Effect of Exposure to Asynchronous Virtual Clinical Environments on Actual/ Perceived Competence in Drug Dosage Calculation: A Pilot Study

Main Article Content

Sandra Goldsworthy
Keith Weeks
Naim Abdulmohdi
Sue Baron
Karey McCullough
Nita Muir
Kim Sears
Alex Weeks
Grace Perez
Laurence Moseley
Matt Brown
David Pontin

Abstract

Introduction: Nursing students are expected to be ‘practice ready’ on qualifying. This includes safe medication
administration. This pilot study investigates the relationship between exposure duration to asynchronous virtual
drug dosage calculation scenarios and nursing student actual and perceived competence.Methodology design
planned for larger scale main study was tested and piloted.
Methods: A randomised quasi-experimental research design (pre- and post-test) was used. Purposive sampling
was used to recruit six groups of second/third-year pre-registration undergraduate nursing students from six sites
(UK and Canada). Students were randomly assigned to four groups of different exposure to the safeMedicate®
COVID-19 education module.
Results: Student actual competence increased across all four groups, and their perceived competence mirrored
this. There was no clear dose-response relationship demonstrated.
Conclusion: Valuable insights into the effects of asynchronous virtual learning on drug dosage calculation
competence among nursing students were generated. Improvement in actual and perceived competence was
found, but no clear dose-response relationship. Further research on a larger scale is needed to explore the impact
of instructional design, feedback, and interaction on learning outcomes.

Article Details

How to Cite
Effect of Exposure to Asynchronous Virtual Clinical Environments on Actual/ Perceived Competence in Drug Dosage Calculation: A Pilot Study. (2026). International Journal of Nursing Education, 18(1), 55-66. https://doi.org/10.37506/c240e752
Section
Original Article
Author Biographies

Sandra Goldsworthy, PhD, MSc, RN, CNCC(C), CMSN(C), CCSNE, Professor and Chair, School of Nursing and Midwifery, Mount Royal University, Calgary, Alberta.

PhD, MSc, RN, CNCC(C), CMSN(C), CCSNE, Professor and Chair, School of Nursing and Midwifery,
Mount Royal University, Calgary, Alberta.

Keith Weeks, PhD, RN Authentic World, UK

PhD, RN Authentic World, UK

Naim Abdulmohdi, PhD, RGN ,Anglia Ruskin University, Chelmsford, UK

PhD, RGN ,Anglia Ruskin University, Chelmsford, UK

Sue Baron, PhD, RN, RNT Bournemouth University, Poole, UK

PhD, RN, RNT Bournemouth University, Poole, UK

Karey McCullough, PhD, RN Nipissing University, North Bay, ON, Canada

PhD, RN Nipissing University, North Bay, ON, Canada

Nita Muir, PhD, RN Queen’s University, Kingston, ON, Canada, University of Chichester, Chichester, UK

PhD, RN Queen’s University, Kingston, ON, Canada, University of Chichester, Chichester, UK

Kim Sears, JBI Queen’s Collaboration for Health Care Quality, School of Nursing, Queen’s University, Kingston, Ontario, Canada

JBI Queen’s Collaboration for Health Care Quality, School of Nursing, Queen’s University, Kingston, Ontario, Canada

Alex Weeks, BSc Mathematics Authentic World, UK

BSc Mathematics Authentic World, UK

Grace Perez, MSc University of Calgary, Calgary, AB, Canada

MSc University of Calgary, Calgary, AB, Canada

Laurence Moseley, PhD Authentic World, UK

PhD Authentic World, UK

Matt Brown, BA (Hons) Authentic World,UK

BA (Hons) Authentic World,UK

David Pontin, PhD, RN Numeric Generics, UK

PhD, RN Numeric Generics, UK

How to Cite

Effect of Exposure to Asynchronous Virtual Clinical Environments on Actual/ Perceived Competence in Drug Dosage Calculation: A Pilot Study. (2026). International Journal of Nursing Education, 18(1), 55-66. https://doi.org/10.37506/c240e752

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