Web 2.0 Education for Dose Calculation: An RCT

Summary

This randomized controlled trial aims to examine the effect of Web 2.0-supported education on first-year nursing students' medication dose calculation knowledge, skills, perceived learning, and instructional material motivation. Safe medication administration is a core quality indicator of nursing care, and dose calculation errors remain a significant threat to patient safety. Nursing students frequently experience difficulties in understanding basic concepts, converting units, and performing accurate calculations.

In this study, students enrolled in the Fundamentals of Nursing course at a university in Istanbul, Türkiye, were randomly assigned to either an intervention group or a control group. The intervention group received medication dose calculation education supported by interactive Web 2.0 tools (Canva, Quizizz, Miro, Wordwall, and Socrative), while the control group received the same curriculum content through traditional lecture-based instruction. Both groups also received hands-on medication preparation skills training in the professional skills laboratory.

The primary outcomes are medication dose calculation knowledge and skill levels; secondary outcomes are perceived learning and instructional material motivation. The investigators hypothesize that students receiving Web 2.0-supported education will achieve higher scores on all outcomes compared with students receiving traditional education.

Conditions

• Education, Nursing
• Medication Errors
• Student Nursing
• Web Based Education

Interventions

BEHAVIORAL

Web 2.0-Supported Education

Participants received a two-hour medication dose calculation education delivered through five Web 2.0 tools (Canva, Quizizz, Miro, Wordwall, and Socrative), structured across pre-education, in-education, and post-education phases. Before the session, students received a 15-20 minute orientation to the Web 2.0 tools, a digital education brochure prepared with Canva, and a quiz-format assignment created on Quizizz. Theoretical instruction was delivered through Miro, an interactive shared-board concept-mapping tool. Following the instruction, three educational games of progressively increasing difficulty were implemented via Wordwall. Students then received one hour of medication preparation skills training in the professional skills laboratory based on the "10 rights" of medication administration. The posttest knowledge assessment was administered via Socrative.

BEHAVIORAL

Traditional Lecture-Based Education

Participants received a two-hour medication dose calculation education with identical curriculum content delivered through traditional lecture-based instruction, preceded by a paper-based preparatory assignment. The content covered the concept of medication dose, the importance of dose calculation for patient safety, the nurse's role and responsibilities, unit conversions, ratio-proportion, dose amount calculation, drop-rate calculation, weight-based dosing, dose calculations for different drug forms, and dry powder volume calculation. Students then received one hour of medication preparation skills training in the professional skills laboratory based on the "10 rights" of medication administration.

Sponsors & Collaborators

• Istanbul Medipol University Hospital

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2025-02-24

Primary Completion

2025-04-21

Completion

2025-04-21

Countries

• Turkey (Türkiye)

Study Locations