣病人安全通報系統-2015年年報.取自 http://www.patientsafety.mohw.gov.tw/Content/Downloads/download.ashx?SiteID=1&MmmID=621273303702500244&Msid=2016081515462337975
藍雅慧、唐福瑩(2011)‧給藥錯誤護理人員之角色與責任‧長庚護理,22(3),334-340。
Abbasinazari, M., Zareh-Toranposhti, S., Hassani, A., Sistanizad, M., Azizian, H., & Panahi, Y. (2012). The effect of information provision on reduction of errors in intravenous drug preparation and administration by nurses in ICU and surgical wards. Acta Medica Iranica, 50(11), 771.
Adhikari, R., Tocher, J., Smith, P., Corcoran, J., & MacArthur, J. (2014). A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Education Today, 34(2), 185-190. doi: 10.1016/j.nedt.2013.10.008
Allan, E., & Barker, K. (1990). Fundamentals of medication error research. American Journal of Health-System Pharmacy, 47(3), 555-571.
Anthony, K., Wiencek, C., Bauer, C., Daly, B., & Anthony, M. K. (2010). No interruptions please: Impact of a No Interruption Zone on medication safety in intensive care units. Critical Care Nurse, 30(3), 21-29. doi: 10.4037/ccn2010473
Balakrishnan, V., Liew, T. K., & Pourgholaminejad, S. (2015). Fun learning with Edooware–A social media enabled tool. Computers & Education, 80, 39-47.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological review, 84(2), 191-215.
Bandura, A., Adams, NE., & Beyer, J. (1977) Cognitive processes mediating behavioral change. Journal of Personality and Social Psychology, 35(3), 125-139.
Bandura, A., (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall, New Jersey.
Bandura, A. (2002). Social cognitive theory in cultural context. Journal of Applied Psychology: An International Review, 51, 269–290.
Bandura, A. (2006). Guide for constructing self-efficacy scales. Self-efficacy beliefs of adolescents, 5(307-337).
Baribeau, D. A., Mukovozov, I., Sabljic, T., Eva, K. W., & deLottinville, C. B. (2012). Using an objective structured video exam to identify differential understanding of aspects of communication skills. Medical Teacher, 34(4), e242-250. doi:10.3109/0142159X.2012.660213
Baxter, P., Akhtar-Danesh, N., Landeen, J., & Norman, G. F. (2012). Teaching critical management skills to senior nursing students: Videotaped or interactive hands‐on instruction? Nursing education perspectives, 33(2), 106-110.
Berdot, S., Roudot, M., Schramm, C., Katsahian, S., Durieux, P., & Sabatier, B. (2016). Interventions to reduce nurses’ medication administration errors in inpatient settings: A systematic review and meta-analysis. International Journal of Nursing Studies, 53, 342-350.
Bijl, J. V., Poelgeest-Eeltink, A. V., & Shortridge-Baggett, L. (1999). The psychometric properties of the diabetes management self-efficacy scale for patients with type 2 diabetes mellitus. Journal of Advanced Nursing, 30(2), 352-359.
Bolandianbafghi, S., Salimi, T., Rassouli, M., Faraji, R., & Sarebanhassanabadi, M. (2017). Correlation between medication errors with job satisfaction and fatigue of nurses. Electron Physician, 9(8), 5142-5148. doi: 10.19082/5142
Cant, R. P., & Cooper, S. J. (2014). Simulation in the Internet age: the place of web-based simulation in nursing education. An integrative review. Nurse Education Today, 34(12), 1435-1442. doi: 10.1016/j.nedt.2014.08.001
Cant, R. P., & Cooper, S. J. (2015). The time is right for Web-based clinical simulation in nursing education. Journal of Nursing Education and Practice, 5(11), 113. doi: 10.5430/jnep.v5n11p113
Chan, T. M., Thoma, B., & Lin, M. (2015). Creating, curating, and sharing online faculty development resources: The medical education in cases series experience. Academic Medicine, 90(6), 785-789. doi: 10.1097/ACM.0000000000000692
Chang, Y. K., & Mark, B. A. (2009). Antecedents of severe and nonsevere medication errors. Journal of Nursing Scholarship, 41(1), 70-78. doi: 10.1111/j.1547-5069.2009.01253.x
Cheung, S. K., & Sun, S. Y. (1999). Assessment of optimistic self-beliefs: further validation of the Chinese version of the General Self-Efficacy Scale. Psychological Reports, 85(3 Pt 2), 1221-1224. doi: 10.2466/pr0.1999.85.3f.1221
Chlan, L., Halcon, L., Kreitzer, M.J., & Leonard, B.,(2005). Influence of an experiential education session on nursing students’ confidence levels in performing selected complementary therapy skills. Complementary Health Practice Review, 10 (3), 189–201.
Cleary-Holdforth, J., & Leufer, T. (2013). The strategic role of education in the prevention of medication errors in nursing: part 2. Nurse Education in Practice, 13(3), 217-220. doi: 10.1016/j.nepr.2013.01.012
Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2013). Applied multiple regression/correlation analysis for the behavioral sciences: Routledge.
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16(3), 297-334.
Crossley, J., Davies, H., Humphris, G., & Jolly, B. (2002). Generalisability: A key to unlock professional assessment. Medical Education, 36(10), 972-978.
Cummings, C. L., & Connelly, L. K. (2016). Can nursing students' confidence levels increase with repeated simulation activities? Nurse Education Today, 36, 419-421. doi: 10.1016/j.nedt.2015.11.004
Elliott, M., & Liu, Y. (2010). The nine rights of medication administration: An overview. British Journal of Nursing, 19(5), 300-305. doi: 10.12968/bjon.2010.19.5.47064
Evans, S. R. (2010). Clinical trial structures. Journal of Experimental Stroke and Translational Medicine, 3(1), 8-18.
Farzi, S., Irajpour, A., Saghaei, M., & Ravaghi, H. (2017). Causes of Medication Errors in Intensive Care Units from the Perspective of Healthcare Professionals. Journal of Research in Pharmacy Practice, 6(3), 158-165. doi: 10.4103/jrpp.JRPP_17_47
Fasolino, T., & Snyder, R. (2012). Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. Journal of Nursing Care Quality, 27(2), E9-16. doi: 10.1097/NCQ.0b013e318241da17
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods, 39(2), 175-191.
Flynn, F., Evanish, J. Q., Fernald, J. M., Hutchinson, D. E., & Lefaiver, C. (2016). Progressive care nurses improving patient safety by limiting interruptions during medication administration. Critical care nurse, 36(4), 19-35.
Folkmann, L., & Rankin, J. (2010). Nurses' medication work: what do nurses know? Journal of Clinical Nursing, 19(21-22), 3218-3226. doi: 10.1111/j.1365-2702.2010.03249.x
Ford, D. G., Seybert, A. L., Smithburger, P. L., Kobulinsky, L. R., Samosky, J. T., & Kane-Gill, S. L. (2010). Impact of simulation-based learning on medication error rates in critically ill patients. Intensive Care Medicine, 36(9), 1526-1531. doi: 10.1007/s00134-010-1860-2
Farzi, S., Irajpour, A., Saghaei, M., & Ravaghi, H. (2017). Causes of Medication Errors in Intensive Care Units from the Perspective of Healthcare Professionals. Journal of Research in Pharmacy Practice, 6(3), 158-165. doi: 10.4103/jrpp.JRPP_17_47
Fry, M. M., & Dacey, C. (2007). Factors contributing to incidents in medicine administration. Part 1. British Journal of Nursing, 16(9), 556-558. doi: 10.12968/bjon.2007.16.9.23435
Gerdprasert, S., Pruksacheva, T., Panijpan, B., & Ruenwongsa, P. (2010). Development of a web-based learning medium on mechanism of labour for nursing students. Nurse Education Today, 30(5), 464-469. doi:10.1016/j.nedt.2009.10.007
Goel, S., & Salganik, M. J. (2010). Assessing respondent-driven sampling. Proceedings of the National Academy of Sciences, 107(15), 6743-6747.
Halperin, I., Pyne, D. B., & Martin, D. T. (2015). Threats to internal validity in exercise science: a review of overlooked confounding variables. International journal of sports physiology and performance, 10(7), 823-829. doi: 10.1123/ijspp.2014-0566
Harden, R. M., Stevenson, M., Downie, W. W., & Wilson, G. M. (1975). Assessment of clinical competence using objective structured clinical examination. British Medical Journal, 1, 447-451.
Harkanen, M., Voutilainen, A., Turunen, E., & Vehvilainen-Julkunen, K. (2016). Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. Nurse Education Today, 41, 36-43. doi: 10.1016/j.nedt.2016.03.017
Harris, M. A., Pittiglio, L., Newton, S. E., & Moore, G. (2014). Using simulation to improve the medication administration skills of undergraduate nursing students. Nursing education perspectives, 35(1), 26-29.
Hayes, C., Power, T., Davidson, P. M., & Jackson, D. (2014). Editorial: Interruptions and medication: Is ‘Do not disturb’the answer? : Taylor & Francis.
Hayes, C., Jackson, D., Davidson, P. M., & Power, T. (2015). Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. Journal of Clinical Nursing, 24(21-22), 3063-3076. doi:10.1111/jocn.12944
Huang, Y. H., & Gramopadhye, A. K. (2014). Systematic engineering tools for describing and improving medication administration processes at rural healthcare facilities. Applied Ergonomics, 45(6), 1712-1724. doi: 10.1016/j.apergo.2014.06.003
Hulsman, R. L., Mollema, E. D., Oort, F. J., Hoos, A. M., & de Haes, J. C. (2006). Using standardized video cases for assessment of medical communication skills: Reliability of an objective structured video examination by computer. Patient Education Counseling, 60(1), 24-31. doi:10.1016/j.pec.2004.11.010
Humphris, G. M., & Kaney, S. (2000). The objective structured video exam for assessment of communication skills. Medical Education, 34(11), 939-945.
Hung, C. C., Hsu, S. C., Lee, L. L., & Huang, C. M. (2013). The effects of contextual and structural factors on patient safety in nursing units. Journal of Nursing Research, 21(3), 225-233. doi:10.1097/jnr.0b013e3182a0b004
Hsu, L. L., Chang, W. H., & Hsieh, S. I. (2015). The effects of scenario-based simulation course training on nurses' communication competence and self-efficacy: a randomized controlled trial. Journal of Professional Nursing, 31(1), 37-49. doi: 10.1016/j.profnurs.2014.05.007
Jang, H. W., & Kim, K. J. (2014). Use of online clinical videos for clinical skills training for medical students: benefits and challenges. BMC Medical Education, 14, 56. doi:10.1186/1472-6920-14-56
Johnson, R. D., Hornik, S., & Salas, E. (2008). An empirical examination of factors contributing to the creation of successful e-learning environments. International Journal of Human-Computer Studies, 66(5), 356-369.
Johnson, M., Sanchez, P., Langdon, R., Manias, E., Levett-Jones, T., Weidemann, G., . . . Everett, B. (2017). The impact of interruptions on medication errors in hospitals: an observational study of nurses. Jounal of Nursing Management, 25(7), 498-507. doi: 10.1111/jonm.12486
Jerusalem, M., & Schwarzer, R. (1992). Self-efficacy as a resource factor in stress appraisal processes. Self-efficacy: Thought control of action, 195-213.
Johnston, L. G., Hakim, A. J., Dittrich, S., Burnett, J., Kim, E., & White, R. G. (2016). A Systematic Review of Published Respondent-Driven Sampling Surveys Collecting Behavioral and Biologic Data. AIDS Behavior. doi:10.1007/s10461-016-1346-5
Kang, J., & Seomun, G. (2017). Evaluating Web-Based Nursing Education's Effects: A Systematic Review and Meta-Analysis. Western Journal of Nursing Research, 193945917729160. doi: 10.1177/0193945917729160
Karvinen, K. H., Balneaves, L., Courneya, K. S., Perry, B., Truant, T., & Vallance, J. (2017). Evaluation of Online Learning Modules for Improving Physical Activity Counseling Skills, Practices, and Knowledge of Oncology Nurses. Oncology Nursing Forum, 44(6), 729-738. doi: 10.1188/17.onf.729-738
Kaveevivitchai, C., Chuengkriankrai, B., Luecha, Y., Thanooruk, R., Panijpan, B., & Ruenwongsa, P. (2009). Enhancing nursing students' skills in vital signs assessment by using multimedia computer-assisted learning with integrated content of anatomy and physiology. Nurse Education Today, 29(1), 65-72. doi:10.1016/j.nedt.2008.06.010
Khalaila, R. (2014). Simulation in nursing education: an evaluation of students' outcomes at their first clinical practice combined with simulations. Nurse Education Today, 34(2), 252-258. doi: 10.1016/j.nedt.2013.08.015
Kim, J., & Bates, D. W. (2013). Medication administration errors by nurses: Adherence to guidelines. Journal of Clinical Nursing, 22(3-4), 590-598. doi: 10.1111/j.1365-2702.2012.04344.x
Kim, Y.-I. (2011). Effect factors on Health Promotion Lifestyle of shift work nurses. Korean Journal of Occupational Health Nursing, 20(3), 356-364.
Kurz, J. M., Mahoney, K., Martin-Plank, L., & Lidicker, J. (2009). Objective structured clinical examination and advanced practice nursing students. Journal of Professional Nursing, 25(3), 186-191. doi: 10.1016/j.profnurs.2009.01.005
Lach, H. W., Ball, L. J., & Birge, S. J. (2012). The nursing home falls self-efficacy scale: Development and testing. Clinical nursing research, 21(1), 79-91.
Lachowsky, N. J., Lal, A., Forrest, J. I., Card, K. G., Cui, Z., Sereda, P., . . . Hogg, R. S. (2016). Including Online-Recruited Seeds: A Respondent-Driven Sample of Men Who Have Sex With Men. Journal of Medical Internet Research, 18(3), e51. doi: 10.2196/jmir.5258
Lanken, P. N., Novack, D. H., Daetwyler, C., Gallop, R., Landis, J. R., Lapin, J., . . . Schindler, B. A. (2015). Efficacy of an internet-based learning module and small-group debriefing on trainees' attitudes and communication skills toward patients with substance use disorders: Results of a cluster randomized controlled trial. Academic Medicine, 90(3), 345-354. doi: 10.1097/ACM.0000000000000506
Leufer, T., & Cleary-Holdforth, J. (2013). Let's do no harm: Medication errors in nursing: part 1. Nurse education in practice, 13(3), 213-216.
Lee, A. Y., M, K. D., & Ang, E. N. K. (2014). Research in brief - Medication error: A population study on registered nurses in a tertiary hospital. Singapore Nursing Journal, 41(3), 41-43.
Liang, S. Y., Yates, P., Edwards, H., & Tsay, S.L. (2008). Development and initial evaluation of reliability and validity of the Opioid-Taking Self-Efficacy Scale. Oncol Nurs Forum 35:E62–E69
Liang, S. Y., Ding, S. A., Wu, W. W., Liu, C. Y., & Lin, C. C. (2015). Opioid-taking self-efficacy affects the quality of life of Taiwanese patients with cancer pain. Support Care Cancer, 23(7), 2113-2120. doi: 10.1007/s00520-014-2575-7
Luszczynska, A., Gibbons, F. X., Piko, B. F., & Tekozel, M. (2004). Self-regulatory cognitions, social comparison, and perceived peers’ behaviors as predictors of nutrition and physical activity: A comparison among adolescents in Hungary, Poland, Turkey, and USA. Psychology & Health, 19(5), 577-593.
Luszczynska, A., Gutiérrez‐Doña, B., & Schwarzer, R. (2005a). General self‐efficacy in various domains of human functioning: Evidence from five countries. International journal of Psychology, 40(2), 80-89.
Luszczynska, A., Scholz, U., & Schwarzer, R. (2005b). The general self-efficacy scale: Multicultural validation studies. The Journal of Psychology, 139(5), 439-457. doi: 10.3200/JRLP.139.5.439-457
MacKenzie, N., & Staley, A. (2001). Online professional development for academic staff: Putting the curriculum first. Innovations in Education and Teaching International, 38(1), 42-53. doi:10 .1016/ j.nedt.2 005.09 .024
Manojlovich, M., & DeCicco, B. (2007). Healthy work environments, nurse-physician communication, and patients' outcomes. American Journal of Critical Care, 16(6), 536-543.
Marchon, S. G., & Mendes, J. W. V. (2014). Patient safety in primary health care: A systematic review. Cadernos de saúde pública, 30(9), 1815-1835.
McBride-Henry, K., & Foureur, M. (2006). Medication administration errors: Understanding the issues. Australian Journal of Advanced Nursing, 23(3), 33-41.
McConville, S. A., & Lane, A. M. (2006). Using on-line video clips to enhance self-efficacy toward dealing with difficult situations among nursing students. Nurse Education Today, 26(3), 200-208. doi:10.1016/j.nedt.2005.09.024
McCreesh, N., Frost, S. D., Seeley, J., Katongole, J., Tarsh, M. N., Ndunguse, R., . . . White, R. G. (2012). Evaluation of respondent-driven sampling. Epidemiology, 23(1), 138-147. doi:10.1097/EDE.0b013e31823ac17c
McCreesh, N., Copas, A., Seeley, J., Johnston, L. G., Sonnenberg, P., Hayes, R. J., . . . White, R. G. (2013). Respondent driven sampling: determinants of recruitment and a method to improve point estimation. PLoS One, 8(10), e78402. doi:10.1371/journal.pone.0078402
McCutcheon, K., Lohan, M., Traynor, M., & Martin, D. (2015). A systematic review evaluating the impact of online or blended learning vs. face-to-face learning of clinical skills in undergraduate nurse education. Journal of Advanced Nursing, 71(2), 255-270. doi:10.1111/jan.12509
McLeod, M., Barber, N., & Franklin, B. D. (2015). Facilitators and barriers to safe medication administration to hospital inpatients: A mixed methods study of nurses' medication administration processes and systems (the MAPS Study). PLoS One, 10(6), e0128958. doi: 10.1371/journal.pone.0128958
McMullan, M., Jones, R., & Lea, S. (2011). The effect of an interactive e-drug calculations package on nursing students’ drug calculation ability and self-efficacy. International Journal of Medical Informatics, 80(6), 421-430.
Mehrpour, S. R., Aghamirsalim, M., Motamedi, S. M., Ardeshir Larijani, F., & Sorbi, R. (2013). A supplemental video teaching tool enhances splinting skills. Clinical Orthopaedics Related Research, 471(2), 649-654. doi:10.1007/s11999-012-2638-3
Miller, G. E. (1990). The assessment of clinical skills/competence/performance. Academic Medicine, 65(9 Suppl), S63-67.
Mitchell, M. L., Jeffrey, C. A., Henderson, A., Glover, P., Nulty, D. D., Kelly, M. A., . . . Knight, S. (2014). Using an objective structured clinical examination for bachelor of midwifery students' preparation for practice. Women and Birth, 27(2), 108-113. doi: 10.1016/j.wombi.2013.12.002
Mitchell, M. L., Henderson, A., Jeffrey, C., Nulty, D., Groves, M., Kelly, M., . . . Glover, P. (2015). Application of best practice guidelines for OSCEs-An Australian evaluation of their feasibility and value. Nurse Education Today, 35(5), 700-705. doi:10.1016/j.nedt.2015.01.007
Morgan, R. (2006). Using clinical skills laboratories to promote theory–practice integration during first practice placement: an Irish perspective. Journal of Clinical Nursing, 15(2), 155-161.
Moule, P., Ward, R., & Lockyer, L. (2010). Nursing and healthcare students’ experiences and use of e‐learning in higher education. Journal of Advanced Nursing, 66(12), 2785-2795.
Mrayyan, M. T., Shishani, K., & Al-Faouri, I. (2007). Rate, causes and reporting of medication errors in Jordan: nurses' perspectives. Journal of nursing management, 15(6), 659-670. doi: 10.1111/j.1365-2834.2007.00724.x
Oranye, N. O., Ahmad, C., Ahmad, N., & Bakar, R. A. (2012). Assessing nursing clinical skills competence through objective structured clinical examination (OSCE) for open distance learning students in Open University Malaysia. Contempoary Nurse, 41(2), 233-241. doi: 10.5172/conu.2012.41.2.233
Ouyang, C. M., Dwyer, J. T., Jacques, P. F., Chuang, L. M., Haas, C. F., & Weinger, K. (2015). Determinants of dietary self-care behaviours among Taiwanese patients with type 2 diabetes. Asia Pacific Journal of Clinical Nutrition, 24(3), 430-437. doi: 10.6133/apjcn.2015.24.3.02
Pauly-O'Neill, S. (2009). Beyond the five rights: Improving patient safety in pediatric medication administration through simulation. Clinical Simulation in Nursing, 5(5), e181-e186.
Paliadelis, P. S., Stupans, L., Parker, V., Piper, D., Gillan, P., Lea, J., . . . Fagan, A. (2015). The development and evaluation of online stories to enhance clinical learning experiences across health professions in rural Australia. Collegian, 22(4), 397-403.
Parry, A. M., Barriball, K. L., & While, A. E. (2015). Factors contributing to registered nurse medication administration error: A narrative review. International Journal of Nursing Studies, 52(1), 403-420. doi:10.1016/j.ijnurstu.2014.07.003
Petrie, A. (2010). Statistical power in testing a hypothesis. Journal of Bone and Joint Surgery British, 92(9), 1192-1194. doi: 10.1302/0301-620X.92B9.25069
Pike, T., & O'Donnell, V. (2010). The impact of clinical simulation on learner self-efficacy in pre-registration nursing education. Nurse Education Today, 30(5), 405-410. doi:10.1016/j.nedt.2009.09.013
Polit, D. F., & Beck, C. T. (2006). The content validity index: are you sure you know what's being reported? Critique and recommendations. Research in nursing & health, 29(5), 489-497.
Polit, D. F., Beck, C. T., & Owen, S. V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in nursing & health, 30(4), 459-467.
Reid‐Searl, K., Moxham, L., & Happell, B. (2010). Enhancing patient safety: The importance of direct supervision for avoiding medication errors and near misses by undergraduate nursing students. International Journal of Nursing Practice, 16(3), 225-232. doi: 10.1111/j.1440-172X.2010.01820.x
Relihan, E., O'Brien, V., O'Hara, S., & Silke, B. (2010). The impact of a set of interventions to reduce interruptions and distractions to nurses during medication administration. Quality Safety in Health Care, 19(5), e52. doi: 10.1136/qshc.2009.036871
Renata Grou Volpe, C., Moura Pinho, D. L., Morato Stival, M., & Gomes de Oliveira Karnikowski, M. (2014). Medication errors in a public hospital in Brazil. British Journal of Nursing, 23(11), 552-559. doi:10.12968/bjon.2014.23.11.552
Schiavenato, M. (2009). Reevaluating simulation in nursing education: beyond the human patient simulator. Journal of Nursing Education, 48(7), 388-394.
Schneider, P. J., Pedersen, C. A., Montanya, K. R., Curran, C. R., Harpe, S. E., Bohenek, W., . . . Wellman, K. E. (2006). Improving the safety of medication administration using an interactive CD-ROM program. American Journal of Health-System Pharmacy, 63(1), 59-64.
Scholz, U., Doña, B. G., Sud, S., & Schwarzer, R. (2002). Is general self-efficacy a universal construct? Psychometric findings from 25 countries. European journal of psychological assessment, 18(3), 242.
Schwarzer, R., & Jerusalem, M. (1995). Generalized Self-Efficacy scale. In J. Weinman, S. Wright, & M. Johnston, Measures in health psychology: A user’s portfolio. Causal and control beliefs (pp. 35-37). Windsor, UK: NFER-NELSON.
Selim, A. A., & Dawood, E. (2015). Objective structured video examination in psychiatric and mental health nursing: A learning and assessment method. Journal of Nursing Education, 54(2), 87-95. doi:10.3928/01484834-20150120-04.
Shahrokhi, A., Ebrahimpour, F., & Ghodousi, A. (2013). Factors effective on medication errors: A nursing view. Journal of Research in Pharmacy Practice, 2(1), 18-23. doi: 10.4103/2279-042X.114084
Sheen, S. T., Chang, W. Y., Chen, H. L., Chao, H. L., & Tseng, C. P. (2008). E-Learning education program for registered nurses: the experience of a teaching medical center. Journal of Nursing Resarch, 16(3), 195-201.
Sherriff, K., Burston, S., & Wallis, M. (2012). Effectiveness of a computer based medication calculation education and testing programme for nurses. Nurse Education Today, 32(1), 46-51. doi: 10.1016/j.nedt.2011.01.020
Slack, M. K., & Draugalis, J. R. (2001). Establishing the internal and external validity of experimental studies. American Journal of Health-System Pharmacy, 58(22), 2173-2181; quiz 2182-2173.
Smith, C., Gillham, D., McCutcheon, H., & Ziaian, T. (2011). Scenariation: Scenario generation for online teaching in nursing and health sciences. British Journal of Educational Technology, 42(6), 962-972. doi: 10.1111/j.1467-8535.2010.01105.x
Smyth, E. E. (2015). Assessing the skills of home care workers in helping older people take their prescribed medications. British Journal of Community Nursing, 20(8), 400-404. doi:10.12968/bjcn.2015.20.8.400
Soccio, D. A. (2017). Effectiveness of Mental Health Simulation in Replacing Traditional Clinical Hours in Baccalaureate Nursing Education. Journal of Psychosocial Nursing and Mental Health Services, 55(11), 36-43. doi: 10.3928/02793695-20170905-03
Soudagar, S., Rambod, M., & Beheshtipour, N. (2015). Factors associated with nurses' self-efficacy in clinical setting in Iran, 2013. Iranian Journal of Nursing and Midwifery Research, 20(2), 226-231.
Tait, M., Tait, D., Thornton, F., & Edwards, M. (2008). Development and evaluation of a critical care e-learning scenario. Nurse Education Today, 28(8), 970-980. doi: 10.1016/j.nedt.2008.05.016
Tang, A. C., Wong, N., & Wong, T. K. (2015). Learning experience of Chinese nursing students in an online clinical English course: qualitative study. Nurse Education Today, 35(2), e61-66. doi: 10.1016/j.nedt.2014.11.017
Tang, W., Cui, Y., & Babenko, O. (2014). Internal consistency: Do we really know what it is and how to assess it. . Journal of Psychology and Behavioral Science, 2(2), 205-220.
Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach's alpha. International Journal of Medical Education, 2, 53-55. doi: 10.5116/ijme.4dfb.8dfd
The Joint Commission. (2012, 11, 19) Improving patient and worker safety-opportunities for synergy, Collaboration and Innovation. Retrieved from http://www.jointcommission.org/topics/patient_safety.aspx
The Joint Commission. (2016, 12, 2) 2017 National patient safety goals: Hospital Accreditation Program. Retrieved from https://www.jointcommission.org/assets/1/6/NPSG_Chapter_HAP_Jan2017.pdf
Thomas, C. M., McIntosh, C. E., & Allen, R. (2014). Creating a distraction simulation for safe medication administration. Clinical Simulation in Nursing, 10(8), 406-411.
Thompson, R. (2016). Preparing New Nurses to Address Bullying: The Effect of an Online Educational Module on Learner Self-Efficacy. MEDSURG Nursing, 25(6), 412-417.
Traynor, M., Gallagher, A., Martin, L., & Smyth, S. (2010). From novice to expert: Using simulators to enhance practical skill. British Journal of Nursing, 19(22), 1422-1426.
Tsang, S. K., Hui, E. K., & Law, B. C. (2012). Self-efficacy as a positive youth development construct: A conceptual review. Scientific World Journal, 2012, 452327. doi:10.1100/2012/452327
Ulrich, B., & Kear, T. (2014). Patient safety and patient safety culture: Foundations of excellent health care delivery. Nephrology nursing journal, 41(5), 447-456.
Unver, V., Tastan, S., & Akbayrak, N. (2012). Medication errors: Perspectives of newly graduated and experienced nurses. International Journal of Nursing Practice, 18(4), 317-324. doi: 10.1111/j.1440-172X.2012.02052.x
Valentin, A., Capuzzo, M., Guidet, B., Moreno, R., Metnitz, B., Bauer, P., . . . Sentinel Events Evaluation Study, I. (2009). Errors in administration of parenteral drugs in intensive care units: multinational prospective study. BMJ, 338, b814. doi: 10.1136/bmj.b814
Verdery, A. M., Mouw, T., Bauldry, S., & Mucha, P. J. (2015). Network structure and biased variance estimation in respondent driven sampling. PLoS One, 10(12), e0145296. doi: 10.1371/journal.pone.0145296
Vlantis, A. C., & van Hasselt, C. A. (2004). Medical student peer group utilisation of clinical scenarios. Medical Education, 38(11), 1198. doi:10.1111/j.1365-2929.2004.01999.x
Ward, H., & Barratt, J. (2005). Assessment of nurse practitioner advanced clinical practice skills: Using the objective structured clinical examination (OSCE). Primary Health Care, 15(10), 37-41.
Watson, P., Stevenson, M., & Hawkins, S. (2015). Neurology assessment by objective structured video examination (OSVE). Clinical Teacher. doi:10.1111/tct.12443
Westbrook, J. I., Woods, A., Rob, M. I., Dunsmuir, W. T., & Day, R. O. (2010). Association of interruptions with an increased risk and severity of medication administration errors. Archives Internal Medicine, 170(8), 683-690. doi:10.1001/archinternmed.2010.65
Windt, K. (2016). Development of Online Learning Modules as an Adjunct to Skills Fairs and Lectures to Maintain Nurses' Competency and Comfort Level When Caring for Pediatric Patients Requiring Continuous Renal Replacement Therapy (CRRT). Nephrology Nursing Journal , 43(1), 39-46; quiz 47.
World Health Organisation(WHO). (2011). Patient Safety Curriculum Guide, multi-professional edition. Retrieved from http://apps.who.int/iris/bitstream/10665/44641/1/9789241501958_eng.pdf
Wittich, C. M., Burkle, C. M., & Lanier, W. L. (2014). Medication errors: An overview for clinicians. Mayo Clinic Proceedings, 89(8), 1116-1125. doi:10.1016/j.mayocp.2014.05.007
Wright, K. (2008). Can effective teaching and learning strategies help student nurses to retain drug calculation skills? Nurse Education Today, 28(7), 856-864.
Yi, L. (2010). Nurses' Work Role in the Context of Gender and Chinese Culture: An Online Forum Study. The Journal of Nursing Research, 18(2), 117-125.
Zhang, J. X., & Schwarzer, R. (1995). Measuring optimistic self-beliefs: A Chinese adaptation of the General Self-Efficacy Scale. Psychologia: An International Journal of Psychology in the Orient.
Zhou, M. (2016). A Revisit of General Self-Efficacy Scale: Uni-or Multi-dimensional? Current Psychology, 35(3), 427-436.
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