Effect of screen-based simulation on pediatric drug administration among nursing students: a randomized controlled trial

Bayram, Hilal Çelik; Ergün, Sibel

doi:10.1590/1980-220X-REEUSP-2025-0249en

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 59 • 2025 • https://doi.org/10.1590/1980-220X-REEUSP-2025-0249en linkcopy

Effect of screen-based simulation on pediatric drug administration among nursing students: a randomized controlled trial

Efeito da simulação baseada em ecrã na administração de medicamentos pediátricos entre estudantes de enfermagem: um ensaio clínico randomizado

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective: To evaluate the effect of screen-based simulation education on self-efficacy, student satisfaction, and self-confidence in learning related to pediatric drug administration among nursing students.

Method: A randomized controlled design was used, involving an intervention group and a control group, to reach the target population of 206 nursing students. The study was registered at ClinicalTrials.gov (NCT06548659). Data were collected using the Sociodemographic Characteristics Form, the Student Satisfaction and Self Confidence in Learning Scale, and the Medication Administration Self Efficacy Scale in Children for Nursing Students.

Results: In the intervention group, a statistically significant improvement was observed between pre-test and post-test scores. Post-test comparisons between the intervention and control groups revealed a significant increase in self-efficacy scores in the intervention group. Additionally, the intervention group demonstrated significantly higher post-test scores in student satisfaction and self-confidence in learning.

Conclusion: Screen-based simulation education had a positive effect on nursing students’ self-efficacy in pediatric drug administration, as well as on satisfaction and confidence in the learning process.

DESCRIPTORS
Pediatric Nursing; Education, Nursing; Drug Administration Routes; Pediatrics.

Variable		Group				t	p
		Control		Intervention
		Mean ± SD		Mean ± SD
Age		20.96 ± 1.19		21.22 ± 2.34		0.95	0.34
Variable	Group	Groups				X²	p
		Control		Intervention
		n	%	n	%
Gender	Female	70	47.30	78	52.70	1.71	0.19
	Male	29	58.00	21	42.00
Marital status	Married	3	42.86	4	57.14	0.15	0.70
	Single	96	50.26	95	49.74
High school type	Anatolian high school	88	52.07	81	47.93	2.79	0.25
	Health vocational high school	8	44.44	10	55.56
	Science high school	3	27.27	8	72.73
Employment status	Yes	4	26.67	11	73.33	3.53	0.06
	No	95	51.91	88	48.09
Willingness to choose the nursing profession	Yes	46	52.27	42	47.73	0.33	0.85
	No	14	48.28	15	51.72
	Neutral	39	48.15	42	51.85
Frequency of engaging in simulations, educational games, etc., during nursing education.	Always	20	20.20	13	13.13	1.81	0.40
	Sometimes	66	60.67	71	71.72
	Never	13	13.13	15	15.15
Attitude toward nursing profession	Positive	48	48.98	50	51.02	1.85	0.40
	Negative	8	38.10	13	61.90
	Neutral	43	54.43	36	45.57

	Group		Intergroup**
	Control	Intervention
	Mean ± SD	Mean ± SD
Student Satisfaction pre-test	16.81 ± 3.07	17.12 ± 3.51	t:–0.67; p:0.50
Student Satisfaction post-test	17.74 ± 3.21	23.88 ± 1.79	t:–16.64; p:0.00
Repeated Measures*	t:–2.32; p:0.02	t:–17.92; p:0.01
Self-confidence in learning pre-test	27.14 ± 5.07	27.51 ± 5.29	t:–0.50; p:0.62
Self-confidence in learning post-test	27.79 ± 5.13	36.25 ± 3.73	t:–13.29; p:0.00
Repeated Measures*	t:–0.94; p:0.35	t:–14.53; p:0.01
Student satisfaction and self-confidence in learning general pre-test	43.95 ± 7.73	44.35 ± 9.10	t:–0.34; p:0.74
Student satisfaction and self-confidence in learning general post-test	45.53 ± 7.79	60.13 ± 5.09	t:–15.61; p:0.00
Repeated Measures*	t:–1.54; p:0.13	t:–15.94; p:0.01

	Group		Intergroup**
	Control	Intervention
	Mean ± SD	Mean ± SD
Student Satisfaction pre-test	16.81 ± 3.07	17.12 ± 3.51	t:–0.67; p:0.50
Student Satisfaction post-test	17.74 ± 3.21	23.88 ± 1.79	t:–16.64; p:0.00
Repeated Measures*	t:–2.32; p:0.02	t:–17.92; p:0.01
Self-confidence in learning pre-test	27.14 ± 5.07	27.51 ± 5.29	t:–0.50; p:0.62
Self-confidence in learning post-test	27.79 ± 5.13	36.25 ± 3.73	t:–13.29; p:0.00
Repeated Measures*	t:–0.94; p:0.35	t:–14.53; p:0.01
Student satisfaction and self-confidence in learning general pre-test	43.95 ± 7.73	44.35 ± 9.10	t:–0.34; p:0.74
Student satisfaction and self-confidence in learning general post-test	45.53 ± 7.79	60.13 ± 5.09	t:–15.61; p:0.00
Repeated Measures*	t:–1.54; p:0.13	t:–15.94; p:0.01

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Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] SD: Standard Deviation. X2: Chi square. t: Independent sample t test.