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Ghasempour M, Ghahramanian A, Zamanzadeh V, Valizadeh L, Killam LA, Asghari-Jafarabadi M, Purabdollah M. Identifying self-presentation components among nursing students with unsafe clinical practice: a qualitative study. BMC MEDICAL EDUCATION 2023; 23:524. [PMID: 37480066 PMCID: PMC10362558 DOI: 10.1186/s12909-023-04486-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 06/30/2023] [Indexed: 07/23/2023]
Abstract
BACKGROUND Maintaining patient safety is a practical standard that is a priority in nursing education. One of the main roles of clinical instructors is to evaluate students and identify if students exhibit unsafe clinical practice early to support their remediation. This study was conducted to identify self-presentation components among nursing students with unsafe clinical practice. METHODS This qualitative study was conducted with 18 faculty members, nursing students, and supervisors of medical centers. Data collection was done through purposive sampling and semi-structured interviews. Data analysis was done using conventional qualitative content analysis using MAXQDA10 software. RESULTS One main category labelled self-presentation emerged from the data along with three subcategories of defensive/protective behaviors, assertive behaviors, and aggressive behaviors. CONCLUSION In various clinical situations, students use defensive, assertive, and aggressive tactics to maintain their professional identity and present a positive image of themselves when they make a mistake or predict that they will be evaluated on their performance. Therefore, it seems that the first vital step to preventing unsafe behaviors and reporting medical errors is to create appropriate structures for identification, learning, guidance, and evaluation based on progress and fostering a growth mindset among students and clinical educators.
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Affiliation(s)
- Mostafa Ghasempour
- Students’ Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Akram Ghahramanian
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
- Medical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Vahid Zamanzadeh
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Leila Valizadeh
- Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Laura A. Killam
- School of Health Sciences, Nursing, and Emergency Services, Cambrian College, Sudbury, ON Canada
- School of Nursing, Nipissing University, North Bay, ON Canada
| | - Mohammad Asghari-Jafarabadi
- Cabrini Research, Cabrini Health, Malvern, VIC 3144 Australia
- Biostatistics Unit, School of Public Health and Preventative Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3004 Australia
- Department of Psychiatry, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC 3168 Australia
- Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Majid Purabdollah
- Students’ Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
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Taylor C, Heaton L, Parrish TL, Salamonson Y. Utility of online interactive case studies in preparation for the first clinical placement among nursing students: A cross-sectional study. TEACHING AND LEARNING IN NURSING 2023. [DOI: 10.1016/j.teln.2023.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2023]
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Bam V, Safowaa A, Lomotey AY, Nkansah AS. Nursing students' perception of medical errors: A cross-sectional study in a university. Nurs Open 2021; 8:3152-3160. [PMID: 34363437 PMCID: PMC8510776 DOI: 10.1002/nop2.1028] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Revised: 07/01/2021] [Accepted: 07/25/2021] [Indexed: 11/11/2022] Open
Abstract
AIM To assess the perception of nursing students on medical errors. DESIGN A descriptive cross-sectional survey. METHOD Data were collected from March-April 2019 in a university in Ghana from two hundred (200) students using simple random sampling and analysed with SPSS version 21. RESULTS Mean age of respondents was 22.64 years. Medication error was perceived as the most common medical errors (MEs; 76%). Negligence was perceived as the most common cause of MEs (80.5%); nurses and doctors (84.5%-89.5%) were considered as staff who make most MEs. Respondents perceived that students commit MEs due to less knowledge about procedures (79%) and inadequate supervision (77%) in the clinical setting. CONCLUSION Medication errors were observed as the most common of MEs that can affect patients' safety. Taking prudent measures in addressing this can reduce MEs in health facilities. Enhanced supervision and effective ways of teaching drug administration are recommended.
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Affiliation(s)
- Victoria Bam
- Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Adwoa Safowaa
- Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.,University Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | - Abena Safoa Nkansah
- Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
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Dimitriadou M, Merkouris A, Charalambous A, Lemonidou C, Papastavrou E. The knowledge about patient safety among undergraduate nurse students in Cyprus and Greece: a comparative study. BMC Nurs 2021; 20:110. [PMID: 34172054 PMCID: PMC8234646 DOI: 10.1186/s12912-021-00610-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Accepted: 05/25/2021] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND The Patient safety movement contributed to the reduction of preventable adverse events associated with health care. Although patient safety issues have received the attention of educators in the health care studies, there is evidence that in nursing education and the associated curricula it is not well-incorporated. This may not allow students to acquire scientific knowledge and develop strong competencies to assure patient safety throughout their professional life. The aım of the study was the exploration of the undergraduate nursing student perspectives regarding knowledge received during their training about patient safety-related issues. METHODS A descriptive comparative study was conducted with three and four-year undergraduate nursing students from the Cyprus Republic (n = 243) and Greece (n = 367). All students were surveyed using the Health Professional Education Patient Safety Survey (H-PEPSS) to describe students' knowledge in the classroom and clinical setting. RESULTS Students' Knowledge about patient safety was expressed significantly higher (p < 0.001) in the classroom (mean = 4.0) than the clinical setting (3.7) (1-5 scale). The knowledge in the dimension "clinical aspects" received the highest score and "working in teams" received the lowest. Also, differences were recorded between countries wıth Cypriot students reporting hıgher level of knowledge than the Greek students in most of the dimensions. CONCLUSıON: The findings revealed the gap between theory and practice and the need for collaboration between the two settings. Also, students reported relatively higher knowledge with regards to the technical aspects of patient safety. Still, they were less knowledgable about the sociocultural aspects of the patient, such as working in teams.
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Affiliation(s)
- Maria Dimitriadou
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, 15 Vragadinou Str, 3041 Limassol, Cyprus
| | - Anastasios Merkouris
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, 15 Vragadinou Str, 3041 Limassol, Cyprus
| | - Andreas Charalambous
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, 15 Vragadinou Str, 3041 Limassol, Cyprus
| | - Chrysoula Lemonidou
- Department of Nursing, National and Kapodistrian University, 123 Papadiamadopoulou str, 11517 Goudi, Athens, Greece
| | - Evridiki Papastavrou
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, 15 Vragadinou Str, 3041 Limassol, Cyprus
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Brown J, Kelly MA, McGough S, Fagence A, Bosco AM, Mason J, Albrecht MA. The Impact of Simulation on Graduate Entry Master's Students' Confidence to Provide Safe Patient Care: A Longitudinal Study. Clin Simul Nurs 2020. [DOI: 10.1016/j.ecns.2019.12.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Bickel AE, Villasecas VX, Fluxá PJ. Characterization of adverse events occurring during nursing clinical rotations: A descriptive study. NURSE EDUCATION TODAY 2020; 84:104224. [PMID: 31670227 DOI: 10.1016/j.nedt.2019.104224] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Revised: 08/14/2019] [Accepted: 09/17/2019] [Indexed: 06/10/2023]
Abstract
INTRODUCTION Patient safety is a pillar of quality health care. Nursing students may commit errors during clinical practice, compromising patient safety. OBJECTIVE Analyze the adverse events, as well as the factors associated with the errors, reported by students from a private university in Santiago, Chile during nursing clinical rotations. METHODS Quantitative cross-sectional descriptive study. A total of 68 errors by first- through fifth-year nursing students were reported between 2012 and 2018. The data collection instrument was the Adverse Events Notification Form from the School of Nursing. This form documented information about the study as well as about the event. RESULTS After this reporting system was established in 2012, the number of events reported increased steadily each year. The greatest numbers of reported errors were committed by fifth-year students (73.5%), and the most common type of error was associated with medication administration (94.2%), including incorrect dose (27.9%) and incorrect medication (17.6%). The major factors contributing to errors were failure to review the "10 rights of medication administration" (85.3%) or lack of critical judgment (7.4%). Most of the errors occurred in public institutions (72.1%). CONCLUSION The results suggest that it would be beneficial to re-evaluate how safety and quality of care are taught at the school of nursing, with an emphasis on understanding the learning styles of students and teaching strategies of instructors. It is crucial that the academic institution remain actively involved in teaching safety-related skills to future nursing professionals. Furthermore, we suggest modifications to the adverse events reporting system that would avoid the need for personal interpretations of the event by the student.
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Monique K, Elizabeth A, Lise O, Lisa M. Unsafe student nurse behaviours: The perspectives of expert clinical nurse educators. Nurse Educ Pract 2019; 41:102628. [DOI: 10.1016/j.nepr.2019.102628] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2018] [Revised: 07/16/2019] [Accepted: 09/18/2019] [Indexed: 10/26/2022]
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Torres GCS, Paragas ED. Social determinants associated with the quality of life of baccalaureate nursing students: A cross-sectional study. Nurs Forum 2019; 54:137-143. [PMID: 30332518 DOI: 10.1111/nuf.12306] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2018] [Revised: 09/12/2018] [Accepted: 09/26/2018] [Indexed: 05/22/2023]
Abstract
BACKGROUND There is a paucity of studies that have explored the quality of life (QoL) of nursing students in the Philippines. OBJECTIVES The study assessed the QoL and identified the social determinants associated with the four domains of QoL among nursing students. METHODS This cross-sectional study was conducted among 444 randomly selected baccalaureate nursing students in a university in the Philippines. The QoL was determined using an adapted WHOQOL-BREF questionnaire (∝ = 0.89). Multiple linear regression determined the association between the variables of the study. RESULTS The students exhibited better scores in social relationships and environment than psychological and physical health domains of QoL. Physical health was significantly correlated to sex, hours of sleep, and medical condition, whereas sex, year level, academic load, hours of sleep, and medical condition were correlated to psychological domain. However, no significant association was noted between the factors and social relationships, but monthly allowance was positively correlated with the environment domain. CONCLUSIONS Various social determinants influence the QoL; thus, it is essential to be considered as a critical element in planning the curriculum to improve the QoL among baccalaureate students.
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Affiliation(s)
- Gian Carlo Sy Torres
- College of Nursing, University of Santo Tomas, España Blvd., Sampaloc, Manila, Philippines
| | - Emmanuel Dayao Paragas
- College of Nursing, University of Santo Tomas, España Blvd., Sampaloc, Manila, Philippines
- Nursing Services Department, J.W. Ruby Memorial Hospital, West Virginia University Medicine, Morgantown, West Virginia
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Montgomery P, Mossey S, McCauley K. Priorities for Supportive Housing Services: Perspectives of People With Mental Illness in Northeastern Ontario. Can J Nurs Res 2019; 51:264-273. [PMID: 30871371 DOI: 10.1177/0844562119835730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background Accessible, appropriate, and affordable housing is recognized as essential for the well-being of all Canadians. Securing and maintaining housing tenure for individuals living with chronic health and social challenges can be compromised without appropriate services. There has been limited research into the priorities to enhance supportive housing services from the perspective of individuals living with mental illness in smaller urban and rural communities. Purpose The purpose was to describe the priorities for supportive housing from the viewpoints of tenants recovering from mental illness in northeastern Ontario. Methods This descriptive study used Q methodology to engage 52 adults regarding their impressions about enhancing supportive housing services. Participants ranked 39 housing and support priority statements on a nine-point Likert-type scale. Results Four discrete viewpoints about priorities for supportive housing were building a home, letting others in, moving outside the walls, and accessing personalized services. Common across these viewpoints was the need to increase financial assistance offered through existing programs. Conclusions Fostering individual pathways to recovery involves mitigating health and social disparities, relative to supportive housing, one size does not fit all. Service providers and decision makers are compelled to situate each individual within an evidence-informed supportive housing system for citizenship.
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Palese A, Gonella S, Grassetti L, Mansutti I, Brugnolli A, Saiani L, Terzoni S, Zannini L, Destrebecq A, Dimonte V. Multi-level analysis of national nursing students' disclosure of patient safety concerns. MEDICAL EDUCATION 2018; 52:1156-1166. [PMID: 30345687 DOI: 10.1111/medu.13716] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Revised: 04/09/2018] [Accepted: 07/18/2018] [Indexed: 05/28/2023]
Abstract
CONTEXT Error reporting is considered one of the most important mediating factors for patient safety (PS). However, reporting errors can be challenging for health care students. OBJECTIVES The aims of the study were: (i) to describe nursing students' opportunity to report errors, near misses or PS issues that emerged during their clinical learning experience; and (ii) to explore associated factors of the process of reporting itself. METHODS A national survey was conducted on 9607 (91.7%) undergraduate nursing students. The endpoint was to have reported PS issues in the last clinical learning experience (from 0 'never' to 3 'always'). Explanatory variables were set individual, nursing programme and regional levels. RESULTS A total of 4004 (41.7%) nursing students reported PS issues from 'never/rarely' to 'sometimes'. In the multi-level analysis, factors increasing the likelihood of reporting events affecting PS have been mainly at the nursing programme level: specifically, higher learning opportunities (odds ratio [OR] = 3.040; 95% confidence interval [CI], 2.667-3.466), self-directed learning opportunities (OR = 1.491; 95% CI, 1.364-1.630), safety and nursing care quality (OR = 1.411; 95% CI, 1.250-1.594) and quality of tutorial strategies OR = 1.251; 95% CI, 1.113-1.406). By contrast, being supervised by a nurse teacher (OR = 0.523; 95% CI, 0.359-0.761) prevented the disclosure of PS issues compared with being supervised by a clinical nurse. Students attending their nursing programmes in some Italian regions showed a higher likelihood (OR from 1.346 to 2.938) of reporting PS issues compared with those undertaking their education in other regions. CONCLUSIONS Nursing students continue to be reticent to report PS issues. Given that they represent the largest generation of future health care workers, their education regarding PS should be continuously monitored and improved; moreover, strategies aimed at developing a non-blaming culture should be designed and implemented both at the clinical learning setting and regional levels.
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Stevanin S, Causero G, Zanini A, Bulfone G, Bressan V, Palese A. Adverse events witnessed by nursing students during clinical learning experiences: Findings from a longitudinal study. Nurs Health Sci 2018; 20:438-444. [DOI: 10.1111/nhs.12430] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2017] [Revised: 03/15/2018] [Accepted: 03/23/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Simone Stevanin
- Department of Medical Science; Udine University; Udine Italy
| | - Giulia Causero
- Department of Medical Science; Udine University; Udine Italy
| | | | | | | | - Alvisa Palese
- Department of Medical Science; Udine University; Udine Italy
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Murray M, Sundin D, Cope V. New graduate registered nurses’ knowledge of patient safety and practice: A literature review. J Clin Nurs 2017; 27:31-47. [DOI: 10.1111/jocn.13785] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/22/2017] [Indexed: 12/30/2022]
Affiliation(s)
- Melanie Murray
- School of Nursing and Midwifery; Edith Cowan University; Joondalup WA Australia
| | - Deborah Sundin
- School of Nursing and Midwifery; Edith Cowan University; Joondalup WA Australia
| | - Vicki Cope
- School of Health Professions; Murdoch University; Murdoch WA Australia
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Miguel S, Caldeira S, Vieira M. The Adequacy of the Q Methodology for Clinical Validation of Nursing Diagnoses Related to Subjective Foci. Int J Nurs Knowl 2016; 29:97-103. [DOI: 10.1111/2047-3095.12163] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 10/14/2016] [Accepted: 10/22/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Susana Miguel
- PhD Student at the Institute of Health Sciences; Universidade Católica Portuguesa; Lisbon Portugal
| | - Sílvia Caldeira
- Assistant Professor at the School of Nursing and a Researcher at the Centre for Interdisciplinary Research in Health; Institute of Health Sciences; Universidade Católica Portuguesa; Lisbon Portugal
| | - Margarida Vieira
- Associate Professor and a Researcher at the Centre for Interdisciplinary Research in Health, and an Associate Dean at the Institute of Health Sciences; Universidade Católica Portuguesa; Porto Portugal
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Raymond J, Medves J, Godfrey C. Perspectives on Patient Safety Among Practical Nursing Students. Can J Nurs Res 2016; 48:41-47. [PMID: 28841041 DOI: 10.1177/0844562116664260] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
Background Practical nursing students are students enrolled in a two-year college practical nursing diploma program. They are responsible for providing safe patient care to the patients they care for. Assessing students' perceptions of their own patient safety competencies can help educators identify gaps in their knowledge and skills and identify, at a curricula level, the concepts and information required to improve the quality of their care. Purpose To explore practical nursing students' confidence in what they are learning about patient safety within their nursing education. Methods This cross-sectional descriptive study used a modified version of the Health Professional Education in Patient Safety Survey. Results Overall, students expressed the greatest confidence in their abilities to provide care in Clinical Safety topics. More than 75% of the students' feared punishment when making an error and 88% have difficulty questioning other healthcare providers. Less than 30% of students stated that a system-level focus on errors was taught to them in their education programs. Conclusions More investigation is needed to understand what practical nursing students' fear about the provision of safe care. Additional focus on systems aspects of hazard identification and the prevention of errors needs to be present in nursing education programs.
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Papastavrou E, Dimitriadou M, Tsangari H, Andreou C. Nursing students' satisfaction of the clinical learning environment: a research study. BMC Nurs 2016; 15:44. [PMID: 27436992 PMCID: PMC4949757 DOI: 10.1186/s12912-016-0164-4] [Citation(s) in RCA: 100] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Accepted: 07/07/2016] [Indexed: 11/23/2022] Open
Abstract
Background The acquisition of quality clinical experience within a supportive and pedagogically adjusted clinical learning environment is a significant concern for educational institutions. The quality of clinical learning usually reflects the quality of the curriculum structure. The assessment of the clinical settings as learning environment is a significant concern within the contemporary nursing education. The nursing students’ satisfaction is considered as an important factor of such assessment, contributing to any potential reforms in order to optimize the learning activities and achievements within clinical settings. The aim of the study was to investigate nursing students’ satisfaction of the clinical settings as learning environments. Method A quantitative descriptive, correlational design was used. A sample of 463 undergraduate nursing students from the three universities in Cyprus were participated. Data were collected using the Clinical Learning Environment, Supervision and Nurse Teacher (CLES + T). Results Nursing students were highly satisfied with the clinical learning environment and their satisfaction has been positively related to all clinical learning environment constructs namely the pedagogical atmosphere, the Ward Manager’s leadership style, the premises of Nursing in the ward, the supervisory relationship (mentor) and the role of the Nurse Teacher (p < 0.001). Students who had a named mentor reported more satisfied with the supervisory relationship. The frequency of meetings among the students and the mentors increased the students’ satisfaction with the clinical learning environment. It was also revealed that 1st year students were found to be more satisfied than the students in other years. Conclusion The supervisory relationship was evaluated by the students as the most influential factor in their satisfaction with the clinical learning environment. Student’s acceptance within the nursing team and a well-documented individual nursing care is also related with students’ satisfaction. The pedagogical atmosphere is considered pivotal, with reference to students’ learning activities and competent development within the clinical setting. Therefore, satisfaction could be used as an important contributing factor towards the development of clinical learning environments in order to satisfy the needs and expectations of students. The value of the development of an organized mentorship system is illustrated in the study.
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Affiliation(s)
- Evridiki Papastavrou
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - Maria Dimitriadou
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - Haritini Tsangari
- Statistician, Department of Economics and Finance, School of Business, University of Nicosia, Nicosia, Cyprus
| | - Christos Andreou
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
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Tella S, Smith NJ, Partanen P, Jamookeeah D, Lamidi ML, Turunen H. Learning to ensure patient safety in clinical settings: comparing Finnish and British nursing students' perceptions. J Clin Nurs 2015. [PMID: 26216053 DOI: 10.1111/jocn.12914] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To explore and compare Finnish and British nursing students' perceptions of their learning about patient safety in clinical settings. BACKGROUND Patient safety culture and practices in different health care organisations and clinical units varies, posing challenges for nursing students' learning about patient safety during their clinical placements. Patient safety as a growing international concern has challenged health care professionals globally requiring a comprehensive review. International studies comparing nursing education about patient safety are lacking. DESIGN A cross-sectional comparative study. METHOD The participants were final year preregistration nursing students from two universities of applied sciences in Finland (n = 195) and from two universities in England, UK (n = 158). The data were collected with the Patient Safety in Nursing Education Questionnaire and analysed with principal component analysis, Pearson Chi-Square and Mann-Whitney U tests and logistic regression. RESULTS Finnish nursing students had significantly more critical perceptions on their learning about patient safety in clinical settings than their British peers. A strong predictor for differences was supportive and systems-based approaches in learning to ensure patient safety. Notably, fewer Finnish students had practiced reporting of incidents in clinical settings compared to British students. In both countries, the students held learning about patient safety in higher esteem compared to their learning experiences in clinical settings. CONCLUSIONS Nursing students appear to want more learning opportunities related to patient safety compared to the reality in clinical settings. Learning systematically from errors in a supportive environment and having systems-based approaches to ensure patient safety are essential elements for nursing students' learning about safe practice. Finnish students seem to experience more barriers in learning about safe practices and to report errors than the British students. RELEVANCE TO CLINICAL PRACTICE Health care organisations and professionals with responsibilities for patient safety should seek to standardise the preparation of nursing students incorporating requisite international standards and benchmarks.
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Affiliation(s)
- Susanna Tella
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.,Faculty of Health care and Social Services, Saimaa University of Applied Sciences, Lappeenranta, Finland
| | - Nancy-Jane Smith
- School of Nursing, Midwifery & Social Work, University of Salford, Salford, Greater Manchester, UK
| | - Pirjo Partanen
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | | | - Marja-Leena Lamidi
- Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | - Hannele Turunen
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio University Hospital, Kuopio, Finland
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