Maths anxiety and medication dosage calculation errors: A scoping review
Abstract
A student's accuracy on drug calculation tests may be influenced by maths anxiety, which can impede one's ability to understand and complete mathematic problems. It is important for healthcare students to overcome this barrier when calculating drug dosages in order to avoid administering the incorrect dose to a patient when in the clinical setting. The aim of this study was to examine the effects of maths anxiety on healthcare students' ability to accurately calculate drug dosages by performing a scoping review of the existing literature. This review utilised a six-stage methodology using the following databases; CINAHL, Embase, Medline, Scopus, PsycINFO, Google Scholar, Trip database (http://www.tripdatabase.com/) and Grey Literature report (http://www.greylit.org/). After an initial title/abstract review of relevant papers, and then full text review of the remaining papers, six articles were selected for inclusion in this study. Of the six articles included, there were three experimental studies, two quantitative studies and one mixed method study. All studies addressed nursing students and the presence of maths anxiety. No relevant studies from other disciplines were identified in the existing literature. Three studies took place in the U.S, the remainder in Canada, Australia and United Kingdom. Upon analysis of these studies, four factors including maths anxiety were identified as having an influence on a student's drug dosage calculation abilities. Ultimately, the result…
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Mathematics anxiety can negatively affect learning, confidence, and academic achievement.
“Mathematics anxiety has been described as feelings of tension, apprehension, or fear that interfere with mathematical performance and can negatively affect learning, confidence, and academic achievement [22,23].”
From A Descriptive Website Review of Publicized PharmD Pre-Matriculation Programs (2026) · cites this paper as [22]
Cites
What are scoping studies? A review of the nursing literature
Davis, K., Drey, N., & Gould, D. (2009) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2009.02.010 · Cited by 855 · see citing works
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A Descriptive Website Review of Publicized PharmD Pre-Matriculation Programs
Bessard, C. C., Oliver, K. B., Yu, F., & Fujiwara, R. (2026) · Pharmacy · doi:10.3390/pharmacy14060131
- Authors
- Williams, B., & Davis, S.
- Affiliations
- Monash University (AU)
- Corresponding author
- Williams, Brett
- Venue
- Nurse Education in Practice
- Publisher
- Elsevier BV
- Published
- 2016-09
- Volume
- 20
- Pages
- 139-146
- ISSN
- 1471-5953 (ISSN-L)
- OpenAlex
- W2509619277
- Cited by
- 50
- References
- 2
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 6 · 2023: 4 · 2022: 9 · 2021: 8 · 2020: 6 · 2019: 6 · 2018: 3 · 2017: 2
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nurse Education in Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Physical Sciences › Mathematics › Modeling and Simulation › Mathematics Education and Programs
- Physical Sciences › Mathematics › Statistics and Probability › Cognitive and developmental aspects of mathematical skills
- Keywords
- mathematics anxiety, dose calculation, medication errors, nursing students, health professions students, computational accuracy, patient safety, mathematics education
- MeSH terms
- Anxiety, Clinical Competence, Education, Nursing, Baccalaureate, Humans, Mathematics, Medication Errors, Students, Nursing, Nursing Education Research, Drug Dosage Calculations, Patient Safety
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