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Online video in clinical skills education of oral medication administration for undergraduate student nurses: A mixed methods, prospective cohort study

Holland, Agi; Smith, Fiona C; McCrossan, Gill; Adamson, Elizabeth; Watt, Susan; Penny, Kay I


Agi Holland

Fiona C Smith

Gill McCrossan

Susan Watt

Kay I Penny


Improvements in the safety of the prescribing, dispensing and administration of medicines are identified as a priority across international healthcare systems. It is therefore essential that higher education institutions play their part in helping to meet this patient safety objective. New developments in clinical skills education which are aligned to emerging educational theory are available, but evaluations and supportive evidence are limited.
To evaluate the use of an online best practice exemplar as an adjunct to the clinical skills teaching of oral medication administration to undergraduate student nurses.
Mixed-methods prospective cohort design.
Settings and Participants
Two intakes of undergraduate nursing students (n = 168, n = 154) undertaking a first year clinical skills based module at a British university.
The Control group received standard teaching using lectures and skills classes facilitated by experienced clinical skills lecturers. The Intervention group received the standard teaching and unlimited access to an online video clip of medication administration. Performance and satisfaction were measured using module assessment results and a satisfaction questionnaire. Qualitative data were gathered using focus groups (n = 16, n = 20).
The Intervention group was significantly (p = 0.021) more likely to pass the assessment and rate their satisfaction with the teaching significantly higher (p < 0.05) on more than half of the items from the Student Satisfaction Survey. Two Categories were identified from focus group data; Classroom Learning and Transfer to Practice. Classroom Learning included four themes of Peers, Self, Teaching and Time and when Classroom Learning was positive, the Transfer to Practice of the clinical skill was enhanced
An online video of a best practice exemplar as an adjunct to taught clinical skills sessions improves student assessment results and satisfaction ratings. The video was also reported to positively influence all themes identified in Classroom Learning and was perceived to promote the Transfer to Practice of teaching input


Holland, A., Smith, F. C., McCrossan, G., Adamson, E., Watt, S., & Penny, K. I. (2013). Online video in clinical skills education of oral medication administration for undergraduate student nurses: A mixed methods, prospective cohort study. Nurse Education Today, 33(6), 663-670.

Journal Article Type Article
Acceptance Date Jan 20, 2012
Online Publication Date Feb 16, 2012
Publication Date 2013-06
Deposit Date Jun 14, 2012
Journal Nurse Education Today
Print ISSN 0260-6917
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 33
Issue 6
Pages 663-670
Keywords Administration; oral; Clinical competence; Nursing Education Research; Webcasts as Topic;
Public URL
Publisher URL