Evaluation of Nursing Students' Crisis Management Skills in Medication Safety Simulation

The population and sample of the study have been calculated:

Number of 3rd and 4th-grade students: 70+71=141

Randomization: All 3rd-and 4th-grade students were included in the sample, and an independent statistician randomized them. Randomization will be done using the simple random sample selection table from the random.org website.

Control Group and Study Group: The research will use a randomized controlled trial design. Participants will be randomly assigned to two groups:

Control Group: The control group will receive standard nursing education and will not receive any additional intervention on drug safety and crisis management topics.

Study Group: The study group will participate in the simulation program and will receive the intervention designed to improve drug safety and crisis management skills.

The intervention will be implemented by providing the simulation program to the study group. The control group will receive standard nursing education but not additional intervention.

Data Collection for Post-test: Following the intervention phase, final test data will be collected from the participants.

Bias Prevention: Data from randomly generated groups will be anonymized with numbers during the research process, and entry into the statistical analysis program will be conducted in this way. Two researchers will be assigned during data entry.

Structured student introduction form: It consists of 6 questions regarding age, gender, economic status, and crisis-related experiences.

Crisis Management Scale: The scale aims to determine the approaches of school administrators to crisis management. The scale consists of 6 sub-dimensions and 45 items. The Cronbach's alpha coefficient of the Crisis Management Scale for nurse administrators is 0.85. In the study conducted with nurse administrators, after examining the internal consistency of the CMS, a reliability value of α = 0.754 was found.

Data Collection: The planned stages of data collection are listed below.

Implementation of the structured student introduction form Ensuring randomization Collection of initial test data Simulation application to the experimental group, conventional teaching method to the control group Collection of final test data

Intervention Content: The intervention aims to develop a simulation program to enhance nursing students' crisis management skills in drug safety. This simulation program will allow students to recognize, assess, and effectively intervene in medication errors in real-world scenarios. The program will include interactive case scenarios, virtual patients, and simulation sessions led by an instructor who provides student feedback. Additionally, learning materials covering topics such as prevention, recognition, and correction of medication errors will be provided.

Duration of the Intervention: The simulation program will be implemented in two stages for participants. The durations set for each stage are as follows:

Pre-test: Nursing students will take a pre-test on drug safety and crisis management topics before starting the simulation program. This test will be used to determine the students' baseline levels. The completion of the pre-test is estimated to take approximately 1 hour.

Simulation Program: The simulation program will be provided to students over several weeks. During this time, students are expected to participate in simulation sessions at specific time intervals and review educational materials on drug safety.

A detailed scenario will be used in this process. Expected behaviors in this scenario form; Knowledge, Skills and Behaviors Required Before the Scenario Knowledge - Explains the importance of drug safety.

• Knows the 8 truths in drug applications.
• Explains patient and employee safety in drug applications
• Explains the term Crisis Management
• Knows crisis management techniques Skill - Apply medication safety procedures
• Takes safety precautions in drug applications
• Applies the 8 truths in drug administration
• Manage the process during and after a crisis
• Uses crisis management techniques Behavior - Believes that medication safety is a key concept in patient and employee safety
• Believes in the necessity of safety precautions in drug administration
• Reflects the 8 truths in medication practices to care.
• Applies crisis management techniques
• Cold-blooded and cooperative behaviors will take place in the crisis management process.

Script Summary Your scenario takes place in the internal medicine ward of a hospital. A 69-year-old patient was admitted to the ward with complaints of dizziness, headache and general condition disorder. The patient was admitted from the emergency room. First intervention was made. The patient's anamnesis was tried to be taken quickly (this is how the nurse expresses it when delivering the patient). The patient has a spouse with him/her. Both the patient and his/her spouse are open to communication. You see the patient in the room for the first time. You are expected to initiate communication with the patient and perform the relevant nursing interventions.

It will include Patient Demographic Data, Standardized Patient / Simulator Features, Roles in the Simulation, and Pre-Information objectives.

Script Process Timing, Simulator Activities Expected Interventions Tips will be followed by focus group discussions using the debriefing session guide (PEARLS) to assess the alignment with the expected outputs in the Simulation Process Evaluation step.

Post-test: After completing the simulation program, students will take a post-test. This test will evaluate the student's progress in drug safety and crisis management skills following the simulation program.

The cris management scale will be used in pre and post tests.

Statistical Analysis of the Data: The data obtained in the research will be analyzed using the SPSS (Statistical Package for Social Sciences) for Windows 25.0