ArticlesComparing the Effects of Traditional Education and Root-Cause Analysis on Nursing Students' Attitudes About Safety Culture and Knowledge of Safe Medication Administration Practices An Experimental StudyMiller, Kristi Sanborn PhD, RN, CPPS, HnB-BC, CNE Author Information Assistant Professor, Mary Black School of Nursing, University of South Carolina Upstate, Spartanburg. Correspondence: Dr Miller, Mary Black School of Nursing, 800 University Way, Spartanburg, SC 29303 ([email protected]). The datasets generated during and/or analyzed during the current study are not publicly available but are available from the corresponding author on reasonable request. The author declares no conflicts of interest. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.nurseeducatoronline.com). Accepted for Publication: August 27, 2021 Early Access: October 27, 2021 Cite this article as: Miller, KS. Comparing the effects of traditional education and root-cause analysis on nursing students' attitudes about safety culture and knowledge of safe medication administration practices: an experimental study. Nurse Educ. 2022;47(3):139-144. doi: 10.1097/NNE.0000000000001126 Nurse Educator: May/June 2022 - Volume 47 - Issue 3 - p 139-144 doi: 10.1097/NNE.0000000000001126 Buy SDC Metrics Abstract Background: Root-cause analysis (RCA) has been used for decades to support a culture of safety in health care institutions. Although RCA has been recommended for inclusion in a nursing curriculum, little research has been conducted on educational strategies or outcomes. Purpose: The study aims were to compare differences in attitudes about safety culture and knowledge of safe medication administration after education about RCA (intervention) versus traditional safe medication administration education (control) and to provide psychometric data for the Safety Attitudes Questionnaire (SAQ) with nursing students. Methods: An experimental pretesfy/posttest study was conducted in 3 schools of nursing (N = 117). Results: Although there was no significant difference in outcomes between the control and intervention groups, increases in SAQ scores were observed for the intervention group. The Cronbach's α for the SAQ was .93. Conclusions: The SAQ is a reliable instrument for measuring safety culture in schools of nursing. © 2021 Wolters Kluwer Health, Inc. All rights reserved.