Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: An annual cross-sectional study (2010-2013).

Background: Given the increasing incidence of adverse events and medication errors in healthcare settings, a greater emphasis is being placed on the integration of patient safety competencies into health professional education. Nurses play an important role in preventing and minimizing harm in the h...

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Publicado en:International Journal of Nursing Studies Vol. 52; no. 5; pp. 930 - 939
Autores principales: Lukewich, Julia, Edge, Dana S., Tranmer, Joan, Raymond, June, Miron, Jennifer, Ginsburg, Liane, VanDenKerkhof, Elizabeth
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. May2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2015
      vid: 52
      iid: 5
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      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        10.1016/j.ijnurstu.2015.01.010
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        atl: Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: An annual cross-sectional study (2010-2013).
      aug:
        au:
          Lukewich, Julia
          Edge, Dana S.
          Tranmer, Joan
          Raymond, June
          Miron, Jennifer
          Ginsburg, Liane
          VanDenKerkhof, Elizabeth
        affil: School of Nursing, Faculty of Health Sciences, Queen's University, Canada
      sug:
        subj:
          Education, Nursing, Baccalaureate Ontario
          Patient Safety Education
          Student Attitudes Evaluation
          Confidence Evaluation
          Students, Nursing, Baccalaureate
          Ontario
          Human
          Cross Sectional Studies
          Descriptive Research
          Descriptive Statistics
          Self Report
          Convenience Sample
          Colleges and Universities
          Questionnaires
          Comparative Studies
          Summated Rating Scaling
          Male
          Female
          Adult
          Chi Square Test
          Two-Way Analysis of Variance
          One-Way Analysis of Variance
          Post Hoc Analysis
          Education, Clinical
          Adult: 19-44 years
          Male
          Female
      ab: Background: Given the increasing incidence of adverse events and medication errors in healthcare settings, a greater emphasis is being placed on the integration of patient safety competencies into health professional education. Nurses play an important role in preventing and minimizing harm in the healthcare setting. Although patient safety concepts are generally incorporated within many undergraduate nursing programs, the level of students' confidence in learning about patient safety remains unclear. Objectives: Self-reported patient safety competence has been operationalized as confidence in learning about various dimensions of patient safety. The present study explores nursing students' self-reported confidence in learning about patient safety during their undergraduate baccalaureate nursing program. Design: Cross-sectional study with a nested cohort component conducted annually from 2010 to 2013. Setting and participants: Participants were recruited from one Canadian university with a four-year baccalaureate of nursing science program. All students enrolled in the program were eligible to participate. Methods: The Health Professional Education in Patient Safety Survey was administered annually. The Health Professional Education in Patient Safety Survey captures how the six dimensions of the Canadian Patient Safety Institute Safety Competencies Framework and broader patient safety issues are addressed in health professional education, as well as respondents' self-reported comfort in speaking up about patient safety issues. Results: In general, nursing students were relatively confident in what they were learning about the clinical dimensions of patient safety, but they were less confident about the sociocultural aspects of patient safety. Confidence in what they were learning in the clinical setting about working in teams, managing adverse events and responding to adverse events declined in upper years. The majority of students did not feel comfortable speaking up about patient safety issues. The nested cohort analysis confirmed these findings. In particular, confidence in acquiring basic clinical skills, learning about adverse events, and managing safety risks improved between Year 1 and Year 2, and confidence in managing safety risks declined in upper years. Conclusions: These findings suggest nursing students are confident in what they are learning about clinical aspects of patient safety, however, their confidence in learning about sociocultural aspects declines as they are increasingly exposed to the clinical environment. This suggests a need to address the impact of the practice environment on nursing students' confidence in what they are learning about patient safety.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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