Knowledge and competence with patient safety as perceived by nursing students: The findings of a cross-sectional study

Stevanin, Simone; Bressan, Valentina; Bulfone, Giampiera; Zanini, Antonietta; Dante, Angelo; Palese, Alvisa

doi:10.1016/j.nedt.2015.04.002

Cited by 65 publications

(62 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ensuring safety in healthcare settings requires improvements in the educational and clinical practice of professionals (Alquwez et al, ; Colet et al, ; Stevanin et al, ). Patient safety was defined by WHO (, p. 3) as “the absence of preventable harm to a patient during the process of health care.” A concept analysis conducted by Kim, Lyder, McNeese‐Smith, Leach, and Needleman (, p. 2,497) presented that the most common defining attributes of patient safety in the literature are as follows: “prevention of medical errors and avoidable adverse events, protection of patients from harm or injury and collaborative efforts by individual healthcare providers and a strong, well integrated healthcare system.” Ensuring safety in healthcare settings requires improvements in both the academic trainings and clinical practice of professionals (Ammouri, Tailakh, Muliira, Geethakrishnan, & Al Kindi, ; Stevanin et al, ). Experts stressed that shared patient safety culture must be of primary importance.…”

Section: Introductionmentioning

confidence: 99%

A multi‐university assessment of patient safety competence during clinical training among baccalaureate nursing students: A cross‐sectional study

Alquwez

Cruz

Alshammari

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To assess the perceived patient safety competence during clinical training of Saudi nursing students. Background Ensuring safety in healthcare settings requires improvements in the educational and clinical practice of professionals. Experts stressed that shared patient safety culture must be of primary importance; they also emphasised the resolute need for theoretically driven research approaches for patient safety competence in healthcare organisations and educational institutions. Design Descriptive, cross‐sectional design. Methods This study was conducted in six government universities in Saudi Arabia. A sample of 829 nursing students was surveyed using the health professional education in patient safety survey. Descriptive and inferential statistics were used to analyse the data. The study adhered to the STROBE guideline for cross‐sectional studies (See Supporting Information Appendix S1). Results The percentage of agreement on the items of the health professional education in patient safety survey ranged from 61.5%–76.5%. The dimension “understanding human and environmental factors” received the highest perceived competence, whereas the dimension “working in teams” received the lowest competence. Significant differences in students’ patient safety competence from different universities were reported. Male students perceived their competence in “working in teams” higher than the female students. Students in their internship year had significantly higher levels of competence in all the six dimensions of the health professional education in patient safety survey than students in the third‐ and fourth‐year levels. Conclusions Saudi nursing students have positive perceptions towards their patient safety competencies. Significant differences were found in the patient safety competence of nursing students between universities, gender and year of study. Relevance to clinical practice The results provide valuable insights and guidance for improving the patient safety competence of nursing students. The findings can be used to guide the creation of policies and interventions that may ensure the continuous development of patient safety competence of nursing students as they navigate the clinical area.

show abstract

Section: Introductionmentioning

confidence: 99%

A multi‐university assessment of patient safety competence during clinical training among baccalaureate nursing students: A cross‐sectional study

Alquwez

Cruz

Alshammari

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Enabling trainee health-care workers to judge where the line is drawn in terms of delineating poor care from adequate care is considered fundamental to nurse training, with many authors contributing to the general discussion on this. 96,104,122,124,129 Ion et al 86 argue that student nurses often lack confidence in their own judgement, and Bickhoff et al…”

Section: Boundary Definitionsmentioning

confidence: 99%

“…85,87,90,91,102 This advocacy role has been recognised as a crucial part of a nurses' training, 109,122,124 and perceived as fundamental to helping nurses recognise when care is poor. Ion et al 99 note the natural human tendency to describe oneself in the most positive light, leading whistleblowers to claim to be strong characters, whereas non-whistleblowers blame factors outside their control for their failure to report, perhaps suggesting that, at some level of consciousness, nurses understand and believe that their primary responsibility is to the patient.…”

Section: Personal Traits and Characteristicsmentioning

confidence: 99%

Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews

Mannion

Blenkinsopp

Powell

et al. 2018

Health Serv Deliv Res

View full text Add to dashboard Cite

Background There is compelling evidence to suggest that some (or even many) NHS staff feel unable to speak up, and that even when they do, their organisation may respond inappropriately. Objectives The specific project objectives were (1) to explore the academic and grey literature on whistleblowing and related concepts, identifying the key theoretical frameworks that can inform an understanding of whistleblowing; (2) to synthesise the empirical evidence about the processes that facilitate or impede employees raising concerns; (3) to examine the legal framework(s) underpinning whistleblowing; (4) to distil the lessons for whistleblowing policies from the findings of Inquiries into failings of NHS care; (5) to ascertain the views of stakeholders about the development of whistleblowing policies; and (6) to develop practical guidance for future policy-making in this area. Methods The study comprised four distinct but interlocking strands: (1) a series of narrative literature reviews, (2) an analysis of the legal issues related to whistleblowing, (3) a review of formal Inquiries related to previous failings of NHS care and (4) interviews with key informants. Results Policy prescriptions often conceive the issue of raising concerns as a simple choice between deciding to ‘blow the whistle’ and remaining silent. Yet research suggests that health-care professionals may raise concerns internally within the organisation in more informal ways before utilising whistleblowing processes. Potential areas for development here include the oversight of whistleblowing from an independent agency; early-stage protection for whistleblowers; an examination of the role of incentives in encouraging whistleblowing; and improvements to criminal law to protect whistleblowers. Perhaps surprisingly, there is little discussion of, or recommendations concerning, whistleblowing across the previous NHS Inquiry reports. Limitations Although every effort was made to capture all relevant papers and documents in the various reviews using comprehensive search strategies, some may have been missed as indexing in this area is challenging. We interviewed only a small number of people in the key informant interviews, and our findings may have been different if we had included a larger sample or informants with different roles and responsibilities. Conclusions Current policy prescriptions that seek to develop better whistleblowing policies and nurture open reporting cultures are in need of more evidence. Although we set out a wide range of issues, it is beyond our remit to convert these concerns into specific recommendations: that is a process that needs to be led from elsewhere, and in partnership with the service. There is also still much to learn regarding this important area of health policy, and we have highlighted a number of important gaps in knowledge that are in need of more sustained research. Future work A key area for future research is to explore whistleblowing as an unfolding, situated and interactional process and not just a one-off act by an identifiable whistleblower. In particular, we need more evidence and insights into the tendency for senior managers not to hear, accept or act on concerns about care raised by employees. Funding The National Institute for Health Research Health Services and Delivery Research programme.

show abstract

“…6 Outro estudo realizado em três hospitais de ensino do estado do Rio de Janeiro no ano de 2009, mostrou que 7,6% dos usuários foram vítimas de EAs, e destes, 66,7% poderiam ser evitados.² Os EAs, na maioria das vezes não são notificados, o que dificulta o trabalho dos gestores hospitalares na busca de caminhos para a resolução dos problemas e direcionamento dos profissionais para melhoria da qualidade do planejamento assistencial. 7 A Organização Mundial de Saúde (OMS), juntamente com a Joint Comission International estipularam as metas internacionais de segurança do paciente baseados em evidências e opiniões de especialistas na área. As metas promovem melhorias específicas na segurança do paciente em âmbito hospitalar, destacam problemáticas na assistência à saúde e apresentam soluções para tais problemas encontrados.…”

Section: Introductionunclassified

“…7 Os participantes que apresentaram maior proporção de acertos nas questões pertenciam ao grupo que trabalha há mais de um ano na instituição. Este dado reafirma que é necessário promover o conhecimento sobre a cultura de segurança do paciente.…”

unclassified

Avaliação do conhecimento da equipe de enfermagem sobre as metas internacionais de segurança do paciente em uma unidade de terapia intensiva

Souza

Gouveia

2017

Rev Epidemiol Control Infect

View full text Add to dashboard Cite

Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. //dx.doi.org/10.17058/reci.v7i3.8780 Páginas 01 de 07 não para fins de citação Justificativa e Objetivos: A qualidade de assistência hospitalar prestada ao paciente e a segurança em sua estadia no local, desencadeou discussões acerca do assunto em todo o mundo após a análise de estudos epidemiológicos realizados nos EUA, que teve como conclusão o alto índice de eventos adversos em âmbito hospitalar ocasionados por erro profissional, com isso a temática ganhou forças e motivaram discussões sobre os modelos assistenciais aplicados aos pacientes. Portanto a pesquisa teve como objetivo avaliar o conhecimento da Equipe de Enfermagem do setor de Unidade de Terapia Intensiva de um hospital público de Recife-PE sobre as metas internacionais da segurança do paciente.Métodos: Estudo transversal com abordagem quantitativa descritiva, realizado no período de junho a agosto de 2016. A coleta de dados foi realizada através de um questionário semiestruturado que abordou aspectos sociais e profissionais dos pesquisados. As variáveis estudadas: o gênero, idade, categoria profissional e tempo de formação. Os dados foram analisados em software Epi Info versão 3.2.2. Resultados: A amostra foi constituída por 50 profissionais, sendo 18% Enfermeiros e 82% técnicos de Enfermagem. A maioria dos pesquisados acertaram mais que 50% das perguntas sobre as metas internacionais de segurança do paciente e possuem mais de um vínculo empregatício. Conclusão: Verificou-se que a falta de capacitação, sobrecarga de trabalho e mais de um vínculo empregatício podem contribuir para uma assistência profissional precária. Descritores: Segurança do Paciente. Enfermagem. Gerenciamento de segurança. Unidade de terapia intensiva. Background and Objectives:The quality of hospital care provided to patients and their safety during the hospital stay has triggered discussions about the topic around the world after the analysis of epidemiological stud-ies carried out in the USA disclosed the high rate of adverse events in the hospital environment caused by professional error. With this fact, the topic has gained strength and motivated discus-sions about the care models applied to patients. Therefore, the study aimed to evaluate the nurs-ing staff knowledge on the international patient-safety goals in an Intensive Care Unit of a public hospital in Recife-PE. Methods: This was a cross-sectional study with a quantitative descriptive approach, carried out from June to August 2016. Data collection was carried out through a semi-structured questionnaire that addressed the social and professional aspects of the respondents. The studied variables were gender, age, professional category and time since graduation. The data were analyzed using the Epi Info software, version 3.2.2. Results: The sample consisted of 50 professionals, 18% of which were Nurses, and 82% Nursing Technicians. Most respondents scored more than 50% of...

show abstract

Knowledge and competence with patient safety as perceived by nursing students: The findings of a cross-sectional study

Cited by 65 publications

References 33 publications

A multi‐university assessment of patient safety competence during clinical training among baccalaureate nursing students: A cross‐sectional study

A multi‐university assessment of patient safety competence during clinical training among baccalaureate nursing students: A cross‐sectional study

Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews

Avaliação do conhecimento da equipe de enfermagem sobre as metas internacionais de segurança do paciente em uma unidade de terapia intensiva

Contact Info

Product

Resources

About