As numeracy is used in many aspects of a nurse’s role and
is recognized as a key competency for nursing (Nursing and
Midwifery Council, 2002a), experienced Registered Nurses
would be expected to have good numerical skills. Yet, poor
basic numerical skills have not only been identified in many
nursing students but also in Registered Nurses (Lerwill
1999). For example, when Bindler and Bayne (1991)
assessed the calculation ability of 110 experienced US
nurses, they found that 81% achieved test scores of less
than 90% and 44% of less than 70%. Registered Nurses
also demonstrated serious numerical skills deficit in an
Australian study by Cartwright (1996) and in a British study
by Lerwill (1999). In Lerwill’s (1999) study of 54 nurses,
the average score on a basic 10-item numeracy test was
61%, with 32 scoring less than 50%. More recently in the
United Kingdom (UK), Learner (2006) reported that the UK
Nursing and Midwifery Council was extremely concerned
after reports in a newspaper that a third of newly Registered
Nurses (13 out of 40) failed a basic numeracy test (with a
60% pass level) that was set as part of a new selection
process by a public hospital. Furthermore, studies by Conti
and Beare (1988) and Ashby (1997) indicated that competence
in numeracy did not increase with years of nursing
experience and, in the UK, Warburton and Kahn (2007)
found that even experienced and often senior Nurses
attending a non-medical prescribing programme displayed
poor numerical skills. Results such as these led Hutton
(1998) to question whether, if the required competence in
mathematics is not achieved, nurse education is educating
Nurses who are ‘fit to practise’.
As numeracy is used in many aspects of a nurse’s role and
is recognized as a key competency for nursing (Nursing and
Midwifery Council, 2002a), experienced Registered Nurses
would be expected to have good numerical skills. Yet, poor
basic numerical skills have not only been identified in many
nursing students but also in Registered Nurses (Lerwill
1999). For example, when Bindler and Bayne (1991)
assessed the calculation ability of 110 experienced US
nurses, they found that 81% achieved test scores of less
than 90% and 44% of less than 70%. Registered Nurses
also demonstrated serious numerical skills deficit in an
Australian study by Cartwright (1996) and in a British study
by Lerwill (1999). In Lerwill’s (1999) study of 54 nurses,
the average score on a basic 10-item numeracy test was
61%, with 32 scoring less than 50%. More recently in the
United Kingdom (UK), Learner (2006) reported that the UK
Nursing and Midwifery Council was extremely concerned
after reports in a newspaper that a third of newly Registered
Nurses (13 out of 40) failed a basic numeracy test (with a
60% pass level) that was set as part of a new selection
process by a public hospital. Furthermore, studies by Conti
and Beare (1988) and Ashby (1997) indicated that competence
in numeracy did not increase with years of nursing
experience and, in the UK, Warburton and Kahn (2007)
found that even experienced and often senior Nurses
attending a non-medical prescribing programme displayed
poor numerical skills. Results such as these led Hutton
(1998) to question whether, if the required competence in
mathematics is not achieved, nurse education is educating
Nurses who are ‘fit to practise’.
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