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Büyüksoy GD, Özdil K, Çatıker A. Is there a relationship between nursing students' perceptions of dishonesty and attitudes towards medical errors? NURSE EDUCATION TODAY 2024; 139:106233. [PMID: 38703535 DOI: 10.1016/j.nedt.2024.106233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 03/13/2024] [Accepted: 04/29/2024] [Indexed: 05/06/2024]
Abstract
BACKGROUND Understanding nursing students' perceptions of dishonesty and their attitudes towards medical errors is crucial for nurse educators. OBJECTIVES This study aimed to examine the relationship between nursing students' perceptions of dishonesty and their attitudes towards medical errors. DESIGN This study is descriptive and correlational research. The sample size consisted of 230 nursing students in a Department of Nursing at Kırşehir Ahi Evran University Faculty of Health Sciences in Turkey during the 2022-2023 academic year. The data was collected between May 15-31, 2023. RESULTS A statistically significant correlation was observed between the total score of the Nursing Student Perceptions of Dishonesty Scale, and the Medical Errors Attitude Scale (p < 0.05). There was a positive and weak correlation between the MEAS scale score and the cheating (r = 0.284, p < 0.05), sabotage (r = 0.275, p < 0.05), perjury (r = 0.308, p < 0.05), non-compliance (r = 0.309, p < 0.05), and stealing (r = 0.359, p < 0.05) sub dimension score, and a positive and very weak correlation between the MEAS score and the sub dimension of not my problem score (r = 0.182, p < 0.05). The perceptions of dishonesty explain 15 % of the attitude towards medical errors (F = 4.563, p < 0.001). CONCLUSIONS In this study, a significant relationship was observed between nursing students' perceptions of dishonesty and their attitudes towards medical errors. Specifically, as the perception of dishonesty increased, there was a positive change in attitudes towards medical errors. These results offer nurse educators valuable insights into the impact of academic dishonesty on the development of medical error attitudes among student nurses throughout their nursing education and beyond.
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Affiliation(s)
- Gizem Deniz Büyüksoy
- Department of Nursing, Kırşehir Ahi Evran University Faculty of Health Sciences, Kırşehir, Turkey.
| | - Kamuran Özdil
- Aged Care Program, Nevsehir Haci Bektaş Veli University, Health Services Vocational School, Nevsehir, Turkey.
| | - Aslıhan Çatıker
- Department of Nursing, Ordu University Faculty of Health Sciences, Ordu, Turkey.
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Koskiniemi S, Syyrilä T, Hämeen-Anttila K, Manias E, Härkänen M. Health professionals' perceptions of the development needs of incident reporting software: A qualitative systematic review. J Adv Nurs 2024. [PMID: 38366716 DOI: 10.1111/jan.16106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 01/29/2024] [Accepted: 02/06/2024] [Indexed: 02/18/2024]
Abstract
AIM To systemically identify and synthesize information on health professionals' and students' perceptions regarding the development needs of incident reporting software. DESIGN A systematic review of qualitative studies. DATA SOURCES A database search was conducted using Medline, CINAHL, Scopus, Web of Science and Medic without time or language limits in February 2023. REVIEW METHODS A total of 4359 studies were identified. Qualitative studies concerning the perceptions of health professionals and students regarding the development needs of incident reporting software were included, based on screening and critical appraisal by two independent reviewers. A thematic synthesis was conducted. RESULTS From 10 included studies, five analytical themes were analysed. Health professionals and students desired the following improvements or changes to incident reporting software: (1) the design of reporting software, (2) the anonymity of reporting, (3) the accessibility of reporting software, (4) the classification of fields and answer options and (5) feedback and tracking of reports. Wanted features included suitable reporting forms for various specialized fields that could be integrated into existing hospital information systems. Rapid, user-friendly reporting software using multiple reporting platforms and with flexible fields and predefined answer options was preferred. While anonymous reporting was favoured, the idea of reporting serious incidents with both patient and reporter names was also suggested. CONCLUSION Health professionals and students provided concrete insights into the development needs for reporting software. Considering the underreporting of healthcare cases, the perspectives of healthcare professionals must be considered while developing user-friendly reporting tools. Reporting software that facilitates the reporting process could reduce underreporting. REPORTING METHOD The ENTREQ reporting guideline was used to support the reporting of this systematic review. PATIENT OR PUBLIC CONTRIBUTION There was no patient or public contribution. PROTOCOL REGISTRATION The protocol is registered in the International Prospective Register of Systematic Reviews with register number CRD42023393804.
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Affiliation(s)
- Saija Koskiniemi
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Tiina Syyrilä
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | | | - Elizabeth Manias
- School of Nursing and Midwifery, Monash University, Melbourne, Australia
| | - Marja Härkänen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
- Research Centre for Nursing Science and Social and Health Management, Kuopio University Hospital, Wellbeing Services County of North Savo, Kuopio, Finland
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Stevens EL, Hulme A, Goode N, Coventon L, Read G, Salmon PM. Understanding complexity in a safety critical setting: A systems approach to medication administration. APPLIED ERGONOMICS 2023; 110:104000. [PMID: 36958252 DOI: 10.1016/j.apergo.2023.104000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 02/15/2023] [Accepted: 02/21/2023] [Indexed: 06/18/2023]
Abstract
'Medication errors' are a significant concern and are associated with a higher incidence of adverse events and unintentional patient harm than any other aspect of healthcare. While much research has focused on adverse medication errors, limited studies have specifically examined 'normal' medication delivery performance and the interactions between tasks, agents, and information within the medication administration system. This article describes a study that applied the Event Analysis of Systemic Teamwork (EAST) model to study the hospital medication administration system to identify opportunities to optimise performance and patient safety. Key findings of this study demonstrate that this is a highly complex system, comprising many social agents and a relatively closely linked series of tasks and information. However, most of the workload relies on a small proportion of healthcare professionals. Significantly, the patient has a minimal role in the medication administration system during their hospital stay. The research has shown that this approach enables mapping networks and their interdependencies to optimise the system as a whole rather than its parts in isolation.
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Affiliation(s)
- Erin L Stevens
- Centre for Human Factors and Sociotechnical Systems, School of Law and Society, University of the Sunshine Coast, Sippy Downs, 4558, Queensland, Australia.
| | - Adam Hulme
- Southern Queensland Rural Health, Faculty of Health and Behavioural Sciences, The University of Queensland, Toowoomba, 4350, Queensland, Australia
| | | | - Lauren Coventon
- Centre for Human Factors and Sociotechnical Systems, School of Law and Society, University of the Sunshine Coast, Sippy Downs, 4558, Queensland, Australia
| | - Gemma Read
- Centre for Human Factors and Sociotechnical Systems, School of Law and Society, University of the Sunshine Coast, Sippy Downs, 4558, Queensland, Australia
| | - Paul M Salmon
- Centre for Human Factors and Sociotechnical Systems, School of Law and Society, University of the Sunshine Coast, Sippy Downs, 4558, Queensland, Australia
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Fernandez R, tenHam-Baloyi W, Mathew E, Secginli S, Bahar Z, Jans C, Nahcivan N, Torun G, Lapkin S, Green H. Predicting behavioural intentions towards medication safety among student and new graduate nurses across four countries. J Clin Nurs 2023; 32:789-798. [PMID: 35475307 PMCID: PMC10083919 DOI: 10.1111/jocn.16330] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Revised: 03/29/2022] [Accepted: 04/01/2022] [Indexed: 01/17/2023]
Abstract
AIMS AND OBJECTIVES To identify final-year undergraduate students and new graduate nurses' behavioural intentions towards medication safety across four countries. BACKGROUND Medication errors are a common and avoidable occurrence, being costly for not only patients but also for health systems and society. DESIGN A multi-site cross-sectional study. METHODS A self-administered survey was distributed to students and new graduate nurses in South Africa, India, Turkey and Australia. Descriptive statistics were calculated for all survey items. Multiple linear regressions were performed to predict behavioural intentions using the three Theory of Planned Behaviour constructs: attitudes, behavioural control and subjective norms. This study adheres to the STROBE guidelines. RESULTS Data were analysed for 432 students and 576 new graduate nurses. Across all countries, new graduate nurses reported significantly higher scores on all the TPB variables compared with student nurses. Attitudes towards medication management were found significantly and positively related to intention to practice safe medication management for both student and new graduate nurses. Total perceived behavioural control was significantly and negatively related to intention to practice safe medication management for students. CONCLUSION Student and new graduate nurses showed favourable attitude, subjective norm, perceived behaviour control and intention in practising medication safety. However, differences in countries require further exploration on the factors influencing attitudes towards medication safety among student nurses and new nurse graduates. RELEVANCE TO CLINICAL PRACTICE Understanding student and new graduate nurses' medication administration practices is important to inform strategies aimed at improving patient safety. The findings of this study highlight the need for an internationally coordinated approach to ensure safe medication administration by student and new graduate nurses.
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Affiliation(s)
- Ritin Fernandez
- Centre for Research in Nursing and Health, St. George Hospital, Kogarah, New South Wales, Australia.,Centre for Evidence Based Initiatives in Health Care: A Joanna Briggs Centre of Excellence, Wollongong, New South Wales, Australia.,School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Wilma tenHam-Baloyi
- Faculty of Health Sciences, Nelson Mandela University, Gqeberha, South Africa
| | - Elsheba Mathew
- Community Medicine, Pushpagiri Medical College Hospital, Thiruvalla, India.,Pushpagiri Centre for Evidence Based Practice (PCEBP) - A JBI Affiliated Group, Tiruvalla, India
| | - Selda Secginli
- Florence Nightingale Nursing Faculty, Public Health Nursing Department, Istanbul University - Cerrahpasa, Istanbul, Turkey
| | - Zuhal Bahar
- Department of Nursing, Faculty of Health Sciences, Istanbul Aydin University, Istanbul, Turkey
| | - Carley Jans
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Nursen Nahcivan
- Florence Nightingale Nursing Faculty, Public Health Nursing Department, Istanbul University - Cerrahpasa, Istanbul, Turkey
| | - Gizemnur Torun
- Department of Public Health Nursing, Kocaeli University, Kocaeli, Turkey
| | - Samuel Lapkin
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Heidi Green
- Centre for Research in Nursing and Health, St. George Hospital, Kogarah, New South Wales, Australia.,Centre for Evidence Based Initiatives in Health Care: A Joanna Briggs Centre of Excellence, Wollongong, New South Wales, Australia
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Silvestre JH, Spector N. Nursing Student Errors and Near Misses: Three Years of Data. J Nurs Educ 2023; 62:12-19. [PMID: 36652577 DOI: 10.3928/01484834-20221109-05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
BACKGROUND Understanding the magnitude of errors and near misses in all health care situations is crucial to preventing them from occurring in the future. However, little research is available on the type or extent of nursing student errors in the United States. METHOD Nursing student error and near miss data were submitted by more than 200 participating prelicensure nursing programs via a secured online repository. RESULTS Medication errors represented more than half (58.8%, n = 613) of the total error and near-miss data (n = 1,042) submitted. Errors and near misses were attributed to students not adhering to three major patient safety procedures: checking the patient's identification, checking the patient's allergy status, and following the rights of medication administration. CONCLUSION Results indicate collecting data on nursing students' errors and near misses can help nursing programs identify system issues, promote transparency, and make quality improvements. [J Nurs Educ. 2023;62(1):12-19.].
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Abry S, Mehrabian F, Omidi S, Karimy M, Kasmaei P, Haryalchi K. Investigation of factors related to the behavior of reporting clinical errors in nurses working in educational and medical centers in Rasht city, Iran. BMC Nurs 2022; 21:348. [PMID: 36482463 PMCID: PMC9733308 DOI: 10.1186/s12912-022-01134-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 11/30/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Report of medical error is one of the effective components in the quality of healthcare services. A significant part of medical errors can be prevented by acting appropriately. The theory of planned behavior offers a framework in which the nurse intention to perform the behavior of error reporting is investigated. This study was conducted to determine the factors related to the behavior of reporting clinical errors in nurses working in educational and medical centers in Rasht based on the theory of planned behavior in 2020. METHODS In this descriptive-analytical study, 326 nurses in all medical centers in Rasht were selected by the multi-stage random sampling method. Data collection tool was a valid and reliable questionnaire based on the theory of planned behavior. Data analysis was conducted using the SPSS software, analysis of variance, correlation, and linear regression. RESULTS 39% of nurses reported that they had reported a medical error, and the average number of error reports per nurse during the last 3 months was 1.42 errors. The predictive power of the theory of behavioral intention was 47%, and predictive constructs were attitude (B = .43), perceived behavioral control (B = .33), and subjective norm (B = .04) using linear regression. The predictive power of the theory for nurses' behavior was 3.1%. None of the demographic variables played a role in predicting the behavior of nurses' reporting clinical error, and no behavioral intention predicted the behavior of nurses' reporting clinical errors. CONCLUSION The theory of planned behavior expresses the factors affecting the behavior intention of nurses' reporting clinical errors satisfactorily. However, it was an inappropriate theory in behavior prediction. It appears that factors, such as fear of consequences of error reporting, social pressures by colleagues and officials, and lack of knowledge and skills required to identify medical errors, are the barriers to conversion of intention to the behavior of reporting clinical errors. It is necessary to provide the ground to increase nurses' report of clinical errors by acting appropriately.
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Affiliation(s)
- Somayeh Abry
- grid.411874.f0000 0004 0571 1549Department of Health Education and Promotion, School of Health, Guilan University of Medical Sciences, Rasht, Iran
| | - Fardin Mehrabian
- grid.411874.f0000 0004 0571 1549Department of Health Education and Promotion, Research Center of Health and Environment, School of Health, Guilan University of Medical Sciences, Rasht, Iran
| | - Saeed Omidi
- grid.411874.f0000 0004 0571 1549Guilan University of Medical Sciences, Rasht, Iran
| | - Mahmood Karimy
- grid.510755.30000 0004 4907 1344Department of Public Health, Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Parisa Kasmaei
- grid.411874.f0000 0004 0571 1549Department of Health Education and Promotion, Research Center of Health and Environment, School of Health, Guilan University of Medical Sciences, Rasht, Iran
| | - Katayoun Haryalchi
- Department of Obstetrics & Gynecology, School of Medicine, Reproductive Health Research CenterAlzahra HospitalGuilan University of Medical Science, Rasht, Iran
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Castaldo A, Ferrentino M, Ferrario E, Papini M, Lusignani M. Factors contributing to medication errors: A descriptive qualitative study of Italian nursing students. NURSE EDUCATION TODAY 2022; 118:105511. [PMID: 36007326 DOI: 10.1016/j.nedt.2022.105511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 07/15/2022] [Accepted: 08/10/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND It is estimated that 20-40 % of medication errors (MEs) made by nursing students are not reported, thus creating a gap in learning from mistakes. There is scarce literature on the reasons for the underreporting of MEs made by nursing students. OBJECTIVES The aim was to analyse the opinions of nursing students about MEs, types and causes and factors that facilitate or discourage ME reporting during clinical training. DESIGN Qualitative descriptive design. SETTINGS Nursing School affiliated with Milan University, Italy. PARTICIPANTS A purposeful sample of third-year or near-graduation nursing students. METHODS Data were collected between October and November 2019 through focus groups until data saturation. A semi-structured interview was used for conducting the focus groups and categories were identified by content analysis. Triangulation of researchers and member checking were performed to ensure result trustworthiness. RESULTS The study sample was 37 students assigned to four focus groups. Four ME categories were identified: type; cause(s); barriers; and facilitators of reporting. The most common errors were wrong drug, incorrect drug dosage and dilution, which were attributed to individual and/or organizational factors. The main barrier to ME reporting was fear of receiving a negative evaluation by the head nurse. Nonetheless, constructive reflexive evaluation was perceived as a facilitator of ME reporting. CONCLUSIONS Our findings show that MEs made by nursing students during their placement oftentimes go unreported to avert negative evaluation. Barriers to ME reporting may be reduced by enhancing risk awareness and error analysis with the support of clinical nurses and nursing mentors.
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Affiliation(s)
- Anna Castaldo
- IRCCS Foundation Don Gnocchi, Via Capecelatro, 66, 20148 Milan, Italy.
| | - Monica Ferrentino
- Department of Surgery, ASST-Rhodense, Garbagnate Milanese, Via Carlo Forlanini, 95, 20024 Milan, Italy
| | - Elisa Ferrario
- IRCCS Foundation Don Gnocchi, Via Capecelatro, 66, 20148 Milan, Italy
| | - Marzia Papini
- IRCCS Foundation Don Gnocchi, Via Capecelatro, 66, 20148 Milan, Italy
| | - Maura Lusignani
- Department of Biomedical Sciences for Health, University of Milan, ASST Grande Ospedale Metropolitano Niguarda, Piazza dell'Ospedale Maggiore, 3, 20162 Milan, Italy
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Intercepting Medication Errors in Pediatric In-patients Using a Prescription Pre-audit Intelligent Decision System: A Single-center Study. Paediatr Drugs 2022; 24:555-562. [PMID: 35906499 DOI: 10.1007/s40272-022-00521-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/07/2022] [Indexed: 11/27/2022]
Abstract
OBJECTIVES Medication errors can happen at any phase of the medication process at health care settings. The objective of this study is to identify the characteristics of severe prescribing errors at a pediatric hospital in the inpatient setting and to provide recommendations to improve medication safety and rational drug use. METHODS This descriptive retrospective study was conducted at a tertiary pediatric hospital using data collected from Jan. 1st, 2019 to Dec. 31st, 2020. During this period, the Prescription Pre-audit Intelligent Decision System was implemented. Medication orders with potential severe errors would trigger a Level 7 alert and would be intercepted before it reached the pharmacy. Trained pharmacists maintained the system and facilitated decision making when necessary. For each order intercepted by the system the following patient details were recorded and analyzed: patient age, patient's department, drug classification, dosage forms, route of administration, and the type of error. RESULTS A total of 2176 Level 7 medication orders were intercepted. The most common errors were associated with drug dosage, administration route, and dose frequency, accounting for 35.2%, 32.8% and 13.2%, respectively. Of all the intercepted oerrors. 53.6% occurred in infants aged < 1 year. Administration routes involved were mainly intravenous, oral and external use drugs. Most alerts came from the neonatology department and constituted 40.5% of the total alerts, followed by the nephrology department 15.9% and pediatric intensive care unit (PICU) 11.3%. As to dosage forms, injections accounted for 50.4% of alerts, with 21.3% attributable to topical solutions, 9.1% to tablets, and 5.7% to inhalation. Anti-infective agents were the most common therapeutic drugs prescribed with errors. CONCLUSIONS The Prescription Pre-audit Intelligent Decision System, with the supervision of trained pharmacists can validate prescriptions, increase prescription accuracy, and improve drug safety for hospitalized children. It is a medical service model worthy of consideration.
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Choi EY, Pyo J, Ock M, Lee H. Second victim phenomenon after patient safety incidents among Korean nursing students: A cross-sectional study. NURSE EDUCATION TODAY 2021; 107:105115. [PMID: 34481312 DOI: 10.1016/j.nedt.2021.105115] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 07/12/2021] [Accepted: 08/24/2021] [Indexed: 05/16/2023]
Abstract
BACKGROUND Perfectionism in the medical field turns healthcare professionals into second victims of patient safety incidents. They suffer physically and psychologically, which makes them consider changing occupations. Nursing students may also have similar negative experiences during clinical practice. OBJECTIVE To describe the second victim phenomenon among nursing students after patient safety incidents during their clinical practice. DESIGN A descriptive cross-sectional study using an online questionnaire. SETTING AND PARTICIPANTS Fourth-year nursing students (n = 354) who encountered patient safety incidents directly or indirectly during clinical practice. Participants were recruited through convenience and snowball sampling methods using personal contacts, professional networks, and online platforms. METHODS The questionnaire addressed the characteristics of patient safety incidents, and physical and psychological responses after the most significant patient safety incident. Descriptive statistics and a chi-square test were performed for data analysis. RESULTS Of the participants, 22.6% were directly involved in patient safety incidents and 77.4% had indirectly encountered patient safety incidents, such as witnessing incidents with colleagues or other healthcare professionals. After patient safety incidents, of those, 67.8% experienced shock at the time of the incident, 47.2% feared experiencing a similar incident, and 28.2% were still affected although time had passed. Additionally, 26.3% reported experiencing long-term embitterment; of them, 7.3% were experiencing severe embitterment. Furthermore, 31.9% and 27.1% of the students experienced sleeping and eating difficulties, respectively, and these rates were higher when incidents were encountered directly rather than indirectly. CONCLUSIONS Nursing students may become second victims of patient safety incidents during clinical practice. Therefore, nursing education institutions need to develop comprehensive support strategies to help nursing students cope with experiencing the second victim phenomenon.
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Affiliation(s)
- Eun Young Choi
- Department of Nursing, Graduate School of Chung-Ang University, Republic of Korea; Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea
| | - Jeehee Pyo
- Department of Preventive Medicine, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea; Department of Preventive Medicine, University of Ulsan College of Medicine, Seoul, Republic of Korea
| | - Minsu Ock
- Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea; Department of Preventive Medicine, University of Ulsan College of Medicine, Seoul, Republic of Korea
| | - Haeyoung Lee
- Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea.
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Factors Influencing Grazing Behavior by Using the Consciousness-Context-Behavior Theory—A Case Study from Yanchi County, China. LAND 2021. [DOI: 10.3390/land10111157] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Grazing behavior is a key factor that affects the sustainable development of the grassland social-ecological system. Grazing behavior is not only restricted by policies but also affected by the awareness of the herder of the grassland environment. To explore the influencing factors and mechanism behind grazing behavior, Yanchi County of Ningxia, a typical area of the “returning grazing land to grassland” project in Northwest China, was selected as a study area. Based on the consciousness-context-behavior theory, a questionnaire was designed, and 305 households were surveyed. Analysis of structural equation model results show: (1) the environmental sensitivity of herders and their satisfaction with the compensation mechanism regulated grazing behavior. When herders were more dependent on grassland, they were more willing to graze. (2) The grassland dependence, environmental sensitivity of herders, and herders’ satisfaction with the compensation mechanism had a significant interaction effect on grazing behavior. (3) Family livelihood diversification and the number of young and middle-aged laborers had a significant moderating effect on grassland dependence and grazing behavior. These findings are of vital importance for the government to formulate policies to promote the sustainable development of grasslands.
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Nursing Students' Intention to Report Medication Errors: Application of Theory of Planned Behavior. Nurse Educ 2021; 46:E169-E172. [PMID: 34657117 DOI: 10.1097/nne.0000000000001105] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Reporting, investigating, and full disclosure of medication errors (MEs) is a fundamental component of patient safety. Therefore, determining nursing students' intention to report MEs is important. PURPOSE This study examined the factors related to nursing students' intention to report MEs and the use of the Turkish version of the Theory of Planned Behavior Medication Safety Questionnaire (TPB-MSQ-T). METHODS A descriptive cross-sectional design was used with a sample of 227 undergraduate nursing students in Istanbul, Turkey. Students' intentions to report MEs were measured using an online TPB-MSQ-T. Quantitative analysis was conducted. RESULTS Attitudes and perceived behavioral control (PBC) were significant predictors of intention to report MEs (P = .05 and P = .01, respectively), but subjective norms did not predict it (P = .11). The Cronbach's α of the questionnaire was 0.88. CONCLUSIONS Attitude and PBC are important determinants of nursing students' intention to report MEs. The TPB-MSQ-T can be used for identifying the main determinants of intention to report MEs.
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Girão ALA, Dos Santos MNO, Chaves EMC, Gomes EB, de Oliveira SKP, de Carvalho REFL. NurseVR: Development of a Serious Virtual Reality Game for Medication Preparation and Administration Training. Comput Inform Nurs 2021; 41:00024665-900000000-99211. [PMID: 34570007 DOI: 10.1097/cin.0000000000000820] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The use of simulation for nursing education has several advantages. The present study aimed to develop and validate a serious virtual reality game for medication preparation and administration training. This is a methodological study in which a serious virtual reality game named NurseVR was developed and evaluated by teachers and students of a nursing course. In NurseVR, the player presents himself or herself in a simulated hospital environment to prepare and administer a medication. From then on, all the steps to be taken are the player's free choice according to what was learned in the classroom, making the game the closest to reality. High levels of positive agreement to statements concerning the validity of the game were found between students and teachers. The virtual immersion proposal was an innovative tool, and the validation results of the final version of NurseVR allow its use for nursing training.
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Affiliation(s)
- Ana Lívia Araújo Girão
- Author Affiliations: Postgraduate Program in Clinical Care in Nursing and Health (Dr Girão), Graduate Nursing Course and Postgraduate Program in Clinical Care in Nursing and Health (Drs Chaves, de Oliveira, and de Carvalho), State University of Ceará (Ms dos Santos), Fortaleza; and Postgraduate Program in Nursing, Regional University of Cariri (Dr Gomes), Crato, Ceará, Brazil
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Examination of Nursing Students’ Medical Error Attitudes within Three Different Educational Models. JOURNAL OF BASIC AND CLINICAL HEALTH SCIENCES 2021. [DOI: 10.30621/jbachs.974242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Factors Associated with Nursing Students’ Intention to Report Needlestick Injuries: Applying the Theory of Planned Behavior. NURSE MEDIA JOURNAL OF NURSING 2020. [DOI: 10.14710/nmjn.v10i3.31975] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Background: Nursing students, like other healthcare workers, are prone to needlestick injuries. Over the years, studies have been conducted regarding needlestick injuries. However, its prevalence among Filipino nursing students’ is still not known. Also, nursing students’ intention to report needlestick injuries in the Philippines has not been explored.Purpose: The purpose of this research was to determine the factors associated with the intention to report needlestick injuries among nursing students applying the Theory of Planned Behavior.Methods: This cross-sectional study used the Needlestick Injuries Reporting Intention Scale (NIRIS) and was distributed among 233 senior nursing students in Iloilo City, Philippines. Descriptive statistics and Pearson’s correlation were utilized to analyze the data.Results: The results of the study revealed that 15% of nursing students had experienced a needlestick injury. However, only less than half (45.71%) of those who sustained needlestick injury reported the incident. Nursing students exhibited a positive attitude (M=5.41; SD=0.63) toward reporting needlestick injuries. They perceived a high social pressure (M=4.65; SD=0.46), high behavioral control (M=4.19; SD=0.45), and high intention (M=8.99; SD=1.15) in reporting needlestick injuries. Attitude (p=0.000), subjective norm (p=0.000), and perceived behavioral control (p=0.000) were significantly correlated with the intention to report needlestick injuries.Conclusion: This study supports the Theory of Planned Behavior in identifying factors influencing nursing students’ intention to report needlestick injuries.
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Cottell M, Wätterbjörk I, Hälleberg Nyman M. Medication-related incidents at 19 hospitals: A retrospective register study using incident reports. Nurs Open 2020; 7:1526-1535. [PMID: 32802373 PMCID: PMC7424444 DOI: 10.1002/nop2.534] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Revised: 04/18/2020] [Accepted: 05/05/2020] [Indexed: 12/15/2022] Open
Abstract
Aim To examine (a) when medication incidents occur and which type is most frequent; (b) consequences for patients; (c) incident reporters' perceptions of causes; and (d) professional categories reporting the incidents. Design A descriptive multicentre register study. Methods This study included 775 medication incident reports from 19 Swedish hospitals during 2016-2017. From the 775 reports, 128 were chosen to establish the third aim. Incidents were classified and analysed statistically. Perceived causes of incidents were analysed using content analysis. Results Incidents occurred as often in prescribing as in administering. Wrong dose was the most common error, followed by missed dose and lack of prescription. Most incidents did not harm the patients. Errors in administering reached the patients more often than errors in prescribing. The most frequently perceived causes were shortcomings in knowledge, skills and abilities, followed by workload. Most medication incidents were reported by nurses.
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Affiliation(s)
- Maria Cottell
- Department of Patient SafetyÖrebro University HospitalÖrebroSweden
| | - Inger Wätterbjörk
- School of Health SciencesFaculty of Medicine and HealthÖrebro UniversityÖrebroSweden
| | - Maria Hälleberg Nyman
- School of Health SciencesFaculty of Medicine and HealthÖrebro UniversityÖrebroSweden
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16
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Dionisi S, Di Simone E, Franzoso V, Caldarola E, Cappadona R, Di Muzio F, Giannetta N, Di Muzio M. The application of the Theory of Planned Behaviour to prevent medication errors: a scoping review. ACTA BIO-MEDICA : ATENEI PARMENSIS 2020; 91:28-37. [PMID: 32573504 PMCID: PMC7975831 DOI: 10.23750/abm.v91i6-s.9290] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Accepted: 02/13/2020] [Indexed: 11/23/2022]
Abstract
BACKGROUND AND AIM OF THE WORK A safer drug therapy is a relevant aspect of nursing care and an essential component of the clinical governance function. Nurses are key players in the identification and prevention of medication errors that could occur in the drug management process. In the literature there is a particular interest to environmental and organizational factors, while, as we know, the subjective components are little considered. In psychology, the theory that prefers individual factor, at the expense of the environmental one, is Theory of Planned Behavior (TPB), although it has been little applied in the health field. The aim is to search the existing literature on the medication errors and the TPB to predict the intentions that foreshadow risk behaviours of nursing interns. METHODS This scoping review is grounded by Arksey and O'Malley's framework. RESULTS Attitude is the most determining predictor of intention. For many students reporting an error would lead to a loss of trust in the nursing profession and this could prevent the report. Nevertheless, some of them affirmed to be positively judged when they did it. It was then observed that a better education on safety raised the level of self-confidence and the sense of responsibility of the students, making them more inclined to the drug therapy management. CONCLUSIONS The Theory of planned behaviour is essential to forerun the behavioural intention of students on the pharmacological safety and the collaborative practice through predictive factors, as attitude, subjective norms and perceived behavioural control.
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Affiliation(s)
| | - Emanuele Di Simone
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy.
| | - Valeria Franzoso
- Policlinico Umberto I of Rome, Sapienza University of Rome, Italy.
| | - Elena Caldarola
- Policlinico Umberto I of Rome, Sapienza University of Rome, Italy.
| | - Rosaria Cappadona
- Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, Italy.
| | | | - Noemi Giannetta
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy.
| | - Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Italy.
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Kim K, Lee I. Medication error encouragement training: A quasi-experimental study. NURSE EDUCATION TODAY 2020; 84:104250. [PMID: 31698293 DOI: 10.1016/j.nedt.2019.104250] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Revised: 08/17/2019] [Accepted: 10/16/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Medication errors are the most common clinical errors in healthcare practice and can lead to serious consequences. Medication error encouragement training (MEET) brings students face-to-face with potential errors in the medication process, in a safe environment where they are encouraged to understand both the error and the context in which it occurred. OBJECTIVES The study aimed to examine the effects of a MEET intervention on medication safety confidence among nursing undergraduates. DESIGN This was a quasi-experimental study with a nonequivalent control group design. PARTICIPANTS Our sample was recruited from the nursing education department of a university, with 47 participants randomly assigned to the experimental group, and 50 to the control group. METHODS Both groups received theoretical training, followed by applied training. The experimental group received the MEET intervention developed specifically for this study, while the control group received traditional error avoidance training. Participants' medication administration confidence was measured pre- and post-intervention. RESULTS Following training, the experimental group's confidence was significantly higher than that of the control group. With regard to individual medication administration procedures, the experimental groups' medication safety confidence increased significantly after training compared to the control group in patient identification, drug information confirmation, and drug preparation. CONCLUSIONS Introducing MEET into nursing curricula could reduce medication errors and related complications in healthcare institutions. Further studies are needed to investigate the long-term effects of MEET interventions, as well as the generalizability of our findings.
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Affiliation(s)
- Kyoungja Kim
- Department of Nursing, Hannam University, Daejeon, South Korea.
| | - Insook Lee
- Department of Nursing, Hannam University, Daejeon, South Korea
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Wilcox SL. Implementation and feasibility considerations of an avatar-based intervention for military family caregivers. J Clin Psychol 2019; 76:1015-1029. [PMID: 31742684 DOI: 10.1002/jclp.22881] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Military family caregivers (MFCGs) are a growing population with well-being and quality of life (QOL) challenges. New technologies can help meet their needs while minimizing disruption to caregiving responsibilities. Preliminary research needs to address intervention implementation challenges before larger-scale efficacy studies are conducted. This study aimed to evaluate the feasibility of implementing an avatar-based intervention and preliminarily investigate outcomes. METHODS One-hundred twenty-four MFCGs were recruited to participate in this feasibility study. Sixty-four MFCGs completed the intervention. Data were analyzed using repeated-measures analysis of variance to assess 3- and 6-month differences. RESULTS Meeting the a priori goal of 50 MFCGs completing the program supported feasibility. Preliminary results indicated significant reductions in depression, anxiety, and somatic symptoms, and significant improvements in physical health and overall QOL. CONCLUSIONS Findings support for the feasibility of implementing an avatar-based intervention for MFCGs and present promising findings related to improving caregiver well-being and overall QOL.
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Affiliation(s)
- Sherrie L Wilcox
- Division of Social and Behavioral Sciences, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland
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19
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Africa L, Shinners JS. Tracking medical errors and near misses in the new graduate registered nurse. Nurs Forum 2019; 55:174-176. [PMID: 31733104 DOI: 10.1111/nuf.12412] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
This article provides a narrative that describes the current state of medical errors and near misses in the general health care setting and for new graduate registered nurses specifically. It then proposes a "wild idea" to create a national database for the reporting of errors that would act as a call to action to change our current reporting system to one of transparency and shared information for the purpose of creating needed education in both academic and practice settings.
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Affiliation(s)
| | - Jean S Shinners
- Versant Center for the Advancement of Nursing, Las Vegas, Nevada
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20
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Chan R, Booth R, Strudwick G, Sinclair B. Nursing Students' Perceived Self-Efficacy and the Generation of Medication Errors with the Use of an Electronic Medication Administration Record (eMAR) in Clinical Simulation. Int J Nurs Educ Scholarsh 2019; 16:ijnes-2019-0014. [PMID: 31539361 DOI: 10.1515/ijnes-2019-0014] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Accepted: 07/30/2019] [Indexed: 11/15/2022]
Abstract
Medication errors continue to be a significant issue, posing substantial threats to the safety and well-being of patients. Through Bandura's theory of self-efficacy, nursing students' self-efficacy (confidence) related to medication administration was examined to investigate its influence on the generation of medication errors with the use of an Electronic Medication Administration Record (eMAR) in clinical simulation. This study examined the generation of medication errors and the differences that may exist based on nursing students' perceived confidence. The findings of this study demonstrated that nursing students continue to generate medication errors within clinical simulation. No differences in the generation of medication errors were found between nursing students with perceived high levels of confidence and those with perceived low levels of confidence (one exception noted). Further examination of the variables and contextual factors related to safe medication administration practices is required to inform nursing education and practice.
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Affiliation(s)
- Ryan Chan
- Arthur Labatt Family School of Nursing, Western University, N6A5B9London, Ontario, Canada
| | - Richard Booth
- Arthur Labatt Family School of Nursing, Western University, N6A5B9London, Ontario, Canada
| | | | - Barbara Sinclair
- Arthur Labatt Family School of Nursing, Western University, N6A5B9London, Ontario, Canada
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Márquez-Hernández VV, Fuentes-Colmenero AL, Cañadas-Núñez F, Di Muzio M, Giannetta N, Gutiérrez-Puertas L. Factors related to medication errors in the preparation and administration of intravenous medication in the hospital environment. PLoS One 2019; 14:e0220001. [PMID: 31339914 PMCID: PMC6655641 DOI: 10.1371/journal.pone.0220001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Accepted: 07/06/2019] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Medication errors have long been associated with low-quality medical care services and significant additional medical costs. OBJECTIVE The aim of this study was to culturally adapt and validate the questionnaire on knowledge, attitudes and behaviors in the administration of intravenous medication, as well as to explore these factors in a hospital setting. METHODS The study was divided into two phases: 1) validation and cross-cultural adaptation, and 2) cross-sectional study. A total of 276 hospital-based nursing professionals participated in the study. RESULTS A Cronbach's alpha value of 0.849 was found, indicating good internal consistency. In the multivariate analysis, statistically significant differences were found between knowledge and attitudes, demonstrating that having greater suitable knowledge correlates with having a more positive attitude. It was also discovered that having a positive attitude as well as the necessary knowledge increases the possibility of engaging in adequate behaviors. CONCLUSIONS The knowledge, attitudes and behavior questionnaire has a satisfactory internal consistency in order to be applied to the Spanish context. Implications for nursing management: Knowledge acquisition and positive attitude are both factors which promote adequate behavior, which in turn seems to have an impact on medication errors prevention. Health institutions must encourage continuous education for their employees.
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Affiliation(s)
- Verónica V. Márquez-Hernández
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, Almería, Spain
- Research Group for Health Sciences, University of Almería, Almería Spain
| | | | | | - Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy
| | - Noemi Giannetta
- Department of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, Italy
| | - Lorena Gutiérrez-Puertas
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, Almería, Spain
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Research on Farmers’ Willingness of Land Transfer Behavior Based on Food Security. SUSTAINABILITY 2019. [DOI: 10.3390/su11082338] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In China, the current household contract responsibility system has been unable to adapt to the commercialization and marketization of rural cultivated land. Rural land transfer is allowed by the government as a supplement to the household contract responsibility system. However, in 2016, the rural land circulating in China accounted for only 35% of the total national rural land area and there were many problems with the process of land circulation. Therefore, the rural revitalization strategy in China must focus on how to promote rural land circulation with high efficiency to ensure food security in China and high quality to realize the sustainable development of rural land resources. In this study, based on the theory of planned behaviour (TPB), two structural equation models (SEM) for rural land inflow and rural land outflow were used to compare and examine the key factors affecting farmers’ intention to engage in rural land circulation in Shandong Province. Data analysed from a survey of 549 farmers showed that behavioural attitudes, subjective norms, and perceptual behavioural control have a significant impact on farmers’ intention to engage in rural land circulation, and only subjective norms had a negative impact on the land inflow intention model. Behavioural attitudes had the greatest impact in the two models, but the impact paths of the two models were different. In the rural land inflow intention model, the intrinsic value of cultivated land is important to farmers, whereas in the rural land outflow model, the economic rationality of transferring land was mainly considered. The importance of perceptual behavioural control in the rural land outflow model was greater than it was in the rural land inflow model. The results of this research can provide a reference for formulating government policies, achieving the sustainable development of land resources, and guaranteeing food supply.
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Omura M, Levett‐Jones T, Stone TE. Evaluating the impact of an assertiveness communication training programme for Japanese nursing students: A quasi-experimental study. Nurs Open 2019; 6:463-472. [PMID: 30918697 PMCID: PMC6419109 DOI: 10.1002/nop2.228] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Revised: 10/06/2018] [Accepted: 11/12/2018] [Indexed: 11/06/2022] Open
Abstract
AIM To examine the impact of an assertiveness communication training programme on Japanese nursing students' level of assertiveness and intention to speak up when concerned about patient safety. DESIGN A quasi-experimental design with two parallel groups was used. METHODS Third-year nursing students from two Japanese educational institutions were allocated to an intervention and control group. The intervention group completed the Theory of Planned Behaviour-Assertive Communication Questionnaire and the Japanese version of the Rathus Assertiveness Schedule after attending assertive communication workshops. The second group completed the surveys before attending the workshop and were referred as the control group. Data were collected in December 2017-January 2018. RESULTS A total of 123 out of 150 nursing students completed the surveys. Following the assertiveness communication training programme, a higher percentage of students from the intervention group demonstrated the intention to speak up. The intervention group also displayed higher levels of assertiveness, although the results were not statistically significant.
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Affiliation(s)
- Mieko Omura
- School of Nursing and Midwifery, Faculty of Health and MedicineThe University of NewcastleCallaghanNew South WalesAustralia
| | - Tracy Levett‐Jones
- Faculty of HealthUniversity of Technology SydneyUltimoNew South WalesAustralia
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Walsh LJ, Anstey AJ, Tracey AM. Student perceptions of faculty feedback following medication errors - A descriptive study. Nurse Educ Pract 2018; 33:10-16. [PMID: 30216803 DOI: 10.1016/j.nepr.2018.08.017] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Revised: 07/09/2018] [Accepted: 08/26/2018] [Indexed: 11/30/2022]
Abstract
Nursing students make medication errors as they progress through educational programs. It is important that faculty feedback is such that students feel comfortable reporting subsequent medication errors. The objectives of this study are to determine factors which increase the likelihood of nursing students reporting medication errors; to elicit nursing student perception of faculty feedback following a medication error, and determine how this faculty feedback impacts reporting of subsequent medication errors; and to develop recommendations regarding the most effective faculty approaches when providing feedback to nursing students following medication errors. This quantitative study uses a non-experimental, descriptive design. A convenience sample of 106 nursing students in one Canadian province completed a self-report questionnaire. The factors identified as increasing the likelihood of reporting medication errors for students who made a medication error were the same as for those who did not make an error. Group sizes were too small to determine if characteristics of faculty feedback had a significant impact on likelihood of reporting future errors. Students in both groups indicated intention to report errors based upon professional attitudes, behaviors and/or values. The researchers concluded that professional socialization, in combination with supportive learning environments, may increase student comfort in reporting medication errors.
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Affiliation(s)
- Lorna J Walsh
- Centre for Nursing Studies, 100 Forest Road, St. John's, NL, A1A 1E5, Canada.
| | - Allan J Anstey
- Centre for Nursing Studies, 100 Forest Road, St. John's, NL, A1A 1E5, Canada.
| | - Anne Marie Tracey
- Centre for Nursing Studies, 100 Forest Road, St. John's, NL, A1A 1E5, Canada.
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