Mathematics Anxiety and Mathematics Self-efficacy in Relation to Medication Calculation Performance in Nurses Page: 16
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orientation, they were less likely to make medication errors than the RNs who failed the test (p <
0.02). There also may be another association of LVN education to RN education related to
performance on a medication administration test. The NCLEX-PN exam is for the LVN
licensure, and the NCLEX-RN exam is for RN licensure. The NCLEX exam is a national exam,
but each state board or nursing legislates and regulates the licensure and practice of the different
types of nurses, LVNs, RNs, and advanced practice nurses such as Nurse practitioners (NPs) and
Nurse Anesthetists (CRNAs). Nurses (RNs and LVNs) have different levels of education,
practice guidelines, and employment expectations.
The LVN has 9-18 months of technical training, and is supervised in the care of stable
predictable patients (TBON, 2010). LVNs have basic technical task-oriented training. A few of
the expected competencies of the LVN are (a) contributes to the plan of care, (b) performs basic
interventions in patient care, (c) has knowledge of fundamental principles of disease prevention,
and (d) health promotion/restoration for individual clients (Poster et al., 2005). The national
exam for LVNs/LPNs is based on the competencies listed above. In order to practice nursing the
LVN has to be supervised by an RN or physician (TBON, 2010).
Nurses working in acute care have a variety of education levels and therefore different
backgrounds in medication calculation training. According to the National League of Nursing
(NLN), one in five licensed nurses working in the United States is an LVN (Kaufman, 2009).
Texas utilizes a mixture LVNs and RNs in acute care patient care. About 25% of all LVNs work
in hospitals (U.S. Dept of Labor, 2011). Many hospitals in Texas have both LVNs and RNs.
Acute care training for LVNs should entail specialized training to work with IVs, certain
procedures, and specialized equipment (if allowed in by the state licensing organization), but that
training is not part of their basic education. In Texas LVNs cannot administer hemodialysis, so
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Melius, Joyce. Mathematics Anxiety and Mathematics Self-efficacy in Relation to Medication Calculation Performance in Nurses, dissertation, May 2012; Denton, Texas. (digital.library.unt.edu/ark:/67531/metadc115119/m1/24/: accessed September 22, 2017), University of North Texas Libraries, Digital Library, digital.library.unt.edu; .