A Confidence and Preparedness Survey: Cognitive Interviews for Tool Assessment and Nursing Student Perspectives

Safe medication administration is a critical responsibility of registered nurses and is an essential skill developed during nursing education. Student confidence and preparation regarding medication administration are essential aspects of professional skill building. The Confidence and Preparation S...

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Main Authors: Joanne Roman Jones, Jennifer Morgan, Allison A. Lewinski, Ryan Chan, Richard Booth, Liza Behrens, Priscilla K. Gazarian
Format: Article
Language:English
Published: SAGE Publishing 2025-07-01
Series:Global Qualitative Nursing Research
Online Access:https://doi.org/10.1177/23333936251349356
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author Joanne Roman Jones
Jennifer Morgan
Allison A. Lewinski
Ryan Chan
Richard Booth
Liza Behrens
Priscilla K. Gazarian
author_facet Joanne Roman Jones
Jennifer Morgan
Allison A. Lewinski
Ryan Chan
Richard Booth
Liza Behrens
Priscilla K. Gazarian
author_sort Joanne Roman Jones
collection DOAJ
description Safe medication administration is a critical responsibility of registered nurses and is an essential skill developed during nursing education. Student confidence and preparation regarding medication administration are essential aspects of professional skill building. The Confidence and Preparation Survey (CPS) was used previously among homogeneous nursing student samples. The existing dominant discourse, shaped by ideologies and systems, can unfortunately lead to limited perspectives; therefore, the purpose of this study was to evaluate and refine the CPS for feasibility, clarity, and validity among nursing students primarily from groups that have been historically marginalized. A secondary purpose considered the conditions that affect perceived confidence and preparedness. Cognitive interviews were undertaken with baccalaureate nursing students ( n = 11) attending an urban college of nursing in the Northeastern region of the United States. Data were analyzed using rapid qualitative techniques and the framework matrix method. The CPS was readily understood and interpreted by this sample. Student perspectives of conditions that influence their understanding and interpretation of the CPS are described under three themes: (1) prior outside of school healthcare experiences influence understanding, (2) school experiences support survey comprehension, and (3) concerns over insufficient training within school. Findings also include a revised CPS instrument ready for further testing.
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spelling doaj-art-ea0dc021c569458bb5961295dc870d462025-08-20T02:37:20ZengSAGE PublishingGlobal Qualitative Nursing Research2333-39362025-07-011210.1177/23333936251349356A Confidence and Preparedness Survey: Cognitive Interviews for Tool Assessment and Nursing Student PerspectivesJoanne Roman Jones0Jennifer Morgan1Allison A. Lewinski2Ryan Chan3Richard Booth4Liza Behrens5Priscilla K. Gazarian6University of Massachusetts Boston, USAUniversity of Massachusetts Boston, USADuke University, Durham, NC, USAWestern University, London, ON, CanadaWestern University, London, ON, CanadaThe Pennsylvania State University, University Park, USAUniversity of Massachusetts Chan, Worcester, USASafe medication administration is a critical responsibility of registered nurses and is an essential skill developed during nursing education. Student confidence and preparation regarding medication administration are essential aspects of professional skill building. The Confidence and Preparation Survey (CPS) was used previously among homogeneous nursing student samples. The existing dominant discourse, shaped by ideologies and systems, can unfortunately lead to limited perspectives; therefore, the purpose of this study was to evaluate and refine the CPS for feasibility, clarity, and validity among nursing students primarily from groups that have been historically marginalized. A secondary purpose considered the conditions that affect perceived confidence and preparedness. Cognitive interviews were undertaken with baccalaureate nursing students ( n = 11) attending an urban college of nursing in the Northeastern region of the United States. Data were analyzed using rapid qualitative techniques and the framework matrix method. The CPS was readily understood and interpreted by this sample. Student perspectives of conditions that influence their understanding and interpretation of the CPS are described under three themes: (1) prior outside of school healthcare experiences influence understanding, (2) school experiences support survey comprehension, and (3) concerns over insufficient training within school. Findings also include a revised CPS instrument ready for further testing.https://doi.org/10.1177/23333936251349356
spellingShingle Joanne Roman Jones
Jennifer Morgan
Allison A. Lewinski
Ryan Chan
Richard Booth
Liza Behrens
Priscilla K. Gazarian
A Confidence and Preparedness Survey: Cognitive Interviews for Tool Assessment and Nursing Student Perspectives
Global Qualitative Nursing Research
title A Confidence and Preparedness Survey: Cognitive Interviews for Tool Assessment and Nursing Student Perspectives
title_full A Confidence and Preparedness Survey: Cognitive Interviews for Tool Assessment and Nursing Student Perspectives
title_fullStr A Confidence and Preparedness Survey: Cognitive Interviews for Tool Assessment and Nursing Student Perspectives
title_full_unstemmed A Confidence and Preparedness Survey: Cognitive Interviews for Tool Assessment and Nursing Student Perspectives
title_short A Confidence and Preparedness Survey: Cognitive Interviews for Tool Assessment and Nursing Student Perspectives
title_sort confidence and preparedness survey cognitive interviews for tool assessment and nursing student perspectives
url https://doi.org/10.1177/23333936251349356
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