(51) Reel Learning in Action: Strengthening Medication Administration Skills through Video-Based Deliberate Practice

Introduction/Background
During simulations, faculty noticed a trend with deficient injectable medication preparation skills by senior nursing students. They identified limited performance opportunities after initial training as a contributor. Educators developed a medication preparation video assignment in a medical/surgical nursing course to enhance student competency in safe and effective medication administration. Self-directed skills practice using video-based self-recordings appears to increase communication skills, competency, and motivation of clinical skills in nursing students (Yoo & Yoo, 2010). Sterling-Fox et al., (2020), also noted increased frequency of practice, quality of skill demonstration and identification of skill remediation was uncovered during this exercise.

Guiding Framework
Kolb's Experiential Learning Theory guided this assignment, emphasizing a cycle of concrete experience, reflective observation, abstract conceptualization, and active experimentation (Kolb, 1984). Elements of Ericsson’s Deliberate Practice theory, including specific goals, immediate feedback, and motivation, informed the assignment creation (Ericsson, 2004).

Project Description
During deliberate practice sessions, students recorded themselves preparing medications following a checklist. They practiced and recorded multiple times refining their skills. Repetitive practice enabled students to evaluate their performance, receive feedback, and perfect their technique.

Target Population/Setting
The project involved senior-level, 4-year baccalaureate nursing students in a skills lab setting.

Outcomes/Evaluation
Faculty collected anecdotal feedback. Students described increased confidence and a stronger grasp of procedural and safety aspects, attributing their growth to the repetitive practice.

Discussion/Conclusion

This project bridges theoretical knowledge with practical skill application and may prepare students for real-world clinical settings. It promotes safe and effective medication administration through ongoing improvement and hands-on learning.