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Strengthening Numerical Skills and Medication Calculation Abilities of Nursing Students

Strengthening Numerical Skills and Medication Calculation Abilities of Nursing Students Through Peer Education: A Randomized Controlled Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07271095
Enrollment
55
Registered
2025-12-09
Start date
2024-05-15
Completion date
2024-06-20
Last updated
2025-12-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Nursing, Student

Keywords

Nursing education, peer education, Medication calculation, Numerical skills

Brief summary

This experimental study aims to evaluate the effect of peer-assisted education on nursing students' numerical and drug calculation skills. A randomized controlled pretest-posttest design will be conducted with 55 first-year nursing students (27 in the experimental group and 28 in the control group). The experimental group will participate in a three-week peer education program focusing on numerical problem-solving and medication dosage calculations, led by trained mentor students.

Interventions

OTHERPeer-supported medication calculation training

The intervention consisted of a peer-supported education program on medication dosage calculation, implemented over three weeks with five 60-minute sessions. In Week 1, four mentor students-senior nursing students with prior training in medication calculations and a GPA above 3.0-received refresher instruction from the course instructor. The training covered decimals, percentages, unit conversions, weight-based and non-weight-based dose calculations, and infusion pump adjustments, followed by sample problem-solving activities. The intervention group was divided into four subgroups, each consisting of 7-8 students, and each was assigned a consistent mentor. Each session included 30 minutes of individual and peer problem-solving followed by 30 minutes of guided mentoring. The course instructor provided supervision and feedback throughout the sessions. During Weeks 2 and 3, students practiced numerical and medication dosage calculations through peer-supported exercises.

Sponsors

Lokman Hekim University
Lead SponsorOTHER_GOV

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Intervention model description

This study employed a randomized controlled pretest-posttest experimental design to evaluate the effectiveness of peer-assisted education on nursing students' numerical and drug calculation skills. Participants were randomly assigned to either the experimental group (n=27) or the control group (n=28). The intervention model consisted of a three-week peer-assisted training program comprising five structured sessions. Each session was conducted by trained mentor students who facilitated small group learning activities. During the sessions, students collaboratively solved numerical and drug calculation problems, discussed solution strategies, and received formative feedback from peers and mentors. The control group continued with the standard nursing curriculum without peer support. This interventional model was designed to foster active learning, peer collaboration, and problem-based engagement, aiming to enhance students' cognitive and practical competencies in medication calculation.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Students who were registered for the Fundamentals of Nursing course for the first time * Students who agreed to participate in the research voluntarily

Exclusion criteria

* Students who graduated from a Health Vocational High School * Students who had previous training in the health field * Students who had previously taken a Fundamentals of Nursing course * Students diagnosed with a psychiatric illness * Students who were regularly taking psychiatric medications * Students who did not attend the theoretical sessions of the course

Design outcomes

Primary

MeasureTime frameDescription
The Medication Calculation AbilityThey were evaluated before the intervention and after 3 weeks of intervention.Medication Calculation Ability Assessment Form (Pre-Test, Post-Test): The pre-test consisted of eight questions. The posttest consisted of twenty questions, including additional questions similar to those in the pretest. The questions covered the following categories: * Dosage calculation for solid and liquid oral medications (3 questions in the pretest, 8 questions in the posttest), * Dosage calculation for injections (3 questions in the pretest, 7 questions in the posttest), * Calculation of percentage solutions and intravenous fluids (2 questions in the pretest, 5 questions in the posttest). Each correct answer was scored; the participants' correct answers were averaged to convert the score into a percentage. Thus, a medication calculation skill score ranging from 0% to 100% was obtained for each participant.

Secondary

MeasureTime frameDescription
The Numerical SkillsThey were evaluated both before and after the 3-week intervention.Numerical Skills Assessment Form (Pre-Test, Post-Test): The pre-test consisted of five questions. The post-test consisted of 10 questions, including additional questions similar to those in the pre-test. The questions covered basic numerical skills, including addition, subtraction, multiplication, division, fractions, decimals, percentage calculations, and unit conversions. Each correct answer was scored, and the percentage score was converted by averaging the number of correct answers. Thus, a numerical skill score ranging from 0% to 100% was obtained for each participant.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026