Journals / Journal of Health Sciences and Medicine / 2026 / Volume: 9 Issue: 6

Perceived patient safety culture and pediatric medication administration self-efficacy among nursing students: a cross-sectional study

Mustafa Belli(MEHMET AKİF ERSOY ÜNİVERSİTESİ)0000-0003-3866-3697
Sümeyye Çobankaya(BURDUR MEHMET AKİF ERSOY ÜNİVERSİTESİ)0009-0009-0798-3867
Elif Sarıbey Akay(BURDUR MEHMET AKİF ERSOY ÜNİVERSİTESİ)0009-0000-8343-4047
Pages
—
Publication Date
2026-10-25
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Further multicenter longitudinal studies incorporating objective performance measures are warranted.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aims: This study examined the association between perceived patient safety culture in medication administration and pediatric medication administration self-efficacy among nursing students.
📊
Key Findings & Data:Methods: This analytical cross-sectional study was conducted at a public university in southwestern Türkiye between May 18 and July 1, 2026.
💡
Conclusion & Impact:Further multicenter longitudinal studies incorporating objective performance measures are warranted.
🔬Design:Modeling & Simulation
📍Scope:2026 Verileri
⚙️Variables:Students · Patient Safety · Medication Errors

Abstract

Aims: This study examined the association between perceived patient safety culture in medication administration and pediatric medication administration self-efficacy among nursing students. Methods: This analytical cross-sectional study was conducted at a public university in southwestern Türkiye between May 18 and July 1, 2026. The analysis included 200 third- and fourth-year nursing students who had participated in pediatric nursing education and provided complete data. Data were collected using the Student Descriptive Information Form, the Patient Safety Culture Scale in Medication Administration, and the Pediatric Medication Administration Self-Efficacy Scale for Nursing Students. Associations were examined using Pearson correlation and multiple linear regression adjusted for prespecified covariates. Results: The participants’ mean age was 21,77 ± 1,23 years. Mean total scores were 56,95 ± 16,48 for perceived patient safety culture and 47,72 ± 13,62 for pediatric medication administration self-efficacy. The two scores were moderately positively correlated (r = 0,422; 95% confidence interval [CI], 0,301–0,530; p < 0,001). Perceived patient safety culture remained independently associated with self-efficacy after adjustment for age, sex, year of study, academic achievement, previous medication or patient safety training, and witnessing a medication error (B = 0,358; 95% CI, 0,251–0,465; p < 0,001). The adjusted model explained 19,8% of the variance. Conclusion: More positive perceptions of patient safety culture in medication administration were associated with higher pediatric medication administration self-efficacy. These cross-sectional, self-reported findings do not establish causality or demonstrate safer clinical performance. Further multicenter longitudinal studies incorporating objective performance measures are warranted.

🔖

Cite This Article

Belli, M., Çobankaya, S., Akay, E. S. (2026). Perceived patient safety culture and pediatric medication administration self-efficacy among nursing students: a cross-sectional study. Journal of Health Sciences and Medicine, Volume: 9 Issue: 6. https://ajindex.com/articles/1668054

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (30)

  1. World Health Organization. Medication without harm: policy brief. World Health Organization; 2024. Accessed August 6, 2026. https://www.who.int/publications/i/item/9789240062764
  2. World Health Organization. Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. World Health Organization; 2021. Accessed August 6, 2026. https://www.who.int/publications/i/item/9789240032705
  3. dos Santos Sousa VT, da Silva Fernandes E, Barros LM, et al. Factors associated with medication administration by nursing students: a scoping review. Nurse Educ Pract. 2025;88:104535. doi:10.1016/j.nepr.2025.104535
  4. Hnatyshyn T, Ens T, Estefan A, Kirkpatrick M. Nursing students’ perceptions regarding teaching and learning practices that promote safe medication administration. Nurs Educ Perspect. 2025;46(1):49-51. doi:10.1097/01.NEP.0000000000001247
  5. Schroers G, Ross JG, Moriarty H. Medication administration errors made among undergraduate nursing students: a need for change in teaching methods. J Prof Nurs. 2022;42:26-33. doi:10.1016/j.profnurs.2022.05.012
  6. Irvine S, Whiteing N, Andrew S. Assessment of undergraduate nursing students’ medication administration competency: a systematic review. Nurse Educ Today. 2025;151:106744. doi:10.1016/j.nedt.2025.106744
  7. Tomas N, Fillipus PN. Perceptions of undergraduate nursing students regarding their competency in administering medications: a qualitative study. Nurse Educ Pract. 2024;79:104098. doi:10.1016/j.nepr.2024.104098
  8. Öztürk Şahin Ö, Aközlü Z, Taşdelen Y. Pediatric nursing students’ self-efficacy regarding medication administration and clinical comfort and worry: a pre-posttest comparative study of nurse mentoring versus peer mentoring. Nurse Educ Pract. 2023;71:103712. doi:10.1016/j.nepr.2023.103712
  9. Tok Özen A, Çetin Y. Patient Safety Culture Scale in Medication Administration: a scale development study. Cyprus J Med Sci. 2024;9(4): 273-281. doi:10.4274/cjms.2024.2023-130
  10. Gore J, Schrems B. Factors influencing the development of patient safety culture in the undergraduate nursing student population-an integrative review. J Adv Nurs. 2025;81(12):8529-8563. doi:10.1111/jan.16880
  11. Bartoníčková D, Kohanová D, Cakirpaloglu SD, Steven A, Žiaková K. Exploring nursing students’ perspectives on patient safety culture in clinical settings: a mixed-method study. J Clin Nurs. 2025;34(7):2702-2717. doi:10.1111/jocn.17812
  12. Kohanová D, Gurková E, Palese A, et al. Patient safety competencies, clinical learning environment and unfinished care from the perspective of nursing students: a multinational study. J Clin Nurs. 2026;35(10):4333-4351. doi:10.1111/jocn.70379
  13. Tuncay S, Şahin A, Akça K, Arıkan D. Detection of drug medication errors of nursing students in pediatric patients through a hospital simulation. Ege Univ Hemsire Fak Derg. 2021;37(2):121-129. doi:10.53490/egehemsire.873143
  14. Lin FY, Wu WW, Lin HR, Lee TY. The learning experiences of student nurses in pediatric medication management: a qualitative study. Nurse Educ Today. 2014;34(5):744-748. doi:10.1016/j.nedt.2013.08.004
  15. Butun A, Ertekin K. Determining the self-evaluation levels of nursing students’ competency in child patient safety. BMC Nurs. 2025;24(1):1436. doi:10.1186/s12912-025-04085-7
  16. Bektaş İ, Yardımcı F, Bektaş M. Hemşirelik öğrencileri için Çocuklarda İlaç Uygulamaları Öz-Yeterlilik Ölçeği’nin geliştirilmesi ve psikometrik özellikleri. Dokuz Eylul Univ Hemsire Fak Elektron Derg. 2021;14(4):320-327. doi:10.46483/deuhfed.915286
  17. Akça K, Berşe S. Nursing students’ self-efficacy and clinical decision-making in the context of medication administration to children: a descriptive-correlational study. Nurse Educ Pract. 2023;72:103775. doi:10.1016/j.nepr.2023.103775
  18. Belli M, Uslu N. Investigation of the relationship between mathematics anxiety of nursing students and their self-efficacy in drug administration in children. Nurse Educ Pract. 2025;83:104254. doi:10.1016/j.nepr.2025.104254
  19. Can Gezer M, Küçük Alemdar D. The mediating role of pediatric nursing competence in the relationship between pediatric drug administration self-efficacy and medical error tendency in nursing students. Nurse Educ Pract. 2024;79:104067. doi:10.1016/j.nepr.2024.104067
  20. Butun A, Özbay H, Filoglu Ersü N. The mediating role of self-esteem in the relationship between nursing students’ self-efficacy in paediatric medication administration and their self-confidence-anxiety levels in clinical decision-making. BMC Nurs. 2025;24(1):734. doi:10.1186/s12912-025-03168-9
  21. Chan R, Booth R, Strudwick G, Sinclair B. Nursing students’ perceived self-efficacy and the generation of medication errors with the use of an electronic medication administration record (eMAR) in clinical simulation. Int J Nurs Educ Scholarsh. 2019;16(1):20190014. doi:10.1515/ijnes-2019-0014
  22. Kan Öntürk Z, Şancı Y. Safe drug administration in pediatric nursing education: a quasi-experimental design study. J Nursol. 2023;26(2):127-134. doi:10.5152/JANHS.2023.22156
  23. Bowling AM. The effect of simulation on skill performance: a need for change in pediatric nursing education. J Pediatr Nurs. 2015;30(3):439-446. doi:10.1016/j.pedn.2014.12.010
  24. von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Med. 2007;4(10). doi:10.1371/journal.pmed.0040296
  25. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-1160. doi:10.3758/BRM.41.4.1149
  26. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Lawrence Erlbaum Associates; 1988.
  27. Bandura A. Self-Efficacy: The Exercise of Control. W.H. Freeman; 1997.
  28. Shahzeydi A, Dianati M, Kalhor F. Clinical simulation in nursing students’ safe medication administration: a systematic review. Iran J Nurs Midwifery Res. 2024;29(5):522-529. doi:10.4103/ijnmr.ijnmr_323_23
  29. Son MS, Yim M, Ji ES. Development and evaluation of a neonatal intensive care unit medication safety simulation for nursing students in South Korea: a quasi-experimental study. Child Health Nurs Res. 2022;28(4):259-268. doi:10.4094/chnr.2022.28.4.259
  30. Podsakoff PM, MacKenzie SB, Lee JY, Podsakoff NP. Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol. 2003;88(5):879-903. doi:10.1037/0021-9010.88.5.879