Pediatric nursing students’ self-efficacy regarding medication administration and clinical comfort and worry: A pre-posttest comparative study of nurse mentoring versus peer mentoring
Abstract
Aim This study aimed to examine the effect of mentoring practice by graduate nursing students and clinical nurses on students' self-efficacy in pediatric medication administration, clinical comfort and worry levels of students taking pediatric nursing courses.Background Children are a highly sensitive group against medication administration errors. Improving the self-efficacy of student nurses who will work with this group toward medication administration is essential. Mentoring programs can increase students' skills and self-efficacy by reducing their stress levels during clinical practice.Design The research is a two-group pretest-posttest randomized controlled experimental research design.Settings The study was conducted in the pediatric units of a training and research hospital located in the Western Black Sea region of Turkey between October 1, 2022 and December 30, 2022, as part of the clinical practice of the Pediatric Nursing course in the fall semester of 2022-2023.Participants The study sample consisted of 143 students (peer mentoring group=73, nurse mentoring group=70) who were 3rd-year students taking the pediatric nursing course.Methods Participant information form, Medication Administration Self-Efficacy Scale in Children for Nursing Students (MASSCNS) and Pediatric Nursing Students Clinical Comfort and Worry Tool (PNSCCWT) were administered to the students before the clinical practice. Then, the groups received mentoring practice in the clinical practice area for 14 weeks. At the end of the practice, MASSCNS and PNSCCWT were administered to the students again.Results The groups were homogeneously distributed when compared according to descriptive characteristics (p > 0.05). The self-efficacy scores of the students in both groups after clinical practice were significantly different from those before clinical practice (t nurse=-4.724, p nurse=0.000 <0.05; t peer=-3.742, p peer=0.001 <0.05).Conclusions This study's results indicate that nurse mentoring and peer mentoring effectively increase nursing students' self-efficacy during pediatric clinical practice. While nurse mentors decreased students' worry, peer mentors increased students' clinical comfort levels.
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Pediatric patients are more vulnerable to medication errors than adults because of weight-based dose calculations, the need for dilution due to limited standardized pediatric formulations, and communication differences associated with developmental stages.
“In particular, pediatric patients are more vulnerable to medication errors than adults because of weight-based dose calculations, the need for dilution due to limited standardized pediatric formulations, and communication differences associated with developmental stages [2].”
Immature renal and hepatic functions in pediatric patients make drug metabolism and excretion different from adults, complicating dosage adjustment.
“Their renal and hepatic functions are immature, which makes drug metabolism and excretion different from those of adults, complicating dosage adjustment [2,3].”
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References 45 · Cited by 23
- Authors
- Öztürk Şahin, Ö., Aközlü, Z., & Taşdelen, Y.
- Affiliations
- Maltepe University (TR)
- Karabük University (TR)
- Corresponding author
- Taşdelen, Yeliz
- Venue
- Nurse Education in Practice
- Publisher
- Elsevier BV
- Published
- 2023-08
- Volume
- 71
- Pages
- 103712
- ISSN
- 1471-5953 (ISSN-L)
- OpenAlex
- W4383868437
- Cited by
- 23
- References
- 45
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 8
- FWCI
- 6.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Nurse Education in Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Social Sciences › Psychology › Social Psychology › Mentoring and Academic Development
- Keywords
- pediatric nursing students, self-efficacy, medication administration, clinical comfort, nurse mentoring, peer mentoring, clinical practice, nursing education, medication administration errors
- MeSH terms
- Mentoring, Humans, Mentors, Pediatric Nursing, Students, Nursing, Self Efficacy
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