Računske spretnosti študentov zdravstvene nege: primerjava pravilnosti preračunavanja odmerkov in pretočnosti zdravil med klasično metodo in z uporabo mobilne aplikacije : diplomsko delo

Lončar, Alen (author), Milavec Kapun, Marija (mentor), Pajnič, Manca (reviewer)

Uvod: Varnostni odkloni v zdravstvu so resen problem. Napake medicinskih sester pri izračunih odmerkov in pretočnosti zdravil lahko pomenijo tveganje za zdravje in življenje pacientov. Pravilnost teh izračunov je ocenjena na 60–90 %. Za zmanjševanje napak pri izračunih lahko pomaga digitalna tehnologija. Namen: Ugotoviti učinkovitost in zanesljivost mobilne aplikacije NurseCal pri reševanju praktičnih računskih primerov, ki se pojavljajo v kliničnem okolju, in preveriti matematične sposobnosti študentov zdravstvene nege, ki so se v sklopu študijskega programa že srečali s študijsko snovjo o računanju doz in pretočnosti zdravil. Metode dela: V aprilu 2022 smo proučevali zanesljivosti študentov drugega in tretjega letnika zdravstvene nege (n = 198) pri izračunih odmerkov in pretočnosti zdravil z uporabo aplikacije NurseCal. Kontrolna skupina je sedem nalog za izračun odmerkov in pretočnosti zdravil reševala brez aplikacije, eksperimentalna pa z uporabo aplikacije NurseCal. Za preverjanje razlik je bil uporabljen Mann-Whitneyjev U-test. Rezultati: Rezultati so pokazali, da so študenti z uporabo aplikacije NurseCal hitreje rešili naloge (U = 619; p < 0,001). Dosegli so tudi večjo pravilnost izračunov (U = 7372; p < 0,001). Na uspešnost pravilnega izračuna ni vplival letnik študija ali zaposlitveni status, vplivala pa je samoocena matematičnih sposobnosti (U = 5202; p = 0,029). Na podlagi rezultatov lahko sklenemo, da je NurseCal uporaben in zanesljiv pripomoček, s katerim se lahko zmanjša število napak pri izračunih odmerkov in pretočnosti zdravil. Razprava in zaključek: Z 92,5-odstotno zanesljivostjo reševanja praktičnih nalog je mobilna aplikacija NurseCal izkazala potencial in možnost vključitve v izobraževalni in zdravstveni sistem, medtem ko po uveljavljeni metodi zaposleni v zdravstvenem sistemu rešujejo naloge z 68,9-odstotno zanesljivostjo. Za ugotovitev uporabnosti aplikacije v klinični praksi bi bilo smiselno nadaljnje raziskovanje na drugih populacijah in večjih vzorcih.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, digitalna negovalna tehnologija, izobraževanje, priprava terapije, varnostni odklon
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [A. Lončar]
• Year: 2022
• Number of pages: 30 str., [4] str. pril.
• PID: 20.500.12556/RUL-139112
• UDC: 616-083
• COBISS.SI-ID: 119761923
• Publication date in RUL: 31.08.2022

Secondary language

• Language: English
• Title: Calculation skills of nursing students: a comparison of calculation accuracy between an established method and using a mobile application : diploma work

Abstract

Introduction: Safety deviations in nursing are a serious problem. Errors by nurses in the calculation of dosages and flow of drugs can mean a risk to the health and life of patients. The accuracy of these calculations is estimated at 60-90 %. Digital technology can help reduce calculation errors. Purpose: To determine the effectiveness and reliability of the NurseCal mobile application in solving practical calculation cases that occur in the clinical environment and to check the mathematical abilities of nursing students who have already encountered the study material on the calculation of doses and flow of drugs as part of the study program. Methods of work: In April 2022, we studied the reliability of 2nd- and 3rd-year nursing students (n = 198) in calculating doses and flow rates of drugs using the NurseCal application. The control group solved seven tasks for calculating doses and drug flow without the application while the experimental group solved them using the NurseCal application. The Mann-Whitney U test was used to test for differences. Results: The results showed that students solved the tasks faster using NurseCal (U = 619; p < 0.001). They also achieved greater correctness of calculations (U = 7372; p < 0.001). The success of the correct calculation was not influenced by the year of study or the employment status. It was influenced by the self-assessment of mathematical abilities (U = 5202; p = 0.029). Based on the results, we can conclude that NurseCal is a useful and reliable tool that can reduce the number of errors in the calculations of doses and drug flow. Discussion and conclusion: With a 92.5% reliability of solving practical tasks, the NurseCal mobile application has demonstrated its potential and the possibility of integration into the educational and health system. Meanwhile, according to the established technique, employees in the healthcare system solve tasks with 68.9% reliability. To determine the usefulness of the application in clinical practice, further research on other populations and larger samples would be sensible.

• Keywords: diploma theses, nursing care, digital nursing technology, education, preparation of therapy