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Developing and Implementing a Simulated Electronic Medication Administration Record for Undergraduate Nursing Education: Using Sociotechnical Systems Theory to Inform Practice and Curricula

Booth, Richard G. PhD, RN; Sinclair, Barbara MScN, RN; Brennan, Laura BScN, RN; Strudwick, Gillian MN, RN

CIN: Computers, Informatics, Nursing: March 2017 - Volume 35 - Issue 3 - p 131–139
doi: 10.1097/CIN.0000000000000309

Knowledge and skills related to medication administration are a fundamental element of nursing education. With the increased use of electronic medication administration technology in practice settings where nurses work, nursing educators need to consider how best to implement these forms of technology into clinical simulation. This article describes the development of a simulated electronic medication administration system, including the use of sociotechnical systems theory to inform elements of the design, implementation, and testing of the system. Given the differences in the medication administration process and workflow generated by electronic medication administration technology, nursing educators should explore sociotechnical theory as a potentially informative lens from which to plan and build curricula related to simulation activities involving clinical technology.

Author Affiliations: Arthur Labatt Family School of Nursing, Western University London (Dr Booth and Mss Sinclair and Brennan); and Lawrence S. Bloomberg Faculty of Nursing University of Toronto, Toronto, Ontario, Canada (Ms Strudwick).

This study was funded in part through a Fellowship in Teaching Innovation Award (to R.B., B.S.), Western University Teaching Support Centre, and a Canadian Association of Schools of Nursing/Canada Health Infoway Digital Health Nursing Faculty Peer Network (R.B., B.S., G.S.) grant.

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Richard G. Booth, PhD, RN, Arthur Labatt Family School of Nursing, Health Sciences Addition H035, 1151 Richmond Street, Western University London, Ontario, Canada N6A 3K7 (

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