Evaluation of a Gamified Electronic Medication Administration Record (eMAR) System

Nurse's Role Clinical Trial

Official title:

A Mixed-methods Evaluation of a Gamified Electronic Medication Administration Record (eMAR) System for Use in the Simulated Nursing Education

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03219151
• Other study ID #: RI-WEST03
• Status: Completed
• Phase: N/A
• Start date: September 29, 2017
• Est. completion date: April 30, 2018

Study information

• Verified date: May 2017
• Source: Western University, Canada
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This research project will evaluate a gamified electronic medication administration record (eMAR) system simulator as a mechanism to improve students' learning of medication administration in simulated clinical education. The gamified eMAR simulator will be evaluated using a pragmatic randomized controlled trial design in order to determine the effectiveness of the game as a technology-enabled, online learning intervention.

Description:

The main objective of this study is to examine whether the use of a gamified medication administration simulator improves nursing students' medication administration safety within simulated practice; increases student self-efficacy and knowledge of the medication administration process; and, improves motivational and cognitive processing attributes related to student learning in a technology-enabled environment. It is hoped that by completing this trial, the effectiveness of using an eMAR simulator as an educational tool to better prepare nursing students to administer medications using eMAR technology for practice will be ascertained.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 115
• Est. completion date: April 30, 2018
• Est. primary completion date: March 31, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• (1) second year nursing students; and, (2) partaking in clinical simulated education in either in Fall 2017 or Winter 2018 semesters.

Exclusion Criteria:

• (1) A student who is not enrolled the BScN program at the respective site of data collection, in Fall 2017 or Winter 2018.

Related Conditions & MeSH terms

• Medication Administered in Error
• Nurse's Role
• Simulation of Physical Illness

Intervention

Device:
• eMAR game
The eMAR simulator videogame affords students a virtual and immersive opportunity to practice medication administration using an eMAR system, in a structured fashion that provides real-time feedback related to best-practices and safety compliance of the medication process

Other:
• Normal pre-work
Participants complete normal education pre-work related to eMAR administration, in advance of simulated return-demonstration

Locations

Country	Name	City	State
Canada	Western University	London	Ontario

Sponsors (7)

Lead Sponsor	Collaborator
Western University, Canada	Centre for Addiction and Mental Health, eCampusOntario, London Health Sciences Centre, St. Joseph's Health Care London, Texas Tech University Health Sciences Center, Wilfrid Laurier University

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Frequency of medication errors	Number medication errors generated by nursing students, as assessed by a previously modified researcher-developed rubric that assists observers to quantify the number of medication errors generated during a return-demonstration in clinical simulation (DOI:10.1097/NNE.0000000000000361 / 10.1016/j.ecns.2017.05.016). The quantity of medication errors are codified in six categories: infection control; assessment; verification; scan; administration; documentation.	weeks 6-9
Secondary	Self-efficacy of eMAR medication administration instrument	Self-efficacy of eMAR medication process will be assessed through a pre/post survey. The scale is 6 item scale (1=not confident; 7=absolutely confident). The higher the index, the higher an individual's perceived self-efficacy toward eMAR medication administration. Used as a pre/post test, this instrument will measure changes over time related to eMAR medication administration self-efficacy	weeks 4-9
Secondary	Game motivational and cognitive attributes of participants instrument	Cross-sectional data will be collected using questions modified from the Huang et al. (2011) validated instrument that measures motivational (i.e., attention, relevance, confidence, satisfaction) and cognitive processing of learning in technology-enabled environments (20 questions, Cronbach's alpha = 0.91). This composite outcome is reported through tests of dimensionality, using a canonical correlational analysis, providing standardized coefficients between the instrument's sub-components.	week 9
Secondary	Knowledge of eMAR medication administration instrument	Knowledge of eMAR medication process will be assessed through a pre/post survey. The scale is 8 item scale (1=not prepared; 7=absolutely prepared). The higher the index, the higher an individual's perceived knowledge toward eMAR medication administration. Used as a pre/post test, this instrument will measure changes over time related to eMAR medication administration knowledge	weeks 4-9