Nurse Education Today
Volume 30, Issue 7 , Pages 608-614 , October 2010

Numeracy for nursing, report of a pilot study to compare outcomes of two practical simulation tools – An online medication dosage assessment and practical assessment in the style of objective structured clinical examination

  • Meriel Hutton

      Affiliations

    • Department of Education and Professional Studies, King’s College London, UK
    • Corresponding Author InformationCorresponding author. Address: 71 Westfield Rd. Edgbaston, Birmingham B15 3JF GRB. Tel.:+44 121454 0314.
    • ,
  • Diana Coben

      Affiliations

    • Adult Numeracy, Department of Education and Professional Studies, King’s College London, UK
    • ,
  • Carol Hall

      Affiliations

    • School of Nursing, University of Nottingham, UK
    • ,
  • David Rowe

      Affiliations

    • Department of Sport, Culture and the Arts, University of Strathclyde, UK
    • ,
  • Mike Sabin

      Affiliations

    • NHS Education for Scotland, UK
    • ,
  • Keith Weeks

      Affiliations

    • Faculty of Health, Sport and Science, University of Glamorgan, UK
    • ,
  • Norman Woolley

      Affiliations

    • Faculty of Health, Sport and Science, University of Glamorgan, UK

,Accepted 3 December 2009.

References 

  1. Bartflay W, Romberg R, Howse E, Leblanc R. The OSCE approach in nursing education. Canadian Nurse. 2004;100(3):18–23
  2. Bindler R, Bayne T. Medication calculation ability of Registered Nurses. Journal of Nursing Scholarship. 1991;23(4):221–224
  3. Bliss-Holtz J. Discriminating types of medication calculation errors in nursing practice. Nursing Research. 1994;43(6):373–375
  4. Brown DL. Can you do the math? Mathematic competencies of baccalaureate degree nursing students. Nurse Educator. 2006;31(3):98–100
  5. Coben D. Numeracy, mathematics and adult learning. In:  Gal I editors. Adult Numeracy Development: Theory, Research, Practice. Cresskill, NJ: Hampton Press; 2000;p. 33–50
  6. Coben, D., Hall, C., Hutton, B.M., Rowe, D., Sabin, M., Weeks, K., Woolley, N., 2008. Numeracy for nursing: The case for a benchmark. In: O’Donoghue, J. (Ed.), The Changing Face of Adults Mathematics Education: Learning from the past, planning for the future. Proceedings of ALM-14, the 14th International Conference of Adults Learning Mathematics – A Research Forum (ALM), University of Limerick, Ireland, 26–29 June, 2007. University of Limerick in association with ALM.
  7. Department of Health, 2001. The External Inquiry into the adverse incident that occurred at Queens Medical Centre, Nottingham, 4th January 2001 Chair Prof. Brian Toft.
  8. Glaister K. The Presence of mathematics and computer anxiety in nursing students and their effects on medication dosage calculations. Nurse Education Today. 2006;27(4):341–347
  9. Grandell-Niemi H, Hupli M, Puukka P, Leino-Kilpi H. Finnish nurses’ and nursing students’ mathematical skills. Nurse Education Today. 2006;26(2):151–161
  10. Harden RM, Stevenson M, Downie WW, Wilson GM. Assessment of clinical competence using objective structured examination. British Medical Journal. 1975;447(February):451
  11. Humphris G, Kaney S. Examiner fatigue in communication skills objective structured examinations. Medical Education. 2001;35:444–449
  12. Hutton, B.M., 1997. The Acquisition of Competency in Nursing Mathematics. Unpublished PhD, University of Birmingham, UK.
  13. Hutton M. Nursing Mathematics: the importance of application. Nursing Standard. 1998;13(11):35–38
  14. Hutton, B.M., 1998b. Should nurses carry calculators? In: Coben, D., O’Donoghue, J. (Eds.), Adults Learning Maths-4: Proceedings of ALM-4, the Fourth International Conference of Adults Learning Maths – A Research Forum, University of Limerick, Ireland, July 4–6 1997. Goldsmiths College, University of London, in association with ALM, pp. 164–172.
  15. Jukes L, Gilchrist M. Concerns about numeracy skills of nursing students. Nurse Education in Practice. 2006;6(4):192–198
  16. Kapborg I. Calculation and administration of drug dosage by Swedish nurses, student nurses and physicians. International Journal for Quality in Health Care. 1994;6(4):389–395
  17. Lave J. Cognition in Practice. Cambridge: Cambridge University Press; 1988;
  18. Marshall G, Harris P. A study of the role of an objective structured clinical examination (OSCE) in assessing clinical competence in third year student radiographers. Radiography. 2000;6(2):117–122
  19. Masingila JO. Learning from mathematics in out-of-school situations. For the Learning of Mathematics. 1993;13(2):18–22
  20. MC N. Essential Skills Clusters (ESCs) for Pre-registration Nursing programmes. Annexe 2 to NMC Circular 07/2007. London: Nursing and Midwifery Council; 2007;
  21. NPSA . Safety in Doses: Improving the use of medicines in the NHS. ref 1007. London: National Patient Safety Agency; 2009;
  22. Nunes T, Schliemann AD, Carraher DW. Street Mathematics and School Mathematics. Cambridge: Cambridge University Press; 1993;
  23. OECD . The Definition and Selection of Key Competencies. Executive Summary. Paris: Organisation for Economic Cooperation and Development; 2005;
  24. Rainboth L, DeMasi C. Nursing students’ mathematic calculation skills. Nurse Education in Practice. 2006;6(6):347–353
  25. Reznick R, Regehr G, Yee G, Rothman A, Blackmore D, Dauphnee D. Process rating forms vs. task-specific checklists in an OSCE for medical licensure. Academic Medicine. 1998;73(Suppl. 10):S97–S99
  26. Roberts J, Brown B. Testing the OSCE: a reliable measurement of clinical nursing skills. The Canadian Journal of Nursing Research. 1990;22(1):51–59
  27. Sabin M., 2001. Competence in practice-based calculation: Issues for nursing education. A critical review of the literature. Occasional Paper 3. London: Learning and Teaching Support Network (LTSN) Centre for Health Sciences and Practice.
  28. Schuwirth L, Van der Vleuten C. The use of clinical simulations in assessment. Medical Education. 2003;37(Suppl. 1):65–71
  29. Stroud S, Smith C, Edlund B, Erkel E. Evaluating clinical decision making skills of nurse practitioner students. Clinical Excellence for Nurse Practitioners. 1999;3(4):230–237
  30. Weeks, K.W., 2001. Setting a foundation for the development of medication dosage calculation problem solving skills among novice nursing students. The role of constructivist learning approaches and a computer based ’Authentic World’ learning environment. Unpublished PhD, University of Glamorgan.
  31. Weeks KW, Lyne P, Torrance C. Written drug dosage errors made by students: the threat to clinical effectiveness and the need for a new approach. Clinical Effectiveness in Nursing. 2000;4(1):20–29
  32. Weeks KW, Lyne P, Mosely L, Torrance C. The strive for clinical effectiveness in medication dosage calculation problem solving skills: the role of constructivist theory in the design of a computer-based ‘authentic world’ learning environment. Clinical Effectiveness in Nursing. 2001;5(1):18–25
  33. Wessel J, Williams R, Finch E, Gemus M. Reliability and validity of an objective structured clinical examination for physical therapy students. Journal of Allied Health. 2003;32(4):266–269
  34. Wilson A. Nurses’ maths: researching a practical approach. Nursing Standard. 2003;17(47):33–36
  35. Wright K. A written assessment is an invalid test of numeracy skills. British Journal of Nursing. 2007;16(13):828–832
  36. Wright K. Can effective learning and teaching strategies help nurses to retain drug calculation skills?. Nurse Education Today. 2008;7(28):856–864

PII: S0260-6917(09)00239-1

doi: 10.1016/j.nedt.2009.12.009

Nurse Education Today
Volume 30, Issue 7 , Pages 608-614 , October 2010

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