Factors influencing the supervision of nursing students administering medication: The registered nurse perspective

Safeguarding in medication administration: understanding pre-registration nursing students' survey response to patient safety and peer reporting issues

“…One strategy was to try to reach a compromise, by accommodating the consequence of challenging the unsafe medication administration practice, yet doing that in a way that may not lead to ethical distress caused by the difficult decision to confront the nurses who are perceived to be involved in the unsafe practice. In line with the finding from this study, several studies (Nolan , Levett‐Jones & Lathlean , Reid‐Searl & Happell ) have suggested that when deciding to speak up about their concerns, student nurses often weight their decisions with the implications of being accepted or rejected in the nursing team. Students have been described as not wanting to ‘rock the boat’ and hence conform to the practices of a clinical setting, even if the practices varied from what they had been taught in the classroom (Levett‐Jones & Lathlean , Reid‐Searl & Happell ).…”

“…In line with the finding from this study, several studies (Nolan , Levett‐Jones & Lathlean , Reid‐Searl & Happell ) have suggested that when deciding to speak up about their concerns, student nurses often weight their decisions with the implications of being accepted or rejected in the nursing team. Students have been described as not wanting to ‘rock the boat’ and hence conform to the practices of a clinical setting, even if the practices varied from what they had been taught in the classroom (Levett‐Jones & Lathlean , Reid‐Searl & Happell ).…”

<p>The “Ideal” Clinical Supervision Environment in Nursing and Allied Health</p>

“…24 Contrary to this study that found that interviewees believed lack of time was an excuse to addressing issues during clinical supervision, lack of time and busy workloads has been identified in many studies as a barrier to effective clinical supervision. 12,15,29 Reid-Searl and Happell 43 stated that the research shows that supervision really suffers in clinical setting that are extremely busy, hectic, and super-charged, such as emergency rooms. Given the alarming frequency and seriousness of medication errors, it is in these extremely busy environments where the closest supervision is required, but time pressures detract from quality supervision.…”

The space to make mistakes: allocating responsibility and accountability for nursing student-committed medication errors

“…The bulk of research that considers the reasons for, and implications of medication errors has, by far, been conducted in reference to RN practice rather than that of student nurses (Disch et al, 2017). This knowledge gap is unfortunate because there is speculation in the literature that inadequacies at the education stage of nurse preparation may contribute to medication errors committed after graduation (Chiou, Huang, & Chuang, 2009;Fothergill Bourbonnais & Caswell, 2014;Harding & Petrick, 2008;Reid-Searl & Happell, 2011;Reid-Searl, Happell, Burke, & Gaskin, 2013;Reid-Searl, Moxham, Walker, & Happell, 2010).…”

“…Student supervision: some studies found inadequate supervision of student nurses during the medication administration process. In the limited number of studies that consider this phenomenon to date, inadequate supervision of student nurses during medication administration led to significant fear, anxiety and internal conflict for students as they face the prospect of an error and potential patient harm (Reid-Searl & Happell, 2011Reid-Searl et al, 2013;Reid-Searl et al, 2009;Reid-Searl, Moxham, Walker, et al, 2010).…”