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Date of Award


Degree Type

Restricted Evidence-Based Project Report

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Amy C. Cory


An estimated 1.5 million preventable adverse drug events take place each year in the United States (Institute of Medicine [IOM], 2006, p. 5). The key to understanding medication calculations before medication administration is essential to decreasing medication errors. The purpose of this evidence-based practice project (EBP) was to evaluate whether a high fidelity clinical simulation (HFCS) would improve junior level nursing students’ knowledge of drug calculations, medication preparation, and administration. The model for EBP change and the National League for Nursing (NLN)/ Jeffries simulation framework were used to guide the EBP project. A drug calculation and medication administration test was administered to nursing students in Adult Health (AH) II in weeks two and five of the semester. Two AH II classes were included in the EBP project; one AH II course included the simulation and the other class served as the control. The intervention group (n = 22), completed the drug calculation and administration simulation. The control group (n = 21) received the standard medication administration and drug calculation education. Paired t-tests and independent t-tests were used to evaluate the effectiveness of the simulation by comparing the pre- and post-tests of both groups. The intervention group was also asked to complete the NLN Simulation Design Scale and the NLN Student Satisfaction and Self-Confidence in Learning Survey designed to evaluate students’ perceptions and effectiveness of the simulation workshop. When both groups’ post-tests were compared, there were no significant differences for the total score [t(41) = 1.86, p = .07]; however, the ix intervention group did show a significant improvement from pre to post-test total score [t(21)=-4.23, p=.00]. The control group did not have a significant change in their post-test results [t(20) = -1.6, p = .13]. The NLN survey tool identified student support of the stimulation experience resulted increased drug calculation and medication administration confidence. HFCS can be utilized in nursing education to help student nurses become better prepared and increase their confidence in medication administration in the healthcare setting.