Student nurses' strategies when speaking up for patient safety: A qualitative study

Fagan, Anthea; Lea, Jackie; Parker, Vicki

doi:10.1111/nhs.12831

Cited by 7 publications

(6 citation statements)

References 37 publications

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“…Students value the fact that their role as students prevents them from expressing themselves openly. 40 The findings are consistent with the review by Albert et al which showed that students wanted ethical care, but lacked the ability to decide for themselves, and were torn between silence and denunciation. 41 In their reflections, the students acknowledge their inaction, and intention to improve in the future.…”

Section: Performance Evaluation Of Other Professionalssupporting

confidence: 88%

Reflective based learning for nursing ethical competency during clinical practices

et al. 2023

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Background A combination of theoretical and practical approaches is required to learn and acquire ethical competencies in caring. Occasionally, reflection on practical action differs from theoretical learning. In the context of reflective learning, issues such as ethical values can be discussed since they evoke conflict among nursing students. Aim To identify ethical conflicts encountered by nursing students during clinical placements and to determine their cooperation strategies. Research design Qualitative study with a content analysis according to Elo and Kinglas framework. Participants and research context Students enrolled in a nursing program at a Spanish university aged between 22 and 35, mainly women. Methodology The study includes 134 ethical reflections from nursing students in the last year of the nursing program, written during their clinical practices in a variety of learning environments. The research team analyzed the reflections using an inductive content analysis method. Ethical considerations Ethical permission was obtained by the management center according to Law 3/2028, and all the participants accepted to participate through the informed consent form. Findings Three main categories emerged from the analysis of the ethical reflections: (1) evaluation of professional performance and patient care; (2) the student as the protagonist of the dilemma; (3) student coping. Student dilemmas and concerns are related to ignorance, student-patient communication, mistakes made and self-confidence. Some situations conflict with the autonomy of patients and their rights, and can contribute to stressful situations for patients. Stress factors include hospital routines, which the patient cannot modify, and asymmetric relationships with staff, which encourage passivity. Conclusion All ethical problems detected by the students begin with the professional-patient relationship, including issues related to bad news, errors or malpractice. Reflection on the ethical values of nursing, both in the classroom and in clinical practices, allows students to develop a greater ethical awareness of care, enhancing their decision-making skills in ethical dilemmas.

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Section: Performance Evaluation Of Other Professionalssupporting

confidence: 88%

Reflective based learning for nursing ethical competency during clinical practices

et al. 2023

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“…Due to this, the FM staff should also work with the greatest interest of the patients at heart and make sure that their operating hours and services provided does not adversely impact on the administrative process to continually ensure quality patients health-care experience. This means having a health-care setting where both health-care professionals (both core and supporting) and patients can have their say concerning safety issues that concerns them without fear of culpability or reprisal (Fagan et al , 2021; Lee et al , 2021). It implies encouraging an environment where both health-care professionals and patients would be free to report risks and well-being occurrences with the aim of learning from them and lessening their repetition (Fancourt and Finn, 2019; WHO, 2016b).…”

Section: Review Of Findings and Their Implicationsmentioning

confidence: 99%

The intervening influence of the quality of health-care administrative process on the relationship between facilities management service quality and patients’ health-care experience in Ghana

Amankwah,

Choong,

Boakye-Agyeman

et al. 2023

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Purpose Patient-centred strategies should be applied in health-care facilities management (HcFM) to guarantee service quality to meet patients’ needs and ensure quality patient health-care experience. This paper aims to examine the intervening influence of the quality of health-care administrative process (QAP) on the association between health-care facilities service quality and patients’ experiences with medical care. Design/methodology/approach A quantitative technique was used for this cross-sectional study in three Ghanaian teaching hospitals. A total of 622 relevant questionnaires were used for the analysis of the study using SEM-PLS. Findings The intervening influence of the QAP on the relationship between HcFM service quality (empathy and tangibility) and patients’ health-care experience (PHcE) were reinforced whilst that of reliability, responsiveness and assurance were not reinforced. The association between the QAP and PHcE was also established. Research limitations/implications A high-quality health-care workforce (both core and supporting) and quality work environment provided by the FM department and QAP are essential during quality-of-care delivery, to reduce threats to patient safety to achieve exceptional PHcE. The constraint on the study is that information was gathered from only Ghana. Hence, the generalisation of the findings will be a challenge. Thus, in future, it is proposed that a comparative study across a developed country and a developing country can be conducted. Future research can assess the influence of the health-care internal appearance on patients’ satisfaction. Practical implications Practically, the administrative system can be improved by reducing patients overall waiting time. Steps must also be taken to reduce the problem of needless administrative tasks and practices to simplify administrative practices and improve patients’ total health-care experience (core health-care delivery and HcFM), as this influence patients’ total health-care experience. Originality/value To the best of the authors’ knowledge, this empirical validation is one of the initial studies in service quality and FM to examine how health-care administrative process quality affects the relationship between FM service quality and patients’ experiences with medical care. This framework can be adapted for research in different countries to extend knowledge.

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“…Higher persistence and personal goals were factors identified in qualitative studies. In the study byFagan et al (2021), students reported that they were afraid to talk about patient safety in a clinical setting and needed more time to decide whether to talk about patient safety issues or not. The second study (Lundell Rudberg et al, 2022) described how it is necessary to set personal goals to be able to proceed in accordance with safe practices and not always follow mentors who sometimes do not follow safe practices.…”

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confidence: 99%

Factors influencing nursing students' perception of patient safety

Kohanová,

Bartoníčková,

Kurucová

et al. 2023

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Introduction: Patient safety is one of the main priorities of healthcare facilities worldwide. The perspective of nursing students on patient safety is essential for planning strategies to improve patient safety and its culture. Nursing students' perception of patient safety may differ between teaching and learning practices in nursing faculties, but also depends on the clinical experience gained during clinical placement.Objective: To collate existing empirical research studies on factors influencing the perception of patient safety from the perspective of nursing students. Methods: The search was performed in scientific databases PubMed, Scopus, and ProQuest in February 2023 and was limited to one language (English). The search produced 1,703 studies. The content analysis method was used in data synthesis. Results: 36 studies were considered relevant for the review. 23 factors that affect the knowledge, skills, and attitudes of nursing students towards patient safety were determined. Four main factor groups were described as follows: Factors related to demographic data; Factors related to clinical environment; Factors related to academic environment; Contextual factors. Conclusion: Nursing students' perception of patient safety was influenced by the educational and clinical environment. In relation to education, there is a need to integrate the patient safety subject at the beginning of nursing studies and to strengthen existing knowledge about adverse events.

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Student nurses' strategies when speaking up for patient safety: A qualitative study

Cited by 7 publications

References 37 publications

Reflective based learning for nursing ethical competency during clinical practices

Reflective based learning for nursing ethical competency during clinical practices

The intervening influence of the quality of health-care administrative process on the relationship between facilities management service quality and patients’ health-care experience in Ghana

Factors influencing nursing students' perception of patient safety

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