DOI: 10.32322/jhsm.2014241 ISSN: 2636-8579

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

Mustafa Belli, Sümeyye Çobankaya, Elif Sarıbey Akay
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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.

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