The Effect of Digital Stories on Nursing Students' Medical Error and Safe Drug Administration

The Effect of Digital Stories on Nursing Students' Medical Error Tendencies and Safe Parenteral Drug Administration Self-Efficacy

Aim This study aimed to determine the effect of digital stories on nursing students' medical error tendencies and safe parenteral drug administration self-efficacy.

Method The study was conducted between May-July 2024 with 64 students (Intervention: 31, Control: 33) studying at the Faculty of Nursing of a university in eastern Turkey and taking the first year nursing principles course. The data were obtained by using 'Personal Information Form', 'Medical Error Tendency Scale, Drug and Transfusion Practices Subscale' and 'Safe Parenteral Drug Administration Self-Efficacy Scale'. During the research process, the students in the experimental group were shared the digital stories prepared for drug applications from the WhatsApp group and were asked to watch them for two weeks.During 2 weeks, the researchers met with the students twice in the classroom environment and received feedback on the digital stories. Students in the control group continued the routine theoretical and practical process.

Study Overview

• Status: Completed
• Conditions: Nursing Students
• Intervention / Treatment: Behavioral: Intervention

Detailed Description

Digital stories provide personalised learning opportunities that enable students to observe educational environments and events, access them anytime and anywhere, and acquire self-directed learning skills. This method is increasingly being used in education because it offers personalised learning opportunities and enhances teacher-student interaction. In this study, the effects of watching and analysing digital stories prepared for drug administration on nursing students' medical error tendencies and the development of their self-efficacy levels in parenteral drug administration were evaluated.

• Study Type: Interventional
• Enrollment (Actual): 64
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Malatya
    • Malatya, Malatya, Turkey (Türkiye), 44280
      • Inonu University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Being 18 or over
• To be enrolled in the first year of nursing,
• To received training on drug administration for the first time,
• To have no physical disabilities related to vision, hearing and motor skills,
• To have a smart mobile phone with Android/IOS operating system,
• To volunteer to participate in the study.

Exclusion Criteria:

• To repeated the first grade
• Not volunteering to participate in the research.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Basic Science
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control group; No intervention
Experimental: Digital story	Behavioral: Intervention; The students in the experimental group were shared the digital stories prepared for drug applications from the WhatsApp group and were asked to watch them for two weeks. Students were able to watch the stories on their mobile phones at the time and frequency they wanted. During 2 weeks, the researchers met with the students twice in the classroom environment and received feedback on the digital stories. Feedbacks about the real meaning of the stories and their contribution to education were obtained by using discussion and question-answer methods. Each student explained their opinions about the stories and had the opportunity to think deeply about them by receiving feedback from their classmates.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Efeect of Medical Error Tendency	For the pre-test data, 'Individual Introduction Form' and 'Medical Error Tendency Scale' were given to the students and they were asked to fill them in. At the end of 2 weeks, the 'Medical Error Tendency Scale' was applied again at the end of the 2nd week to see the change in the medical error tendency levels of the students who were trained with digital stories teaching method for 2 weeks. Medical Error Tendency Scale: It was developed by Özata and Altunkan to measure the medical error tendencies of nurses. The scale consists of 49 items and 5 different sub-dimensions, and the sub-dimension used in this study, the sub-dimension of medication and transfusion practices, consists of 18 items. The higher the mean score of the scale, the lower the tendency of nurses to make medical errors.	2 week

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Effect of Safe Parenteral Drug Administration Self-Efficacy	Safe Parenteral Drug Administration Self-Efficacy Scale: The scale developed to determine the self-efficacy of nurses regarding parenteral drug administration consists of 76 items and one dimension. The scale is a 5-point Likert-type scale and 1: Completely disagree, 2: Disagree, 3: Undecided, 4: Agree, 5: Strongly agree. A minimum score of 76 and a maximum score of 380 can be obtained from the scale. The higher the score obtained from the scale, the higher the self-efficacy of nurses regarding safe parenteral drug administration.	2 weeks

Collaborators and Investigators

• Sponsor: Inonu University
• Investigators: Principal Investigator: Hakime Aslan, Faculty of Nursing

Study record dates

Study Major Dates

• Study Start (Actual): May 15, 2024
• Primary Completion (Actual): July 15, 2024
• Study Completion (Actual): August 15, 2025

Study Registration Dates

• First Submitted: August 17, 2025
• First Submitted That Met QC Criteria: August 22, 2025
• First Posted (Estimated): August 26, 2025

Study Record Updates

• Last Update Posted (Estimated): August 26, 2025
• Last Update Submitted That Met QC Criteria: August 22, 2025
• Last Verified: August 1, 2025

More Information

Terms related to this study

• Keywords: Students; Self-efficacy,; Digital story; Medical error,; Nursing education,
• Additional Relevant MeSH Terms: Investigative Techniques; Methods
• Other Study ID Numbers: HakimeAslan

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No