Mathematics Anxiety and Mathematics Self-efficacy in Relation to Medication Calculation Performance in Nurses Page: 17
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the concepts of dialysis treatment and management would not be taught in a Texas LVN
program. In some states LVNs cannot start IVs or administer any IV medication or fluids (LPNs
and IV, 2011), and therefore the education programs in those states would not teach any IV
content. But LVNs in Texas can administer IV medications via peripheral and central lines;
therefore, some of the basic concepts are taught. LVN educators teach basic medication
calculations the same way RN educators do, except many LVN programs do not focus on
detailed IV concepts.
An RN may have an associate of science degree, associate of applied arts, a diploma, or a
baccalaureate of science degree. RNs all take the same national NCLEX-RN exam. Associate
degree RNs are trained to be the bedside acute care nurses with limited amounts of leadership
training. The baccalaureate-prepared RN has leadership, research, and community courses in
addition to the bedside nursing care focus. All RNs are taught critical thinking skills and are
expected to be able to care for all types of patients. The RNs' basic education entails critical
thinking including delegation and leadership skills, complex patient care planning, delivery, and
evaluation (Poster et al., 2005). RNs are the charge nurses, team leaders, and managers in the
acute care nursing units. LVNs must be able to work under close supervision and be able to
follow orders. LVNs also may not perform the duties of charge nurse or team leader in the
hospital setting (Spetz, Dyer, Chapman, & Seago, 2006). The RN has a college degree and is
expected to be more confident and competent in medication calculations, including complex IV
Because a mixture of RNs and LVNs work in acute care and current research does not
delineate whether there are differences between them in regards to mathematics performance,
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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/m1/25/: accessed November 23, 2017), University of North Texas Libraries, Digital Library, digital.library.unt.edu; .