The Self-Efficacy of Nursing Students in Medication Administration to Children

Abstract

Aim: This study aimed to determine the level of self-efficacy of nursing students in administering medications to children and to identify demographic, educational, and clinical factors associated with self-efficacy. Material and Method: This study was a descriptive cross-sectional study. The sample included 260 nursing students from a Turkish university. Data were collected between 10 April 2025 and 21 April 2025. Convenience sampling methods was used to recruit participants. Data were collected using a questionnaire comprising socio-demographic questions and the Medication Administration Self-Efficacy Scale in Children for Nursing Students. The data were analysed using SPSS 22.0. Results: The mean self-efficacy score was 43.63±14.15, indicating a moderate level. Higher self-efficacy was observed in male students, upperclassmen (3rd and 4th year), and those with prior experience or education in paediatric medication administration. Statistically significant associations were found between higher self-efficacy and receiving relevant education, finding that education sufficient, having prior hands-on experience, feeling confident during medication administration, and having adequate dosage calculation knowledge (p<0.05). The most commonly reported challenges faced while treating children included anxious parents (55.4%), fear of failure (37.3%), the child's non-compliance with treatment (33.5%), and lack of dosage knowledge (23.5%). Conclusion: Nursing students’ self-efficacy in paediatric medication administration was moderate and was influenced by experience, education, and confidence. Addressing low self-efficacy is crucial to minimize potential errors and anxiety in paediatric medication administration. It is recommended to enhance practical training and establish supportive educational environments to improve students’ self-efficacy.