Healthcare

Biography

Biography: Allison Wiseman

Abstract

Safe medicines management is a priority nationally and internationally. Professional and regulatory bodies such as the Nursing & Midwifery Council (NMC) mandate safe medicines management for pre-registration students and registrants. Evidence highlights medicines management adverse events continue to raise despite quality assurance initiatives such as medicines management competency assessments of registrants and students. Similarly student nurses are involved in medicines management and adverse events under the supervision of their mentors. Educators have dual responsibility with placement providers to deliver safe and efficacious learning experiences. The PAMMO was designed to develop student nurse’s medicines management skills and knowledge, including error identification, problem solving, decision making, assessment and feedback in a safe and supported learning environment. Phase 1- evaluated the inter-rater reliability of student nurses PAMMO criterion referenced and global scores of safety. Phase 2- identified what informs student’s global scores of safety design and a mixed method exploratory sequential study which evaluates Peer Assessed Medicines Management Objective (PAMMO), as a structured clinical examination for student nurses. Results revealed that phase 1- criterion assessing five rights of medicines management demonstrates the exact agreement (Cohen’s kappa 1.0), global scores demonstrated poor reliability (Cohen’s kappa 0.02) and phase 2- students judgment making fell within two theoretical frameworks in which firstly, social constructivism where assessments were based upon their learning on theoretical and practical basis and views on safe care and secondly, the cognitive continuum- nine modes (Standing, 2010) based on five modes of judgment making. Finally it was concluded that PAMMO may offer educators a cost effective and efficacious way to develop students’ safe medicines practice.