Abstract

This project evaluated the effectiveness of simulation-based learning in improving nursing students’ confidence and self-efficacy in medication administration.

Bandura’s self-efficacy theory guided the design, emphasizing mastery experiences, feedback, and emotional regulation (Bandura, 1977). Lewin’s change theory provided a structured framework for implementation and sustainability through unfreezing, change, and refreezing processes, supporting both student learning and faculty adoption.

This quality improvement project was conducted over one semester with practical nursing students. Structured simulations included standardized prebriefing, guided scenarios, and debriefing. Faculty observations and student reflections were used to assess changes in confidence, self-efficacy, and clinical judgment.

Author Details

Nilda Lopez, DNP(c), MSN, RN, ACUE

Faculty Advisor (nonauthor):  Jennifer Coleman, PhD, RN, CNE, COI, ANEF, FAAN

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Medication Administration, Medication Error Prevention, Simulation-Based Learning, Nursing Education, Experiential Learning, Simulation Methods in Education, Self-Efficacy, Nursing Students, Confidence

Advisor

Jennifer Coleman

Degree

DNP

Degree Grantor

Samford University

Degree Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2026-05-22

Full Text of Presentation

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Additional Files

Abstract.pdf (131 kB)

Student_Comments.pdf (101 kB)

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