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Walsh SA, Walker SB, Wirihana LA. Preregistration nursing students' motivation for speaking up for patient safety: An integrated literature review. NURSE EDUCATION TODAY 2024; 140:106291. [PMID: 38917742 DOI: 10.1016/j.nedt.2024.106291] [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: 11/20/2023] [Revised: 05/17/2024] [Accepted: 06/17/2024] [Indexed: 06/27/2024]
Abstract
AIM The aim of this review was to uncover what motivates preregistration nursing students to speak up for patient safety during work integrated learning (WIL) and to develop an evidence-based safety motivation framework for use by educators, clinicians, and preregistration nursing students. DESIGN This study used an integrative literature review design guided by Whittemore and Knafl's methodological framework. DATA SOURCES Five research databases, CINAHL, MEDLINE, PubMed, Scopus, and Web of Science, were searched for relevant peer reviewed research literature published in English between January 2011 and January 2024. The use of MeSH terms "undergraduate nursing student," or "preregistration nursing student" and "speaking up," "patient safety," and "motivation," resulted in 489 search returns. Following application of filters and inclusion criteria fifty-four (n = 54) studies were identified as being relevant to the research aim. REVIEW METHODS The fifty-four (n = 54) research studies were reviewed using the JBI Critical Appraisal tool relevant to the study methodology. The JBI critical appraisal tools are checklists used to determine research quality, validity, results, and meaning. Following appraisal, 27 studies were included in the integrative literature review. RESULTS Authentic learning, view of self as a nurse, and positive work integrated learning experiences were found to be the primary motivators for preregistration nursing students to speak up for patient safety during work integrated learning. These three motivators provided the foundation for an evidence-based framework, underpinned by self-determination theory, that can be used to enhance preregistration nursing students' motivation to speak up for patient safety. CONCLUSIONS The integrative review design enabled the development of the evidence-based Safety Motivation Framework to support preregistration nursing students' during work integrated learning however missing from the literature was information about the lived experience of this group of students when speaking up for patient safety.
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Affiliation(s)
- Samantha A Walsh
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Australia.
| | - Sandra B Walker
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Australia.
| | - Lisa A Wirihana
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Australia.
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Turan N, Melikoğlu SE, Nas Z. Turkish validity and reliability of the Self-Report Instrument to Measure Patient Safety Attitudes, Skills, and Knowledge. BMC Nurs 2024; 23:434. [PMID: 38926700 PMCID: PMC11201867 DOI: 10.1186/s12912-024-02091-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Accepted: 06/12/2024] [Indexed: 06/28/2024] Open
Abstract
AIMS The present study was carried out methodologically to provide the Turkish equivalence of the Self-Report Instrument to Measure Patient Safety Attitudes, Skills, and Knowledge and to determine its reliability and validity. METHODS This methodological study included 317 nurses. The back-translation method was used to test the linguistic equivalence of the methodological scale. Experts' opinions were asked to test its content validity. Time invariance (test-retest reliability) and internal consistency were tested to test its reliability. A group of 100 nurses participated in the test-retest. The content validity index and confirmatory factor analysis were used to test its validity. RESULTS The scale was highly reliable, with a content validity index value of 0.965 and an overall internal consistency coefficient of 0.875. Confirmatory Factor Anaysis (CFA) showed that the goodness-of-fit indices were good and that the model was suitable for this situation. CONCLUSIONS The Turkish version of this scale is reliable and valid for evaluating nurses' knowledge and attitudes about patient safety and their perceptions of patient safety culture. Therefore, it is possible to apply this approach in studies carried out in Türkiye.
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Affiliation(s)
- Nuray Turan
- Department of Fundamentals of Nursing, Faculty of Nursing, Istanbul University, İstanbul, Türkiye.
| | - Seçil Erden Melikoğlu
- Department of Fundamentals of Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, İstanbul, Türkiye
| | - Zühal Nas
- Department of Ophthalmology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, İstanbul, Türkiye
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Jiang J, Liu Y, Chi C, Wang L, Liu Y, Liu S, Dai Z, Zeng L, Shi Y. Newly graduated registered nurses' experiences of the pre-service safety training program: A qualitative study. NURSE EDUCATION TODAY 2024; 137:106165. [PMID: 38522255 DOI: 10.1016/j.nedt.2024.106165] [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: 10/13/2023] [Revised: 02/23/2024] [Accepted: 03/11/2024] [Indexed: 03/26/2024]
Abstract
BACKGROUND Patient safety is a top priority for the global healthcare system and a prerequisite for high-quality nursing care. In China, newly graduated registered nurses are required to receive two years of standardized training to ensure patient safety. The pre-service safety training program aims to provide safe, high-quality, and effective nursing care. However, perceptions and experiences of newly graduated registered nurses on pre-service safety training programs have not yet been explored. OBJECTIVES To investigate newly graduated registered nurses' perceptions and experiences of the pre-service safety training program in a tertiary hospital in China. DESIGN A phenomenological approach was used for this qualitative study. SETTINGS Tertiary hospital in Shanghai, China. PARTICIPANTS A total of 19 newly graduated registered nurses who participated in the pre-service safety training program. METHODS Data were collected using semi-structured, face-to-face, in-depth interviews and analyzed using the Colaizzi seven-step framework. RESULTS Three themes and nine sub-themes emerged: (1) satisfaction with the approaches and content of the training, (2) gaining benefits and growth, and (3) suggestions for the training. CONCLUSION It is meaningful for newly graduated registered nurses to receive safety training before entering clinical practice and was praised by participants for helping them improve safety competence and change safety behaviors. Continuing safety training and optimizing the training modules and evaluation methods will maximize the effectiveness of safety training.
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Affiliation(s)
- Jinxia Jiang
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai 200072, China
| | - Yue Liu
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai 200072, China
| | - Chunwei Chi
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai 200072, China
| | - Li Wang
- Nursing Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai 200072, China
| | - Yi Liu
- Department of Rehabilitation Medicine, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai 200072, China
| | - Shuyang Liu
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai 200072, China
| | - Zhenjuan Dai
- Emergency department, Song Jiang District Central Hospital, Shanghai 201699, China
| | - Li Zeng
- Nursing Department, Tongji Hospital, School of Medicine, Tongji University, Shanghai 200065, China.
| | - Yan Shi
- Nursing Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai 200072, China.
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Farokhzadian J, Eskici GT, Molavi-Taleghani Y, Tavan A, Farahmandnia H. Nursing students' patient safety competencies in the classroom and clinical settings: a cross-sectional study. BMC Nurs 2024; 23:47. [PMID: 38233931 PMCID: PMC10792773 DOI: 10.1186/s12912-024-01708-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 01/03/2024] [Indexed: 01/19/2024] Open
Abstract
INTRODUCTION Patient safety is one of the critical indicators of providing qualified and high-quality health care services. Determining nursing students' patient safety competencies will significantly contribute to the literature. Therefore, this study aimed to investigate Iranian nursing students' patient safety competencies in classroom and clinical settings. METHODS In this cross-sectional study data were collected from 215 nursing of a university of medical sciences between February and May 2022, using a general questionnaire form and the Health Professional Education in Patient Safety Survey. Data analysis was done using descriptive and analytical statistics such as percentage, mean and paired-samples t-test. RESULTS The mean scores of nursing students' the Health Professional Education in Patient Safety Survey were 3.50 ± 0.55 in the classroom and 3.45 ± 0.57 in the clinical setting. The highest mean scores of nursing students were in subdimension of "clinical safety" in both the clinical (3.91 ± 1.13) and classroom settings (3.91 ± 0.78). In addition, a statistically significant difference was found in patient safety learning confidence in the classroom versus clinical setting in the "culture of safety" subdimension. CONCLUSION It appears that current educational programs provide opportunities to improve nursing students' patient safety, but they are not enough. Nurse educators should apply new teaching methods and evaluate clinical strategies to meet educational needs.
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Affiliation(s)
| | - Gulcan Taskiran Eskici
- Department of Nursing Management, Faculty of Health Sciences, Ondokuz Mayis University, Samsun, Turkey
| | - Yasamin Molavi-Taleghani
- Health Management and Economics Research Center, Department of Health Services Management, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Asghar Tavan
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Hojjat Farahmandnia
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
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Shin SH, Baek OJ. Experiences of Patient Safety Education and Factors Affecting the Willingness to Participate in Patient Safety in Undergraduate Nursing Students in South Korea. Healthcare (Basel) 2023; 12:54. [PMID: 38200960 PMCID: PMC10778663 DOI: 10.3390/healthcare12010054] [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: 11/10/2023] [Revised: 12/14/2023] [Accepted: 12/22/2023] [Indexed: 01/12/2024] Open
Abstract
Patient safety (PS) education must be provided to medical personnel who deal with life and death situations. This study aimed to examine the current state of PS education and to investigate the factors affecting the willingness of undergraduate nursing students to participate in PS. This study was a cross-sectional descriptive correlational survey. In this study, an online survey targeting members of an online café in South Korea that prepares nursing students was conducted from 19-21 April 2023. In total, 296 undergraduate nursing students in their fourth grade at 132 nursing colleges across the country participated. The results showed that 94.6% (280 students) had experience in PS education and 45.6% (135 students) had witnessed a PS incident in clinical practice. Most students (90.9%) responded that PS education was necessary and that 'clinical practice at the hospital' was the most effective method of PS education. PS perception increased as PS knowledge increased, and it was confirmed that an increase in PS perception increased the willingness to participate in PS. Factors that increased nursing students' willingness to participate in PS were high satisfaction with clinical practice, high PS education needs, and high PS perception scores. To increase nursing students' willingness to participate in PS, it is important to improve their PS perception and ensure that they have a variety of PS education experiences, which requires the development of a standardized PS education program.
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Affiliation(s)
| | - On-Jeon Baek
- Nursing Department, College of Nursing, Sahmyook University, Seoul 01795, Republic of Korea;
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Crooks S, Stark P, Carlisle S, McMullan J, Copeland S, Wong WYA, Blake D, Lyons E, Campbell N, Carter G, Wilson CB, Mitchell G. Evaluation of a co-designed Parkinson's awareness audio podcast for undergraduate nursing students in Northern Ireland. BMC Nurs 2023; 22:370. [PMID: 37814245 PMCID: PMC10561504 DOI: 10.1186/s12912-023-01544-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 09/28/2023] [Indexed: 10/11/2023] Open
Abstract
BACKGROUND Parkinson's Disease (PD) is a common neurological condition that often causes stiffness, tremor and slow movement. People living with PD are likely to encounter nursing students throughout their journey from pre-diagnosis to death. Despite this, there is a paucity of evidence about current practice in PD education amongst nursing students. The present study provides an evaluation of a co-designed Parkinson's Awareness audio podcast amongst nursing students in Northern Ireland. METHODS Following co-design of an audio podcast about PD, a mixed methods evaluation was carried out. 332 student nurses completed pre-/post-test questionnaires about their knowledge and perceptions of PD before and after listening to the audio podcast. Further to this, 35 student nurses participated in focus-group interviews six months following listening to explore how the podcast influenced practice. RESULTS Student nurses posted a mean score of 52% before listening to the audio podcast. This mean increased to 80% post-test. These findings were statistically significant (p < 0.001), demonstrating significant increases in PD awareness after listening. Findings from the focus groups suggested that the audio podcast improved empathy and practice towards people with PD. The findings also suggested that students perceived audio podcasts to be a good way to learn about PD. CONCLUSION Provision of a co-designed audio podcast about PD has the potential to improve student nurse knowledge and practice related to PD as evidenced in this study.
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Affiliation(s)
- Sophie Crooks
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland
| | - Patrick Stark
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland
| | - Susan Carlisle
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland
| | - Johanna McMullan
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland
| | - Shannon Copeland
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland
| | - Wai Yee Amy Wong
- University of East Anglia, Norwich Medical School, Norwich, England
| | | | | | | | - Gillian Carter
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland
| | | | - Gary Mitchell
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland.
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Ahmed FA, Choudhary RA, Khan H, Ayub F, Hassan SSU, Munir T, Asif F, Ajani K, Jaffer M, Tharani Z, Aboumatar HJ, Haider A, Latif A. Incorporating Patient Safety and Quality Course Into the Nursing Curriculum: An Assessment of Student Gains. J Patient Saf 2023; 19:408-414. [PMID: 37602696 PMCID: PMC10461720 DOI: 10.1097/pts.0000000000001146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/22/2023]
Abstract
BACKGROUND Training nursing students on quality and patient safety (PS) is crucial to ensuring safe healthcare practices given the key role nurses play on the healthcare team. The aim of this study was to evaluate the impact of quality and PS course on the knowledge, and system thinking of students at different stages of the undergraduate nursing course. METHODS A 4.5-day quality improvement and PS course was conducted at the Aga Khan University School of Nursing and Midwifery for 146 second- and 139 fourth-year students. Students' knowledge, self-assessment of knowledge and skills, and system thinking were assessed using pretest and posttest. RESULTS Of the total of 20 points, the course significantly improved students' knowledge by a mean of 4.91 points for second-year students (95% confidence interval [CI], 4.32-5.51) and 3.46 points for fourth-year students (95% CI, 2.90-4.02) between pretest and posttest. For systems thinking, the Systems Thinking Scale scores increased by 0.41 points (95% CI, 0.29-0.52) for second-year students and 0.33 points (95% CI, 0.22-0.44) for fourth-year students out of the total of 5 points. The self-assessment scores significantly increased on postcourse assessment for second (P < 0.05) and fourth-year students (P < 0.001). Positive experience reported by students in the narrative reflections complemented these results. CONCLUSIONS There was a significant increase in nursing students' knowledge, self-efficacy, and system thinking after participating in this short PS course. Replication at a national level may improve safety knowledge and skills among nursing students with subsequent gains in the safety of healthcare delivery in Pakistan.
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Affiliation(s)
- Fasih Ali Ahmed
- From the Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio
- Centre for Patient Safety
| | | | - Hamza Khan
- Dean’s Clinical Research Fellow, Aga Khan University Medical College
| | | | | | - Tahir Munir
- Department of Anaesthesiology, Aga Khan University Medical College
| | | | | | - Mehtab Jaffer
- Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan
| | - Zahra Tharani
- Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan
| | - Hanan J. Aboumatar
- Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, Maryland
| | - Adil Haider
- Medical College, Aga Khan University, Karachi, Pakistan
| | - Asad Latif
- Dean’s Clinical Research Fellow, Aga Khan University Medical College
- Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan
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Li H, Zhao W, Li B, Li Y. Effects of the small private online course combined with simulation-based training in a patient safety education program among nursing students: A quasi-experimental study. Int J Nurs Sci 2023; 10:555-561. [PMID: 38020829 PMCID: PMC10667291 DOI: 10.1016/j.ijnss.2023.09.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 09/05/2023] [Accepted: 09/20/2023] [Indexed: 12/01/2023] Open
Abstract
Objective This study aimed to explore the effects of the small private online course (SPOC) combined with simulation-based training in a patient safety education program among nursing students in China. Methods A quasi-experimental design was conducted. A total of 219 nursing students from four parallel classes were selected from the nursing department of a health vocational college in Zhengzhou, China, from November 2020 to June 2021 and allocated to the intervention group (n = 113) and control group (n = 106). Based on SPOC, nursing students in the intervention group implemented simulation teaching in small groups, with three class hours each time, a total of two times, divided into three stages: pre-class preparation, teaching implementation, and after-class reflection. The control group received theoretical patient safety education through SPOC, implemented on the DingDing platform for two class hours each time, four times. All participants were invited to complete a demographic questionnaire and the Chinese version of Patient Safety Competency Self-Evaluation (PSCSE) before and after the intervention. Results A total of 103 and 102 students from the intervention and control groups completed the study. The total scores of PSCSE in the post-test of the intervention group (176.24 ± 13.73 vs. 144.64 ± 13.75) and the control group (160.87 ± 14.88 vs. 142.57 ± 15.66) were higher than those in the pre-test (P < 0.01), and the total scores of PSCSE of the intervention group were higher than those of the control group (176.24 ± 13.73 vs. 160.87 ± 14.88, P < 0.01). After intervention, the scores of PSCSE in all dimensions were increased in the intervention group (P < 0.01); in the control group, the scores of patient safety competency in most dimensions were increased (P < 0.01), except for the dimensions of reporting and response to error and communication related to error (P> 0.05). Except for the dimensions of knowledge and attitude of error reporting and disclosing (P> 0.05), the scores of other dimensions in the intervention group were higher than those in the control group (P < 0.01). Conclusion The patient safety education program using the SPOC combined with simulation-based training can effectively improve the patient safety competency of nursing students in terms of attitude, skills, and knowledge.
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Affiliation(s)
- Hui Li
- Department of Nursing, Zhengzhou Health Vocational College, Zhengzhou, China
| | - Wenzhong Zhao
- Department of Nursing, Zhengzhou Health Vocational College, Zhengzhou, China
| | - Bo Li
- Institute of Chronic Disease Risks Assessment, Henan University, Kaifeng, China
| | - Yanhong Li
- Department of Nursing, Zhengzhou Health Vocational College, Zhengzhou, China
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Sari DWP, Handiyani H, Kuntarti K, Arief YS. The effect of community of practice in improving the role of clinical instructor in patient safety implementation by prelicensure nursing students. HEALTHCARE IN LOW-RESOURCE SETTINGS 2023. [DOI: 10.4081/hls.2023.11166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023] Open
Abstract
Introduction: Patient safety problems caused by students leads to different adverse event, hence clinical instructor plays a role in guiding them in the implementation of patient safety programs. Furthermore, the community of practice is considered to improve the role of clinical instructors in patient safety problems. This study is then conducted to measure the impact of community of practice toward the role of clinical instructors in patient safety problems.
Design and methods: This is a pre-experimental design for one group and a pre-post test design without a control group. In addition, the sample includes 36 prelicensure nursing students.
Result: The results showed that the score of clinical instructors’ role before and after intervention with community of practice implementation was 58 (34-67) and 79.33 with SD of 10,960, respectively, with a significant increase of 24.27. Also, the statistic analysis depicted that the role had a significant effect after implementation, with a p-value of < 0,000.
Conclusions: Based on the results, the community of practice had a significant impact in increasing the role of clinical instructors in the implementation of patient safety problems by prelicensure nursing students.
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Yalcinturk AA, Ustun B. Medical errors room: The effect of simulation training on increasing the awareness of nursing students about the medical errors they may encounter in psychiatry clinics. Arch Psychiatr Nurs 2023; 43:37-42. [PMID: 37032013 DOI: 10.1016/j.apnu.2022.12.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 10/04/2022] [Accepted: 12/28/2022] [Indexed: 01/07/2023]
Abstract
AIM This study aimed at investigating the effect of simulation training on increasing the awareness of nursing students about medical errors they may encounter in psychiatry clinics. METHODS This study was quasi-experimental and included pre-test and post-test control groups. The intervention group (n = 41) was provided with "Medical Errors Room" simulation training while the control group (n = 41) was trained by using the presentation method. RESULTS Considering the increase in the awareness of all students about medical errors, it was determined that the awareness of the students in the intervention group was higher than the students in the control group (p < 0.05). CONCLUSION It was concluded that with the "Medical Error Room" simulation training, the awareness of nursing students, who will be among the health professionals of the future, about medical errors can be increased.
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Affiliation(s)
| | - Besti Ustun
- University of Istinye, Faculty of Health Sciences, Department of Nursing, Istanbul, Turkey.
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ATASEVER İ, YÜCEL Ç. Öğrenci Hemşirelerin Gözüyle Perinatal Kliniklerde Hasta Mahremiyeti: Nitel Bir Çalışma. DOKUZ EYLÜL ÜNIVERSITESI HEMŞIRELIK FAKÜLTESI ELEKTRONIK DERGISI 2022. [DOI: 10.46483/deuhfed.969605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
Giriş: Hemşirelik öğrencilerinin hasta mahremiyetine duyarlı olması, onların meslek yaşamında profesyonel bir duruş sergilemesi açısından oldukça önemlidir.
Amaç: Bu araştırmanın amacı, dördüncü sınıf hemşirelik öğrencilerinin perinatal kliniklerde hasta mahremiyetine yönelik görüşlerini belirlemektir.
Yöntem: Bu araştırmada, fenomenolojik nitel yöntem uygulanmıştır. Araştırmanın örneklemini, 2019-2020 Eğitim-Öğretim Yılı Güz Döneminde dördüncü sınıfta öğrenim gören 25 öğrenci oluşturmuştur. Veriler, Aralık 2019- Mart 2020 tarihleri arasında yarı yapılandırılmış derinlemesine bireysel görüşme yöntemi ile toplanmıştır. Görüşmede elde edilen veriler, içerik analizi yoluyla çözümlenmiştir.
Bulgular: Elde edilen veriler mahremiyetin tanımı, personelin hasta mahremiyetine yönelik tutumu mahremiyet ihlalinin hastaya yansıması hasta mahremiyetini korumada karşılaşılan güçlükler ve hasta mahremiyetini korumaya yönelik yapılması gerekenler şeklinde beş tema altında gruplandırılmıştır. Öğrencilerin çoğunluğu perinatal kliniklerde görev yapan personelin hasta mahremiyetini koruma konusunda özensiz davrandıklarını belirtmişlerdir. Öğrenciler, personelin hasta mahremiyeti konusunda eğitilmesi ve hastane ortamının fiziki koşullarında düzenleme yapılmasının mahremiyeti koruma konusunda faydalı olacağını söylemişlerdir.
Sonuç: Perinatal sağlık hizmetlerinde mahremiyet üzerinde yeterince durulmayan oldukça önemli bir konudur. Bu araştırmada; öğrenci hemşirelerin hasta mahremiyeti konusunda farkındalıklarının yüksek olduğu, konuyla ilgili yeni çalışmalara gereksinim duyulduğu belirlenmiştir.
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Affiliation(s)
- İlknur ATASEVER
- HACETTEPE ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, HEMŞİRELİK PR
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Albsoul RA, Hughes J, Alshyyab MA, Fitzgerald G. A scoping review of the literature of interventions for enhancing nurses' resilience in acute care settings. J Health Organ Manag 2022; ahead-of-print. [PMID: 36484639 DOI: 10.1108/jhom-04-2022-0127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
PURPOSE The aim of this study was to identify and evaluate interventions shown to improve nurse resilience in the acute care settings. DESIGN/METHODOLOGY/APPROACH The study was a systematically conducted scoping review of the literature. Databases including MEDLINE/PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Emerald insight and Google Scholar were searched and this complemented by reviews of the reference lists. FINDINGS In total, 13 papers were included in the review but there was limited evidence of the effectiveness of individual programs. The authors found that resilience training programs for individuals reviewed provided some evidence for the effectiveness of the training. However, the context of job design, work risks and leadership require attention. ORIGINALITY/VALUE Resilience is an important requirement for nursing staff that helps to mitigate the stress of the working environment, particularly in the acute care setting. However, the managerial strategies required to build resilience are not well known or applied. The findings of this research may help to design cohesive and comprehensive management programs to promote and preserve nursing resilience in acute care settings. Any such program needs to reflect the four key themes that appear to underpin resilience: relationships, motivation, emotions and well-being.
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Affiliation(s)
- Rania Ali Albsoul
- School of Medicine, Department of Family and Community Medicine, The University of Jordan, Amman, Jordan
| | - James Hughes
- School of Nursing, Queensland University of Technology, Brisbane, Australia
| | - Muhammad Ahmed Alshyyab
- Department of Public Health and Community Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Gerard Fitzgerald
- School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Australia
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KARAMAN F, ALAN H. Turkish Adaptation of the Scale of the Attitudes to Patient Safety: Nursing Student Sample. BEZMIALEM SCIENCE 2022. [DOI: 10.14235/bas.galenos.2021.5350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Torkaman M, Momennasab M, Yektatalab S, Shahrbabaki ME. Psychometric analysis of Persian version of patient safety competency self-evaluation in psychiatric wards. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:154. [PMID: 35847129 PMCID: PMC9277754 DOI: 10.4103/jehp.jehp_972_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/03/2021] [Accepted: 08/09/2021] [Indexed: 06/15/2023]
Abstract
BACKGROUND Assessment of the patient safety competency is necessary for the growth of nursing and safe care profession as well as evaluation of the nurses' educational needs. The present study was conducted to determine psychometric properties of the Persian version of the patient safety competency self-evaluation (PSCSE) tool in Iranian psychiatric wards. MATERIALS AND METHODS All nurses (n = 209) working in two psychiatric hospitals of Kerman, Iran, were included in the present cross-sectional study using census method. This tool contains 41 items: six items are related to knowledge, 14 items deal with attitude, and 21 items are about skill dimension. Psychometric properties of the questionnaire including its content and face validity were also examined. The factor structure of the questionnaire was evaluated using exploratory factor analysis. The internal consistency and reliability were assessed by test-retest method with an interval of 14 days. Cronbach's alpha and corrected item-total correlation were used to measure reliability. RESULTS The content validity index was 0.65 and the content validity ratio was 0.89. Item 14 was removed from the skill domain because it was not related to the psychiatric ward. According to the results of factor analysis, there was a significant relationship between the questions and the relevant factors. The correlation coefficient for test-retest with 14 days interval was intraclass correlation coefficient = 0.92 for the whole instrument and 0.89, 0.89, and 0.92 for the domains of knowledge, attitude, and skill, respectively. The internal consistency coefficient (Cronbach's alpha) of the whole tool was 0.95 and 0.95, 0.79, and 0.95 for the domains of knowledge, attitude, and skill, respectively. Finally, PSCSE Questionnaire was obtained with 40 items in dimensions of knowledge (6 items), attitude (14 items), and skills (20 items). CONCLUSION Persian version of the nurses' competency tool in ensuring patient safety in psychiatric wards has acceptable psychometric characteristics.
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Affiliation(s)
- Mahya Torkaman
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Marzieh Momennasab
- Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Shahrzad Yektatalab
- Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahin Eslami Shahrbabaki
- Associate Professor, MD, Neurology Research Center, Department of Psychiatry (Shahid Beheshti Hospital), Kerman University of Medical Sciences, Kerman, Iran
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16
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Living life for others: Purpose in life among Thai nursing students. Collegian 2022. [DOI: 10.1016/j.colegn.2021.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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17
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Sümen A, Ünal A, Aksoy S. Nursing students' self-reported experiences and attitudes regarding patient safety: A cross-sectional study comparing the classroom and clinical settings. Collegian 2022. [DOI: 10.1016/j.colegn.2021.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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18
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Edwards-Maddox S, Reid A, Quintana DM. Ethical implications of implicit bias in nursing education. TEACHING AND LEARNING IN NURSING 2022. [DOI: 10.1016/j.teln.2022.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Çiftcioğlu Ş, Apaydın Cırık V, Efe E. Student nurses' perceptions of a patient safety culture: A descriptive and cross-sectional study. Perspect Psychiatr Care 2022; 58:658-663. [PMID: 33931872 DOI: 10.1111/ppc.12830] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Revised: 04/21/2021] [Accepted: 04/22/2021] [Indexed: 11/30/2022] Open
Abstract
PURPOSE The aim of this study was to evaluate nursing students' perceptions of a patient safety culture in one university in Turkey. DESIGN AND METHODS The sample of this descriptive cross-sectional study consisted of 299 undergraduate nursing students. Data were collected by having participants complete the Patient Safety Culture Scale (PSCS) and a personal information form. FINDINGS Participants' scores on the PSCS were found to be moderate, and no significant differences were found between participants' study levels. Female students and students who had willingly chosen the nursing profession obtained statistically significantly higher scores on the PSCS, indicating positive perceptions of a patient safety culture. PRACTICE IMPLICATIONS The inclusion of patient safety education and training of nurses in the nursing curriculum may contribute to students' development of a patient safety culture.
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Affiliation(s)
- Şule Çiftcioğlu
- Child Health Nursing Department, Faculty of Nursing, Akdeniz University, Antalya, Turkey
| | - Vildan Apaydın Cırık
- Midwifery Department, Faculty of Health Sciences, Karamanoğlu Mehmetbey University, Konya, Turkey
| | - Emine Efe
- Child Health Nursing Department, Faculty of Nursing, Akdeniz University, Antalya, Turkey
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Bedgood AL, Mellott S. The Role of Education in Developing a Culture of Safety Through the Perceptions of Undergraduate Nursing Students: An Integrative Literature Review. J Patient Saf 2021; 17:e1530-e1536. [PMID: 30383621 DOI: 10.1097/pts.0000000000000548] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This integrative literature review seeks to examine research-based knowledge about the role of education in developing a culture of safety through the perspectives of undergraduate nursing students. METHODS An integrative literature review of nursing and health databases was conducted and literature from 2009 to 2018 were reviewed. Studies focusing on patient safety education in undergraduate nursing students were analyzed to identify the current state of safety education in academia. The results and findings from the articles reviewed were included in the final synthesis of the literature. RESULTS A total of 336 articles were identified from the onset and 14 were selected for inclusion in the review. There were 3 qualitative studies, 8 quantitative studies, and 3 mixed-methods research studies included. Four themes emerged: students perceive patient safety education is important, safety education in the curriculum is important, students are afraid to speak up, and students perceive a lack of knowledge and support for speaking up. CONCLUSIONS The results of this integrative literature review demonstrate that nursing education plays an integral role in creating a culture of safety among nursing students. Nursing students lack a strong understanding of their role in patient safety. This translates into a need for dedicated patient safety curriculum to establish a culture of safety in nursing education.
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Affiliation(s)
- Amie L Bedgood
- From the College of Nursing, Texas Woman's University, Houston, TX
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21
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Mugerwa PP, Jordan P, van der Heever M, Young T, Iwu-Jaja CJ. Patient safety education for undergraduate nursing students: a scoping review protocol. JBI Evid Synth 2021; 19:3073-3079. [PMID: 34519283 DOI: 10.11124/jbies-20-00256] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
OBJECTIVE The objective of the review is to examine the literature on patient safety and the teaching and learning strategies required to help students learn about patient safety in undergraduate nursing curricula in prelicensure nursing education programs. INTRODUCTION Patient safety is a global concern, and health care professionals, including nurses who are on the frontline of health care delivery, should be equipped with the knowledge to enhance patient safety. Undergraduate nursing curricula should include the relevant patient safety content and supply nurse educators with teaching and learning strategies to help students acquire these skills. INCLUSION CRITERIA Based on the Participants, Concept, and Context (PCC) framework, the eligible population will include nursing students who are enrolled in undergraduate nursing programs and nurse educators who teach in undergraduate nursing programs. The concept of interest is patient safety education, namely, the curricular content and teaching and learning strategies used to help nursing students learn the content. The context is prelicensure nursing education programs at college or university level. Eligible studies will include, but not be limited to, quantitative studies, observational, qualitative, and mixed-methods studies, systematic reviews, and opinion papers. METHODS Online databases will be searched across MEDLINE, CINAHL, and Web of Science. JBI methodology for scoping reviews will be used to conduct the review. Pre-determined inclusion and exclusion criteria will be used to select relevant studies. Data will be extracted and synthesized from studies that describe patient safety content and teaching and learning strategies in prelicensure nursing education.
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Affiliation(s)
- Pumla P Mugerwa
- Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - Portia Jordan
- Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - Mariana van der Heever
- Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - Taryn Young
- Centre for Evidence-based Health Care, Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - Chinwe Juliana Iwu-Jaja
- Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
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22
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Atalıkoğlu Başkan S, Karakurt P, Kasımoğlu N. Assessment of Nursing Students’ Attitudes Towards Recording and Protecting
Patients’ Personal Health Data: A Descriptive Study. GALICIAN MEDICAL JOURNAL 2021. [DOI: 10.21802/gmj.2021.3.3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Introduction. Since health information is considered as sensitive personal data
and requires more careful protection, healthcare professionals need to be careful about
this issue.
The objective of this research was to determine nursing students’
attitudes towards recording and protecting patients’ personal health data.
Materials and Methods. The population of this descriptive research consisted of 450
students who studied at the Department of Nursing, Faculty of Health Sciences, Erzincan
Binali Yildirim University. Sample selection was not used, and the research was
completed with 374 students who were continuing education and who were accepted to
participate in the research. Descriptive Information template and Attitude Scale for
Recording and Protecting Personal Health Data for nursing students were used as
data-collection instruments. The numbers, percentage, mean, standard deviation,
non-parametric tests (the Mann-Whitney U test and the Kruskal-Wallis test) were used in
data analysis.
Results. Among our research participants, 68.4% of the students were
females; 28.1% of the students were freshmen; 69% of the students were graduates of
Anatolian high schools. Approximately 72.5% and 52.9% of the participants stated that
they were aware of the concept of “personal data” and “personal health data” ,
respectively. The mean score of nursing students on the Attitude Scale for Recording and
Protecting Personal Health Data was 3.97±0.71. The means scores obtained from subscales
were as follows: 3.91±0.72 for Personal Health Data Information, 4.15±0.80 for Legal
Information, 4.05±0.94 for Legal Data Sharing, 3.90±0.80 for Personal Health Data
Sharing, and 3.77±0.33 for Recording of Personal Health Data, respectively. A
statistically significant difference was found between the total scale and subscale
scores of the students regarding their academic level.
Conclusions. Students were
found to have a positive attitude towards recording and protecting personal data.
Increasing the responsibilities and raising awareness of the students for the protection
of personal health data during their study is suggested to be important.
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Rutten JER, Backhaus R, Ph Hamers J, Verbeek H. Working in a Dutch nursing home during the COVID-19 pandemic: Experiences and lessons learned. Nurs Open 2021; 9:2710-2719. [PMID: 34227749 PMCID: PMC8441710 DOI: 10.1002/nop2.970] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 04/13/2021] [Accepted: 05/27/2021] [Indexed: 01/23/2023] Open
Abstract
Aims To gain insight into how direct care staff in Dutch nursing homes experienced work during the COVID‐19 pandemic. Design A qualitative study consisting of semi‐structured, face‐to‐face focus groups was conducted using “the active dialogue approach”. Methods Participants (n = 29) were care staff from four care teams at Dutch nursing homes. Teams were selected based on the number of COVID‐19 infections amongst residents. Data were analysed with conventional content analysis. Results Themes emerging from the data were the loss of (daily) working structure, interference between work and private life for direct care staff, the importance of social support by the team and a leader, and the effects on relationship‐centred care of the measures. Results offer concrete implications for similar situations in the future: psychological support on‐site; autonomy in daily work of care staff; an active role of a manger on the work floor and the importance of relationship‐centred care.
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Affiliation(s)
- Johanna E R Rutten
- Department of Health Services Research, Maastricht University, Care and Public Health Research Institute, Maastricht, The Netherlands.,Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
| | - Ramona Backhaus
- Department of Health Services Research, Maastricht University, Care and Public Health Research Institute, Maastricht, The Netherlands.,Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
| | - Jan Ph Hamers
- Department of Health Services Research, Maastricht University, Care and Public Health Research Institute, Maastricht, The Netherlands.,Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
| | - Hilde Verbeek
- Department of Health Services Research, Maastricht University, Care and Public Health Research Institute, Maastricht, The Netherlands.,Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
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Wake AD, Tuji TS, Gonfa BK, Waldekidan ET, Beshaw ED, Mohamed MA, Geressu ST. Knowledge, attitude, practice and associated factors towards patient safety among nurses working at Asella Referral and Teaching Hospital, Ethiopia: A cross-sectional study. PLoS One 2021; 16:e0254122. [PMID: 34197548 PMCID: PMC8248719 DOI: 10.1371/journal.pone.0254122] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Accepted: 06/20/2021] [Indexed: 11/23/2022] Open
Abstract
Background Patient safety has been identified as a global priority area. It is one of the most health care challenges. There is a rising number of patients’ mortality in hospitals each year because of lapses in patient safety practice. Therefore, the purpose of the present study was to assess knowledge, attitude, practice, and associated factors towards patient safety among nurses working at Asella Referral and Teaching Hospital. Methods Institution based cross-sectional study was conducted on 172 nurses working at Asella Referral and Teaching Hospital, Arsi Zone, Oromia Regional State, Ethiopia. The data were collected from nurses from December 28, 2020 to January 05, 2021 by using a pretested questionnaire. The data were entered into Epi-Data version 4.2.0.0 and analyzed using the SPSS version 23.0 software. Results A total of 172 nurses were enrolled in to the study, resulting a response rate of 99.4%. The mean age of the nurses was 32.53 years. More than half 94(54.7%) of them were female. The majority 133(77.3%) of them were qualified for degrees and above. The majority 155(90.1%) of them had working experience of ≤13years. The nurse’s level of good knowledge, positive attitude, and good practice towards patient safety was 58.7% (n = 101, [95% CI; 51.7, 66.7]), 52.9% (n = 91, [95% CI; 43.6, 61.4]), and 50% (n = 86, [95% CI; 43.6, 57%]) respectively. The multivariable logistic regression analysis showed; working in the operation theatre unit [AOR = 5.01, 95% CI; 1.36, 18.46], having information on patient safety during initial education [AOR = 4.99, 95%CI; 1.87, 13.31], and having information on patient safety during continuing education [AOR = 2.85, 95% CI; 1.14, 7.12] were factors significantly associated with knowledge towards patient safety. Being male [AOR = 3.09, 95% CI; 1.38, 6.95], having working experience of >13 years [AOR = 8.37, 95% CI; 1.36, 51.70], having information on patient safety during initial education [AOR = 3.36, 95%CI; 1.11, 10.15], having information on patient safety during continuing education [AOR = 3.33, 95% CI; 1.25, 8.85], and having good Knowledge towards patient safety [AOR = 2.74, 95% CI; 1.21, 6.21] were factors significantly associated with attitude towards patient safety. Having information on patient safety during initial education [AOR = 5.35, 95%CI; 1.77, 16.17] and having a positive attitude towards patient safety [AOR = 3.02, 95% CI; 1.32, 6.91] were factors significantly associated with practice towards patient safety. Conclusion In the present study, more than half of the nurse’s had good knowledge and positive attitude towards patient safety. However, only half of the nurses had good practice towards patient safety. Educational programs and training on patient safety may need to take place for nurses to abate these problems.
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Affiliation(s)
- Addisu Dabi Wake
- Nursing Department, College of Health Sciences, Arsi University, Asella, Ethiopia
- * E-mail:
| | - Techane Sisay Tuji
- Nursing Department, College of Health Sciences, Arsi University, Asella, Ethiopia
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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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Alshahrani S, Alswaidan A, Alkharaan A, Alfawzan A, Alshahrani A, Masuadi E, Alshahrani A. Medical Students' Insights Towards Patient Safety. Sultan Qaboos Univ Med J 2021; 21:e253-e259. [PMID: 34221473 PMCID: PMC8219338 DOI: 10.18295/squmj.2021.21.02.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Revised: 06/16/2020] [Accepted: 07/16/2020] [Indexed: 11/16/2022] Open
Abstract
Objectives This study aimed to explore Saudi Arabian medical students' perceptions of patient safety. Methods A cross-sectional descriptive study was conducted in the College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, in September 2019. The Attitudes to Patient Safety Questionnaire (APSQ III) was used to explore undergraduate medical students' attitudes towards and knowledge of PS. The main outcomes measured were the APSQ III's nine domains. Data were analysed using Statistical Package for the Social Sciences and students' attitudes were communicated as mean scores ± standard deviations. Results A total of 301 participants were included in this study (response rate: 85.75%). Six domains reflected a positive attitude while three domains showed a neutral attitude. The domain of 'team functioning' had the highest mean score (5.8) followed by 'working hours as a cause of error' (5.6) and 'error inevitability' (5.4). There was a significant difference between gender in the domain 'patient involvement in reducing error' (P = 0.012) and 'importance of patient safety (PS) in the curriculum' (P = 0.001). In addition, the 'importance of PS in the curriculum' domain was significantly different across different age groups (P = 0.039). Conclusion Medical students were highly interested in PS and recommended implementing a comprehensive undergraduate PS programme to fulfil their educational needs.
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Affiliation(s)
- Saeed Alshahrani
- Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Ahmad Alswaidan
- Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Ala Alkharaan
- Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Abdulrahman Alfawzan
- Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Aysha Alshahrani
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.,Department of Family Medicine, King Fahd Medical City, Riyadh, Saudi Arabia
| | - Emad Masuadi
- Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Awad Alshahrani
- Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.,Department of Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
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Nursing Students' Knowledge of Patient Safety and Development of Competences Over their Academic Years: Findings from a Longitudinal Study. Zdr Varst 2021; 60:114-123. [PMID: 33822834 PMCID: PMC8015659 DOI: 10.2478/sjph-2021-0017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Accepted: 02/03/2021] [Indexed: 11/20/2022] Open
Abstract
Introduction Future nurses should possess the knowledge and competences necessary to ensure patient safety. However, little evidence is available on the way in which students learn patient safety-related principles over time. This study explored the progress of a cohort of Italian undergraduate nursing students as they acquired patient safety knowledge and competences from time of enrolment to graduation. Methods A longitudinal study carried out between 2015 and 2018 enrolled a cohort of 90 nursing students from two Italian Bachelor of Nursing Science Degree Courses at the Udine University, Italy. The students were followed-up on an annual basis and data collection was performed three times: at the end of the 1st, 2nd and 3rd years. The validated Italian version of the Professional Education in Patient Safety Survey tool was used to collect data. Results At the end of the 1st year, students reported an average 4.19 out of 5 patient safety knowledge acquired in classrooms (CI 95%, 4.11-4.28), which was stable at the end of the 2nd (4.16; CI 95%, 4.06-4.26) and 3rd years (4.26; CI 95%, 4.16-4.32) and no statistical differences emerged over the years. With regard to the competences acquired in clinical settings, at the end of the 1st year the students reported an average 4.28 out of 5 (CI 95%, 4.20-4.37), which decreased significantly at the end of the 2nd year (4.15; CI 95%, 4.07-4.23; p=0.02) and increased at the end of the 3rd year (4.37; CI 95%, 4.27-4.47; p<0.01). Conclusions Nursing students' competences in patient safety issues increases over time, while their knowledge remains stable. Students are more vulnerable at the end of the 1st year, when they seem to be overconfident about patient-safety issues.
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Lissah SY, Ayanore MA, Krugu JK, Aberese-Ako M, Ruiter RAC. Managing urban solid waste in Ghana: Perspectives and experiences of municipal waste company managers and supervisors in an urban municipality. PLoS One 2021; 16:e0248392. [PMID: 33705483 PMCID: PMC7951920 DOI: 10.1371/journal.pone.0248392] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Accepted: 02/25/2021] [Indexed: 11/19/2022] Open
Abstract
Increased population growth and rapid urbanization have resulted in the generation of large quantities of solid waste across major urban cities in Ghana, outstripping local authorities' ability to manage and dispose of waste in a sanitary manner. This study explored the perspectives and experiences of municipal waste company managers and supervisors in the Ho municipality of Ghana on solid waste management practices. A qualitative inquiry was conducted by adopting a phenomenological approach, using in-depth interviews and focus group discussions for data collection. A total of 35 participants, made up of 12 managers and 23 supervisors took part in the study. Transcribed data were imported into NVivo 11.0 software for coding. Content analysis was applied to analyze all transcribed data using processes of induction and deduction. The results showed that organizational capacity, resources, and expertise; community factors such as socio-cultural beliefs and a low sense of responsibility towards solid waste management among urban residents; contextual factors such as regulations, and weak enforcement all influence and shape the level of efficiency and effectiveness of solid waste management practices in the study setting. The findings suggest that policy frameworks and procedures implemented to curb poor urban waste management practices should be systematic and thorough in order to tackle the issue of solid waste in the study setting and Ghana in general. The nature of the identified issues and challenges requires multidimensional and multilevel interventions to provide sustainable solutions for managing urban waste in Ghana.
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Affiliation(s)
- Samuel Yaw Lissah
- Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
- Department of Agro-Enterprise Development, Faculty of Applied Sciences and Technology, Ho Technical University, Ho, Volta Region, Ghana
| | - Martin Amogre Ayanore
- Centre for Health Policy Advocacy Innovation & Research in Africa (CHPAIR-Africa), Accra, Ghana
| | - John K. Krugu
- KIT Royal Tropical Institute, Amsterdam, The Netherlands
| | - Matilda Aberese-Ako
- Institute of Health Research, University of Health and Allied Sciences, Ho, Volta Region, Ghana
| | - Robert A. C. Ruiter
- Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
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Li H, Kong X, Sun L, Zhu Y, Li B. Major educational factors associated with nursing adverse events by nursing students undergoing clinical practice: A descriptive study. NURSE EDUCATION TODAY 2021; 98:104738. [PMID: 33453559 DOI: 10.1016/j.nedt.2020.104738] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 11/27/2020] [Accepted: 12/17/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND As the main group of healthcare providers in hospitals, nurses have more frequent contacts than any other clinician and thus are in a better position to improve patient safety. With the purpose of cultivating competent nurses, nursing educators have the responsibility to promote patient safety. A better understanding of educational factors affecting nursing adverse events by nursing students undergoing clinical practice can help nursing educators find appropriate ways to fulfil their duty. OBJECTIVE To examine the status quo of nursing adverse events and to discuss the major educational factors concerned in different regions of China. DESIGN A descriptive study design was undertaken in 2018. PARTICIPANTS AND SETTING A convenience sample of 1173 nursing students undergoing clinical practice was recruited from 22 hospitals in different regions of China. METHODS The Chinese version of the Medical Student Safety Attitudes and Professionalism Survey (MSSAPS) was administered to and demographic and professional data were collected from clinical nursing students after obtaining informed consent. RESULTS The incidence of nursing adverse events in clinical student nurses was 17.8%. Approximately 87.01% of nursing adverse events were near miss. The positive response rate of safety attitudes and professionalism by clinical nursing students ranged from 57.5% to 96.9%. Logistic analysis indicated that gender, educational level, hospital regions, safety culture and professional behavior experience dimensions were the major factors influencing nursing adverse events. CONCLUSION Attention should be paid to the situation in which clinical nursing students are prone to nursing adverse events. Cooperation between nursing colleges and hospitals should be strengthened to promote patient safety in clinical nursing students. We suggest that nursing educators implement patient safety education in both theoretical and practical teaching and use multiple forms, especially simulation-based training, to strengthen safe nursing behavior to reduce the incidence of nursing adverse events.
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Affiliation(s)
- Hui Li
- Zhengzhou Health Vocational College, Xingyang District, Zhengzhou 450122, Henan Province, China
| | | | - Lulu Sun
- Chinese Nursing Association, China
| | | | - Bo Li
- Henan University School of Nursing and Health, Longting District, Kaifeng 475004, Henan Province, China.
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Ak B, Tanrıkulu F, Gündoğdu H, Yılmaz D, Öner Ö, Ziyai NY, Erol F, Dikmen Y. Cultural Viewpoints of Nursing Students on Patient Privacy: A Qualitative Study. JOURNAL OF RELIGION AND HEALTH 2021; 60:188-201. [PMID: 32648085 DOI: 10.1007/s10943-020-01062-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The purpose of this study was to determine the feelings, thoughts, perceptions and cultural standpoint of nursing students concerning patient privacy. This study was conducted as a qualitative descriptive design. The homogeneous sampling method, purposive sampling method for qualitative research samples, was used to determine the study group. Data were collected from 17 nursing students at a state university in Turkey. Individual semi-structured interviews were conducted, and content analysis was used to analyze data. Three main themes emerged from the data: perception of privacy, factors affecting patient privacy and suggested solutions. Four sub-categories emerged: religion, gender, culture and reassuring communication. The perceptions of many of the students relating to the concept of privacy coincided with the concepts of confidentiality and all kinds of information concerning the patient. It was seen that the most effective intervention among the students' solution proposals to ensure privacy was the necessity to make physical improvements in hospitals.
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Affiliation(s)
- Bedriye Ak
- Nursing Department, Faculty of Health, Bolu Abant İzzet Baysal University, Bolu, Turkey
| | - Fatma Tanrıkulu
- Nursing Department, Faculty of Health, Sakarya University, Sakarya, Turkey.
| | - Handenur Gündoğdu
- Nursing Department, Faculty of Health, Sakarya University, Sakarya, Turkey
| | - Dilek Yılmaz
- Department of Nursing, Faculty of Health Sciences, Bursa Uludag University, Bursa, Turkey
| | - Özge Öner
- Nursing Department, Faculty of Health, Sakarya University, Sakarya, Turkey
| | | | - Funda Erol
- Nursing Department, Faculty of Health, Sakarya University, Sakarya, Turkey
| | - Yurdanur Dikmen
- Nursing Department, Faculty of Health, Sakarya University, Sakarya, Turkey
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Wang M, Dewing J. Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: A literature review. J Nurs Manag 2020; 29:878-889. [PMID: 33283350 DOI: 10.1111/jonm.13226] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 11/17/2020] [Accepted: 12/01/2020] [Indexed: 11/27/2022]
Abstract
AIMS To evaluate the mechanism through which nursing leadership impacts patient safety. BACKGROUND Patient safety has received considerable attention among policymakers, governments and public sectors with the emphasis in health care settings on minimizing the risk to patients. Claims are made leadership plays a crucial role in patient safety. However, the incidents of adverse events are consistently high in hospitals. EVALUATION Published English-only research articles that examine the mechanism by which nursing leadership impacts patient safety were selected from seven electronic databases and manual searches. Data extraction, quality assessments and analysis were completed for ten research studies. KEY ISSUES There is evidence of significant mediating effects between nursing leadership and decreased adverse patient outcomes specifically with regard to workplace empowerment, leader-nurse relationship and the quality of the care environment. CONCLUSION The findings suggest that nursing leadership has a significant indirect impact on patient safety outcomes. From a person-centred perspective, the care environment requires workplace empowerment and effective relationships between leaders and nurses. IMPLICATIONS FOR NURSING MANAGEMENT To improve patient safety outcomes, managers must strive to emphasize workplace empowerment, leader-nurse relationship and the quality of the care environment. Managers must consider these domains as part of an effective workplace culture.
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Affiliation(s)
- Meini Wang
- School of Health Sciences, Queen Margaret University, Edinburgh, UK
| | - Jan Dewing
- School of Health Sciences, Queen Margaret University, Edinburgh, UK
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Vaismoradi M, Jordan S, Vizcaya-Moreno F, Friedl I, Glarcher M. PRN Medicines Optimization and Nurse Education. PHARMACY 2020; 8:E201. [PMID: 33114731 PMCID: PMC7712763 DOI: 10.3390/pharmacy8040201] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 10/19/2020] [Accepted: 10/23/2020] [Indexed: 12/11/2022] Open
Abstract
Medicines management is a high-risk and error prone process in healthcare settings, where nurses play an important role to preserve patient safety. In order to create a safe healthcare environment, nurses should recognize challenges that they face in this process, understand factors leading to medication errors, identify errors and systematically address them to prevent their future occurrence. ''Pro re nata'' (PRN, as needed) medicine administration is a relatively neglected area of medicines management in nursing practice, yet has a high potential for medication errors. Currently, the international literature indicates a lack of knowledge of both the competencies required for PRN medicines management and the optimum educational strategies to prepare students for PRN medicines management. To address this deficiency in the literature, the authors have presented a discussion on nurses' roles in medication safety and the significance and purpose of PRN medications, and suggest a model for preparing nursing students in safe PRN medicines management. The discussion takes into account patient participation and nurse competencies required to safeguard PRN medication practice, providing a background for further research on how to improve the safety of PRN medicines management in clinical practice.
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Affiliation(s)
- Mojtaba Vaismoradi
- Faculty of Nursing and Health Sciences, Nord University, 8049 Bodø, Norway
| | - Sue Jordan
- Department of Nursing, Swansea University, Swansea SA2 8PP, UK;
| | - Flores Vizcaya-Moreno
- Nursing Department, Faculty of Health Sciences, University of Alicante, 03080 Alicante, Spain;
| | - Ingrid Friedl
- Hospital Graz II, A Regional Hospital of the Health Care Company of Styria, 8020 Graz, Austria;
| | - Manela Glarcher
- Institute of Nursing Science and Practice, Paracelsus Medical University, 5020 Salzburg, Austria;
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McPherson S, Wendler MC. Safe clinical practice in pre-licensure nursing students: A concept analysis. Nurs Forum 2020; 55:513-522. [PMID: 32324911 DOI: 10.1111/nuf.12457] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Revised: 03/08/2020] [Accepted: 04/01/2020] [Indexed: 12/01/2022]
Abstract
The aim of this paper is to provide a concept analysis for safe clinical practice for pre-licensure nursing students. Safe clinical practice is crucial to creating a safe environment. Defining the concept of safe clinical practice is important. Walker and Avant's concept analysis approach was used. Cumulative index to Nursing and Allied Health, Business Source Elite, Education Resources Information Center, and PsycINFO were searched for literature on safe clinical practice. The key words "student," "safety," "performance," and "unsafe student" were used. From a review of the literature, defining attributes, antecedents, and consequences of safe clinical practice were established and a definition of the concept emerged. The defining attributes identified are knowledge, skills, individual accountability, and professionalism. Students demonstrating appropriate knowledge levels and good technique with skills contribute to safe clinical practice. Taking accountability for one's actions and being professional also are important attributes to maintaining a safe clinical environment and ensuring safe clinical practice. Safe clinical practice in a patient-student situation occurs when pre-licensure nursing students who have been adequately prepared and practicing within a safe environment demonstrate knowledge of the clinical situation and its risks; communicate with faculty and staff members professionally; and develop appropriate relationships.
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Affiliation(s)
- Sara McPherson
- Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Springfield, Illinois
| | - M Cecilia Wendler
- Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Springfield, Illinois
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Jeong JH, Kim EJ. Development and Evaluation of an SBAR-based Fall Simulation Program for Nursing Students. Asian Nurs Res (Korean Soc Nurs Sci) 2020; 14:114-121. [PMID: 32335316 DOI: 10.1016/j.anr.2020.04.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Revised: 03/23/2020] [Accepted: 04/12/2020] [Indexed: 11/16/2022] Open
Abstract
PURPOSE The purpose of this study was to develop an Situation-Background-Assessment-Recommendation (SBAR) fall simulation program for Korean nursing students and to evaluate its effectiveness. METHODS This study used a single-blind randomized control pretest-posttest design. The 54 nursing students in their third semester at a college in Korea were selected through convenience sampling (SBAR group 26, handoff group 28). The SBAR-based program was provided to the experimental group, while the general handoff-based program was given to the control group. The program was designed for a total of three sessions each and no more than 120 minutes each. Measurement variables included the knowledge, skill, attitude, communication ability, and its clarity related to falls. The data were analyzed with x2 test, t test, and repeated measures of ANOVA using the SPSS 18.0 program. RESULTS The SBAR group showed the improved fall-related skill and communication clarity compared with the handoff group. There was a significant difference in the fall-related knowledge only in a time-dependent manner before and after intervention, while there was no statistically significant difference in the attitude and communication ability related to falls. CONCLUSIONS SBAR-based simulation program revealed positive results in terms of patient safety of nursing college students compared with the general handoff-based method. Therefore, the SBAR-based simulation program is expected to be used as an educational intervention for nursing students not only to improve abilities in reporting and communication but to prevent or handle patient safety accidents efficiently.
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Affiliation(s)
- Jeong Hee Jeong
- Department of Nursing, Daedong College, Busan, Republic of Korea
| | - Eun Jeong Kim
- Department of Nursing, Dong-A University, Busan, Republic of Korea.
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Farokhzadian J, Sabzi A, Nayeri ND. Outcomes of Effective Integration of Clinical Risk Management Into Health Care From Nurses' Viewpoints: A Qualitative Study. INTERNATIONAL QUARTERLY OF COMMUNITY HEALTH EDUCATION 2020; 41:189-197. [PMID: 32228140 DOI: 10.1177/0272684x20915358] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The aim of this study was to explore nurses' experiences and viewpoints about the outcomes of effective integration of clinical risk management (CRM) into health care. This qualitative study was conducted using purposive sampling and semistructured interviews with 19 nurses from three hospitals affiliated with a large medical university. Data were analyzed by the conventional qualitative content analysis method proposed by Lundman and Graneheim. Data analysis reflected the following concepts: improving the quality of services and promoting health, preserving and protecting patient safety, increasing satisfaction, improving staff morale, and improving organizational awareness and vigilance. According to the results, CRM with its positive outcomes can help the development of a patient-oriented culture. The results can be a starting point for further quantitative and qualitative research to explore other strategies, potentials, and capacities of quality improvement activities such as CRM in other contexts and cultures.
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Affiliation(s)
| | - Amirreza Sabzi
- Student Research Committee, Shiraz University of Medical Sciences
| | - Nahid Dehghan Nayeri
- Department of Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences
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Levett-Jones T, Andersen P, Bogossian F, Cooper S, Guinea S, Hopmans R, McKenna L, Pich J, Reid-Searl K, Seaton P. A cross-sectional survey of nursing students' patient safety knowledge. NURSE EDUCATION TODAY 2020; 88:104372. [PMID: 32143174 DOI: 10.1016/j.nedt.2020.104372] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2019] [Revised: 12/11/2019] [Accepted: 02/15/2020] [Indexed: 06/10/2023]
Abstract
BACKGROUND Knowledge provides a foundation for safe and effective nursing practice. However, most previous studies have focused on exploring nursing students' self-reported perceptions of, or confidence in, their level of patient safety knowledge, rather than examining their actual levels of knowledge. OBJECTIVE The overarching objective of this study was to examine final year nursing students' levels of knowledge about key patient safety concepts. DESIGN A cross-sectional design was used for this study. Data collection was undertaken during 2018 using a web-based patient safety quiz with 45 multiple choice questions informed by the Patient Safety Competency Framework for Nursing Students. A Modified Angoff approach was used to establish a pass mark or 'cut score' for the quiz. SETTING AND PARTICIPANTS Nursing students enrolled in the final year of a pre-registration nursing program in Australia or New Zealand were invited to participate in the study. RESULTS In total, 2011 final year nursing students from 23 educational institutions completed the quiz. Mean quiz scores were 29.35/45 or 65.23% (SD 5.63). Participants achieved highest scores in the domains of person-centred care and therapeutic communication, and lowest scores for infection prevention and control and medication safety. Based on the pass mark of 67.3% determined by the Modified Angoff procedure, 44.7% of students (n = 899) demonstrated passing performance on the quiz. For eight of the institutions, less than half of their students achieved a passing mark. CONCLUSIONS Given the pivotal role that nurses play in maintaining patient safety, the results from this quiz raise important questions about the preparation of nursing students for safe and effective clinical practice. The institutional results also suggest the need for increased curricula attention to patient safety.
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Affiliation(s)
- Tracy Levett-Jones
- University of Technology Sydney, Faculty of Health, 235 Jones St, Ultimo, NSW 2007, Australia.
| | - Patrea Andersen
- University of the Sunshine Coast, School of Nursing, Midwifery and Paramedicine, 90 Sippy Downs Drive, QLD 4556, Australia.
| | - Fiona Bogossian
- University of the Sunshine Coast, School of Nursing, Midwifery and Paramedicine, 90 Sippy Downs Drive, QLD 4556, Australia.
| | - Simon Cooper
- School of Nursing and Health Professions, Federation University Australia, Room 2W-249, Gippsland Campus, Churchill, Victoria, Australia.
| | - Stephen Guinea
- Australian Catholic University, Faculty of Health Sciences, 14-18 Brunswick Street, Fitzroy, VIC 3065, Australia.
| | - Ruben Hopmans
- Monash University, Faculty of Medicine, Nursing and Health Sciences, Building B, McMahons Road, Frankston, Victoria 3199, Australia.
| | - Lisa McKenna
- La Trobe University, Kingsbury Drive, Bundoora, VIC 3086, Australia.
| | - Jacqui Pich
- University of Technology Sydney, 235 Jones St, Ultimo, NSW 2007, Australia.
| | - Kerry Reid-Searl
- CQUniversity, Building 18, Yaamba Road, Rockhampton, QLD 4703, Australia.
| | - Philippa Seaton
- University of Otago, 72 Oxford Terrace, Christchurch 8140, New Zealand.
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The relationship of moral sensitivity and patient safety attitudes with nursing students' perceptions of disclosure of patient safety incidents: A cross-sectional study. PLoS One 2020; 15:e0227585. [PMID: 31923918 PMCID: PMC6954072 DOI: 10.1371/journal.pone.0227585] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Accepted: 12/20/2019] [Indexed: 12/31/2022] Open
Abstract
Disclosure of patient safety incidents is a healthcare management strategy that primarily involves responding after incidents. We investigated the association between nursing students’ moral sensitivity, attitudes about patient safety, and perceptions of open disclosure of patient safety incidents in Korea. Data were collected from 407 nursing students at four nursing universities using self-reported moral sensitivity, attitudes about patient safety, and perceptions about open disclosure of patient safety incidents as measures. The data were analyzed using t-test, one-way analysis of variance, and a multiple regression. As moral sensitivity and attitudes about patient safety improved, nursing students’ perceptions regarding the open disclosure of patient safety incidents improved significantly. After controlling for gender, grade, and major satisfaction, the effect of changing attitudes about patient safety was greater than that of moral sensitivity for all perceptions of open disclosure. An education and intervention program is needed to improve nursing students’ attitudes about patient safety and promote the open disclosure of patient safety incidents during undergraduate training.
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Taskiran G, Eskin Bacaksiz F, Harmanci Seren AK. Psychometric testing of the Turkish version of the Health Professional Education in Patient Safety Survey: H-PEPSS TR. Nurse Educ Pract 2019; 42:102640. [PMID: 31756625 DOI: 10.1016/j.nepr.2019.102640] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Revised: 05/29/2019] [Accepted: 10/08/2019] [Indexed: 11/17/2022]
Abstract
Nursing students are trained in patient safety issues in clinical settings during their undergraduate nursing education both theoretically and practically. This study aims to test the psychometric properties of the Turkish version of the "Health Professional Education in Patient Safety Survey" which was developed to measure healthcare professional candidates' patient safety knowledge and competence both in the classroom and clinical settings during their education. The data for this methodological study were collected from 305 nursing students in 2017. The tool consisted of 23 items, two main dimensions as classroom and clinical settings and six subscales. Content validity ratings of the scale items were over 0.80. Five modifications were made during the Confirmatory Factor Analyses. Three of the modifications were among classroom items and two of them were from clinical settings items. After modifications, fit indices were calculated as: χ2/df = 2.58, RMSEA = 0.072 and CFI = 0.95 for the classroom. They were χ2/df = 2.23, RMSEA = 0.063 and CFI = 0.96 for the clinical settings. Cronbach's alpha coefficient was 0.97 for both classroom and clinical settings. In conclusion, The Turkish version of the scale is valid and reliable in assessment of patient safety knowledge and competence of nursing students.
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Affiliation(s)
- Gulcan Taskiran
- Department of Nursing Administration, Florence Nightingale Faculty of Nursing, Istanbul University, Cerrahpaşa, Istanbul, Turkey.
| | - Feride Eskin Bacaksiz
- Department of Nursing Administration, Florence Nightingale Faculty of Nursing, Istanbul University, Cerrahpaşa, Istanbul, Turkey.
| | - Arzu Kader Harmanci Seren
- Department of Nursing Administration, Faculty of Nursing, University of Health Sciences, Istanbul, Turkey.
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Kahriman İ, Ozturk H. DEVELOPMENT OF A MEDICAL ERROR SCALE FOR NURSING STUDENTS: A METHODOLOGICAL STUDY. CLINICAL AND EXPERIMENTAL HEALTH SCIENCES 2019. [DOI: 10.33808/clinexphealthsci.599907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Guinea S, Andersen P, Reid-Searl K, Levett-Jones T, Dwyer T, Heaton L, Flenady T, Applegarth J, Bickell P. Simulation-based learning for patient safety: The development of the Tag Team Patient Safety Simulation methodology for nursing education. Collegian 2019. [DOI: 10.1016/j.colegn.2018.09.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Musharyanti L, Claramita M, Haryanti F, Dwiprahasto I. Why do nursing students make medication errors? A qualitative study in Indonesia. J Taibah Univ Med Sci 2019; 14:282-288. [PMID: 31435418 PMCID: PMC6694917 DOI: 10.1016/j.jtumed.2019.04.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Revised: 04/18/2019] [Accepted: 04/21/2019] [Indexed: 10/26/2022] Open
Abstract
Objectives This study aimed to explore Indonesian nursing students' perceptions of the types and causes of medication errors in clinical rotations. Methods This descriptive qualitative study was conducted with 26 nursing students who had completed their final clinical rotations. Data were collected through four focus group discussions and analysed by Colaizzi's method. Results Three themes were obtained from the data analysis: important role played by nurses in medication safety, types of medication errors (near misses) committed by nursing students, and the causes of medication errors during clinical rotations. Conclusion Nurses play a vital role in dispensing medication and ensuring patient safety, but near misses are still reported during clinical rotations. Lack of knowledge, skills, proper supervision, and appropriate role models during clinical rotations lead to medication errors by nursing students. Appropriate role models and adequate supervision in the clinical education stage are necessary to ensure the achievement of medication safety competencies.
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Affiliation(s)
- Lisa Musharyanti
- School of Nursing, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
| | - Mora Claramita
- Department of Medical Education, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia
| | - Fitri Haryanti
- Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia
| | - Iwan Dwiprahasto
- Department of Pharmacology and Therapy, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia
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Kirwan M, Riklikiene O, Gotlib J, Fuster P, Borta M. Regulation and current status of patient safety content in pre-registration nurse education in 27 countries: Findings from the Rationing - Missed nursing care (RANCARE) COST Action project. Nurse Educ Pract 2019; 37:132-140. [PMID: 31153130 DOI: 10.1016/j.nepr.2019.04.013] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 03/11/2019] [Accepted: 04/16/2019] [Indexed: 10/27/2022]
Abstract
Patient safety, as a contemporary health care concern, must remain a priority for nurse educators. This on-line consultation, carried out within the RANCARE COST Action project, determined to establish how patient safety teaching is incorporated into pre-registration education of nurses across 27 countries. How nursing is regulated within countries was examined, along with national guidelines related to nurse education. HEIs were asked to provide details of pre-registration nurse training and how patient safety is taught within programmes. The results confirm that the topic of patient safety is generally not explicitly taught, rather it remains a hidden element within the curriculum, taught across many subjects. Variation in how nursing is regulated exists across the countries also, with the professionalization of nursing remaining a challenge in some states. No guidelines exist at EU level which address how patient safety should be taught to nursing students, and as yet regulatory bodies have not put forward criteria on the subject. As a result individual HEIs determine how patient safety should be taught. The WHO guidelines for teaching patient safety are currently underutilized in nurse education, but could offer a structure and standard which would address the deficits identified in this work.
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Affiliation(s)
- Marcia Kirwan
- School of Nursing and Human Sciences, Dublin City University, Ireland.
| | - Olga Riklikiene
- Lithuanian University of Health Sciences, Faculty of Nursing, Department of Nursing and Care, Kaunas, Lithuania
| | - Joanna Gotlib
- Department of Teaching and Education Outcomes, Faculty of Health Sciences with the Nursing Division, The Public Health Division and the Dietetics Division, Medical University of Warsaw, Poland
| | - Pilar Fuster
- Nursing Department, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Margareta Borta
- School of Nursing and Human Sciences, Dublin City University, Ireland
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Seyhan-Ak E, Kandemir D, Ayoğlu T, Ayhan MK. [The Opinions and Practices of Nursing Students About Preoperative Patient Safety]. Florence Nightingale Hemsire Derg 2019; 27:26-37. [PMID: 34267960 PMCID: PMC8127594 DOI: 10.26650/fnjn418383] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Accepted: 12/26/2018] [Indexed: 12/03/2022] Open
Abstract
Amaç Araştırma, ikinci sınıf hemşirelik öğrencilerinin ameliyat öncesi hasta güvenliğine ilişkin görüşleri ve uygulamalarının incelenmesi amacıyla yapıldı. Yöntem Tanımlayıcı tipte olan araştırma, Kasım 2016-Nisan 2017 tarihleri arasında iki üniversite hastanesinin cerrahi birimlerinde uygulamaya çıkan ve araştırmaya alınma kriterlerine uyan 219 hemşirelik 2. sınıf öğrencisi ile gerçekleştirildi. Verilerin toplanmasında araştırmacılar tarafından literatür doğrultusunda geliştirilen ve iki bölümden oluşan veri toplama formu kullanıldı. Araştırmaya başlamadan önce gerekli kurum ve etik kurul izinleri alındı. Verilerin analizinde tanımlayıcı istatistikler ile Ki-Kare testi kullanıldı. Bulgular Araştırmaya katılan öğrencilerin yaş ortalamasının 20.29±1.65 (yıl) olduğu ve %50.2’sinin iş olanağının fazla olması nedeniyle mesleği tercih ettiği saptandı. Öğrencilerin %33.8’inin hasta güvenliğine yönelik ders aldığı, %26.9’unun hasta güvenliğine yönelik seminer, kurs vb. eğitim etkinliklerine katıldığı belirlendi. Ameliyat öncesi hasta güvenliği uygulamalarını yapma durumları incelendiğinde ise araştırmaya katılan öğrencilerin ameliyat öncesi en çok yaptıkları ilk üç uygulamanın sırasıyla yaşam bulgularının ölçülmesi, kimlik bilgilerinin kontrolü ve ameliyat bölgesinin doğrulanması olduğu belirlendi. Sonuç Bu araştırmada öğrencilerin çoğunluğunun ameliyat öncesi hasta güvenliğine yönelik herhangi bir eğitim programına katılmadıkları; buna karşın, ameliyat öncesi hasta güvenliğine yönelik bazı uygulamaları gerçekleştirdikleri görüldü. Bu sonuçlar doğrultusunda, hasta güvenliğine yönelik eğitim faaliyetleri düzenlenerek ve öğrencilerin bu faaliyetlere katılımları sağlanarak, ameliyat öncesi hasta güvenliği uygulamalarına yönelik bilgilerinin arttırılması ve daha büyük örneklem grubu ile tüm sınıfların bilgi ve uygulama düzeylerinin karşılaştırılması önerilebilir.
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Affiliation(s)
- Ezgi Seyhan-Ak
- İstanbul Üniversitesi-Cerrahpaşa Florence Nightingale Hemşirelik Fakültesi, İstanbul, Türkiye
| | - Didem Kandemir
- Maltepe Üniversitesi Hemşirelik Yüksekokulu, İstanbul, Türkiye
| | - Tuluha Ayoğlu
- İstanbul Üniversitesi-Cerrahpaşa Florence Nightingale Hemşirelik Fakültesi, İstanbul, Türkiye
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Musavi Ghahfarokhi M, Masoudiyekta L, Khajeali N. The level of safety standards in implementing therapeutic and caring procedures by emergency department personnel. Nurs Open 2019; 6:109-115. [PMID: 30534400 PMCID: PMC6279731 DOI: 10.1002/nop2.196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Revised: 05/22/2018] [Accepted: 06/25/2018] [Indexed: 11/08/2022] Open
Abstract
AIM The present study aimed to determine the level of applying safety standards in treatment and therapy processes. DESIGN In the present descriptive study, 120 cases of nasogastric intubation, bladder catheterization and intramuscular and intravenous injections done by emergency staff were randomly selected. METHODS The data were collected by a two-section checklist including demographic features and four sheets of observation. Then, the data were analysed based on descriptive statistics. RESULT The results indicated that the level of compliance with safety standards was 63.3% in intramuscular injection, 86.7% for intravenous injection, 90% for bladder catheterization and 80% for nasogastric intubation. In addition, no statistically significant difference was observed between these processes and the variables such as ages, education and experience and work shift.
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Affiliation(s)
| | - Leila Masoudiyekta
- School of Nursing and MidwiferyDezful University of Medical SciencesDezfulIran
| | - Nasrin Khajeali
- School of Nursing and MidwiferyDezful University of Medical SciencesDezfulIran
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Abu Sharour L, Subih M, Yehia D, Suleiman K, Salameh AB, Al Kaladeh M. Teaching module for improving oncology nurses' knowledge and self-confidence about central line catheters caring, complications, and application: A pretest-posttest quasi-experimental design. JOURNAL OF VASCULAR NURSING 2018; 36:203-207. [PMID: 30458943 DOI: 10.1016/j.jvn.2018.07.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2018] [Revised: 07/08/2018] [Accepted: 07/18/2018] [Indexed: 11/24/2022]
Abstract
The aim of the present study was to assess the effectiveness of implementing an educational module based on the Centers for Disease Control and Prevention guidelines on the nurses' knowledge and self-confidence regarding central line catheters (CVCs) caring, complications, and application. A pretest-posttest quasi-experimental design was used. A sample of 100 oncology nurses from oncology units participated in two groups, experimental group (N = 50) and control group (N = 50). The participants completed knowledge test and self-confidence scale before and after the educational program. The results showed that there was a significant difference between the experimental and control groups regarding knowledge related to CVC guidelines and management after the interventional sessions (t = -7.85, P = .001). The mean and standard deviation for experimental group were 15.95 (5.45) and 7.35 (2.73) for the control group. Furthermore, the results showed significant difference (t = -22.20, P = .001) between the experimental group (M = 61.50, SD = 14.20) and the control group (M = 35.50, SD = 7.20) regarding self-confidence in managing CVCs. It is concluded that using educational program strengthens nurses' skills, improves safety, and increases opportunity to learn, and thus, it will increase the self-confidence.
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Affiliation(s)
- Loai Abu Sharour
- Associate Professor, Faculty of nursing, AL-Zaytoonah University of Jordan, Amman, Jordan.
| | - Maha Subih
- Assistant Professor, School of Nursing, Al-Zaytoonah University of Jordan (ZUJ), Amman, Jordan
| | - Dalal Yehia
- Assistant Professor, School of Nursing, Al-Zaytoonah University of Jordan (ZUJ), Amman, Jordan
| | - Khaled Suleiman
- Assistant Professor, School of Nursing, Al-Zaytoonah University of Jordan (ZUJ), Amman, Jordan
| | - Ayman Bani Salameh
- Assistant Professor, School of Nursing, Al-Zaytoonah University of Jordan (ZUJ), Amman, Jordan
| | - Mahmoud Al Kaladeh
- Assistant Professor, School of Nursing, Al-Zaytoonah University of Jordan (ZUJ), Amman, Jordan
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Usher K, Woods C, Conway J, Lea J, Parker V, Barrett F, O'Shea E, Jackson D. Patient safety content and delivery in pre-registration nursing curricula: A national cross-sectional survey study. NURSE EDUCATION TODAY 2018; 66:82-89. [PMID: 29684837 DOI: 10.1016/j.nedt.2018.04.013] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Revised: 03/21/2018] [Accepted: 04/12/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND Patient safety is a core principle of health professional practice and as such requires significant attention within undergraduate curricula. However, patient safety practice is complex requiring a broad range of skills and behaviours including the application of sound clinical knowledge within a range of health care contexts and cultures. There is very little research that explores how this is taught within Australian nursing curricula. OBJECTIVES To examine how Australian nursing curricula address patient safety; identify where and how patient safety learning occurs; and describe who is responsible for facilitating this learning. DESIGN A cross-sectional study. SETTING Eighteen universities across seven Australian States and Territories. PARTICIPANTS The sample consisted of 18 nursing course coordinators or those responsible for the inclusion of patient safety content within a Bachelor of Nursing course at Australian universities. METHODS An online survey was conducted to evaluate the patient safety content included and teaching methods used in Australian pre-registration nursing curricula. RESULTS Approaches to teaching patient safety vary considerably between universities where patient safety tended to be integrated within undergraduate nursing course subjects rather than explicitly taught in separate, stand-alone subjects. Three-quarters of the surveyed staff believed patient safety was currently being adequately covered in their undergraduate nursing curricula. CONCLUSION Although there is consensus in relation to the importance of patient safety across universities, and similarity in views about what knowledge, skills and attitudes should be taught, there were differences in: the amount of time allocated, who was responsible for the teaching and learning, and in which setting the learning occurred and was assessed. There was little indication of the existence of a systematic approach to learning patient safety, with most participants reporting emphasis on learning applied to infection control and medication safety.
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Affiliation(s)
- Kim Usher
- School of Health, University of New England, Armidale, NSW 2351, Australia; Oxford Institute of Nursing, Midwifery & Allied Health Research (OxINMAHR), Oxford School of Nursing and Midwifery, Faculty of Health & Life Sciences, Oxford-Brookes University, Oxford, UK.
| | - Cindy Woods
- School of Health, University of New England, Armidale, NSW 2351, Australia.
| | - Jane Conway
- School of Health, University of New England, Armidale, NSW 2351, Australia.
| | - Jackie Lea
- School of Health, University of New England, Armidale, NSW 2351, Australia.
| | - Vicki Parker
- School of Health, University of New England, Armidale, NSW 2351, Australia.
| | - Fiona Barrett
- School of Health, University of New England, Armidale, NSW 2351, Australia.
| | - Eilish O'Shea
- School of Health, University of New England, Armidale, NSW 2351, Australia.
| | - Debra Jackson
- School of Health, University of New England, Armidale, NSW 2351, Australia; Oxford Institute of Nursing, Midwifery & Allied Health Research (OxINMAHR), Oxford School of Nursing and Midwifery, Faculty of Health & Life Sciences, Oxford-Brookes University, Oxford, UK; Faculty of Health, University of Technology Sydney, NSW 2007, Australia.
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Kim CH, Jeong SY, Kwon MS. Effects of hazard perception training (HPT) on nursing students' risk sensitivity to patient safety and developing safety control confidence. Appl Nurs Res 2017; 39:160-166. [PMID: 29422152 DOI: 10.1016/j.apnr.2017.10.020] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2017] [Revised: 10/10/2017] [Accepted: 10/10/2017] [Indexed: 11/15/2022]
Abstract
PURPOSE This study identifies the effects of hazard perception training (HPT) on nursing students' risk sensitivities and safety control confidence. METHODS The study uses a nonequivalent control group pre-and post-test design. The participants were 107 senior nursing students, 52 in the experimental group, and 55 in the control group. The experimental group was shown 5 hospital situation pictures to determine hazard sensitivity. Students' risk sensitivity scores and safety control confidence were measured pre-HPT and post-HPT. RESULTS The experimental group showed significantly higher (on) total risk sensitivity score (t=12.47, p<0.001) and themes, such as fall down (t=19.33, p<0.001), preoperative time out (t=3.18, p<0.001), invasive treatment (t=12.40, p<0.001), and medication (t=10.98, p<0.001). However, the difference for telephone orders was insignificant between the experimental and control groups (t=-0.17, p=0.864). In addition, difference of mean scores for safety control confidence was insignificant between the experimental and the control groups (t=1.10, p=0.275). CONCLUSION Nursing education should incorporate hazard perception training more often, and educators need to develop education programs to improve nursing students' safety control confidence. Further, a Hazard Perception Training (HPT) that incorporates various kinds of educational methods for students majoring in healthcare fields is needed.
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Affiliation(s)
- Chang Hee Kim
- College of Nursing, Konyang University, Gwanjeodong-ro, Seo-gu, Daejeon 35365, South Korea.
| | - Sun Young Jeong
- College of Nursing, Konyang University, Gwanjeodong-ro, Seo-gu, Daejeon 35365, South Korea.
| | - Myung Soon Kwon
- College of Medicine, Div. of Nursing, Hallym University, 1 Hallymdaehak-gil, Chuncheon, Gangwon-do 24252, South Korea.
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Park E, Oh WO, Kim M. Factors Affecting Nursing Students’ Perception on Pediatric Patient Safety Culture and Nursing Activity. CHILD HEALTH NURSING RESEARCH 2017. [DOI: 10.4094/chnr.2017.23.4.534] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Mullen RF, Kydd A, Fleming A, McMillan L. Dignity in nursing care: What does it mean to nursing students? Nurs Ethics 2017; 26:390-404. [PMID: 28933258 DOI: 10.1177/0969733017720825] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND: Despite growing interest in the potential of nursing education to enhance dignity in nursing care, relatively little is known about what dignity means to nursing students. RESEARCH QUESTION: What meaning does dignity in nursing care have for nursing students? RESEARCH DESIGN: Photo-elicitation was embedded within a Nominal Group Technique and responses were analysed by qualitative and quantitative content analysis. PARTICIPANTS AND RESEARCH CONTEXT: Participants were recruited from each year of a 3-year undergraduate preregistration adult nursing programme in Scotland. In total, 31 nursing students participated in the study. ETHICAL CONSIDERATIONS: The study was approved by the Ethics Committee of the School of Health, Nursing and Midwifery, University of the West of Scotland. FINDINGS: Participants articulated the meaning of dignity in nursing care in terms of the relationships and feelings involved. A total of 10 categories of meaning were identified. DISCUSSION: The significance of the nature of the nurse-patient interaction to preserving dignity in nursing care is highlighted. CONCLUSION: Understanding the meaning of dignity for nursing students may help prepare future nurses more able to preserve dignity in nursing care.
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Jang H, Lee NJ. Patient safety competency and educational needs of nursing educators in South Korea. PLoS One 2017; 12:e0183536. [PMID: 28873099 PMCID: PMC5584796 DOI: 10.1371/journal.pone.0183536] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2016] [Accepted: 08/07/2017] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Nursing educators must be qualified to teach patient safety to nursing students to ensure patient safety in the clinical field. The purpose of this study was to assess nursing educators' competencies and educational needs for patient safety in hospitals and nursing schools. METHOD A mixed-methods sequential explanatory design employed a survey and focus group interview with nursing educators (school clinical instructors and hospital nurse preceptors). Thirty-eight questionnaires filled out by clinical instructors from six four-year nursing universities and 106 questionnaires from nurse preceptors from three high-level general hospitals in the Seoul metropolitan area were analyzed to obtain quantitative data. Focus group interviews were conducted among six clinical instructors from one nursing school and four nurse preceptors from one high-level general hospital in Seoul. RESULTS Nursing educators had higher levels of attitude compared with relatively lower levels of skill and knowledge regarding patient safety. They reported educational needs of "medication" and "infection prevention" as being higher and "human factors" and "complexity of systems" as being lower. Nursing educators desired different types of education for patient safety. CONCLUSION It is necessary to enhance nursing educators' patient safety skills and knowledge by developing and providing an integrated program of patient safety, with various teaching methods to meet their educational needs. The findings of this study provide the basic information needed to reform patient safety education programs appropriately to fit nursing educators' needs and their patient safety competencies in both clinical practice and academia. Furthermore, the findings have revealed the importance of effective communication between clinical and academic settings in making patient safety education seamless.
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Affiliation(s)
- Haena Jang
- College of Nursing, Seoul National University, Seoul, South Korea
| | - Nam-Ju Lee
- College of Nursing, Seoul National University, Seoul, South Korea
- The Research Institute of Nursing Science of Seoul National University, Seoul, South Korea
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