Patient safety competencies in undergraduate nursing students: a rapid evidence assessment

Aims To identify patient safety competencies, and determine the clinical learning environments that facilitate the development of patient safety competencies in nursing students. Background Patient safety in nursing education is of key importance for health professional environments, settings, and care systems. To be effective, safe nursing practice requires a good integration between increasing knowledge and the different clinical practice settings. Nurse educators have the responsibility to develop effective learning processes and ensure patient safety. Design Rapid Evidence Assessment. Data Sources MEDLINE, CINAHL, SCOPUS, and ERIC were searched, yielding 500 citations published between 1 January 2004 - 30 September 2014. Review Methods Following the Rapid Evidence Assessment process, 17 studies were included in this review. Hawker's (2002) quality assessment tool was used to assess the quality of the selected studies. Results Undergraduate nursing students need to develop competencies to ensure patient safety. The quality of the pedagogical atmosphere in the clinical setting has an important impact on the students’ overall level of competence. Active student engagement in clinical processes stimulates their critical reasoning, improves interpersonal communication, and facilitates adequate supervision and feedback. Conclusion Few studies describe the nursing students’ patient safety competencies and exactly what they need to learn. In addition, studies describe only briefly which clinical learning environments facilitate the development of patient safety competencies in nursing students. Further research is needed to identify additional pedagogical strategies and the specific characteristics of the clinical learning environments that encourage the development of nursing students’ patient safety competencies

Innovative learning from simulated patient complaints

Repeated inquiries have highlighted issues with patient safety, communication and the exploration of complaints, emphasising the interplay between each in securing the optimum patients’ journey through health and social care provision (Francis 2013, Keogh 2013). The Care Quality Commission (2014) highlighted that every concern or complaint is an opportunity to improve. A complaint may signal a problem, with the potential to help save lives, and well-handled concerns can help to improve the quality of patient care. Despite these potential benefits there is a wide variation in how complaints are handled or the fostering of an open culture where all complaints are welcomed and learnt from. The University of Derby in delivering pre-registration nursing education utilises simulation to explore patient complaints in order to facilitate recognition of the value they offer, providing transferability to enhance nursing practice and improve patient safety. The simulated experience consists of examining the reasons for complaints; impacts upon service users; lessons for nurses and other health professionals; means of address and preventing repetition of similar incidents;enhancements for practice and lessons for organisations. As part of this process the inclusion and effects of Human Factors are explored from the inception of the simulation experience. Students’ simulate three phases: root cause analysis; the development of a response letter; and a proposal for practice enhancement. These are all subsequently explored via a simulated Boardroom experience. This consists of a panel of allocated ‘experts’ to which the students’ present their findings and recommendations to enhance potential future patient experience and safety. Robust exploration of students’ thought processes and actions are incorporated within this experience via questioning, observation and reflections of the panel. Resulting from this simulation, students develop key transferrable skills: critical thinking; team working; leadership; knowledge of systems and processes; communication skills; customer care; quality assurance, governance and promoting patient safety that are mapped against the competencies outlined in the Nursing and Midwifery Council (2010) Standards for Pre-registration Nursing Education. This experience and feedback is recorded within each students practice document. This is used for subsequent review by their practice mentor, and can be used as part of their practice assessment at the applicable progression point. Learning from service user complaints is high on the agendas of commissioners and healthcare providers. This simulated experience has the potential to be transferred in to not only nursing practice but also any other healthcare professional pre-registration education and continued professional development. References Care Quality Commission (2014) Complaints Matter. Newcastle Upon Tyne: CQC. Francis, R. (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, London: The Stationery Office. Keogh, B. (2013) Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: An overview report. London: The Stationary Office. Nursing and Midwifery Council (2010) Standards for Pre-registration Nursing Education. London: NMC. Key words: • simulation • complaints • patient safety • enhancing practice. Bullet points that indicate how your work contributes to knowledge development: • innovative approaches to teaching and learning through the application of simulated complaints • enhancement of patient safety and the quality of care • development of transferable competence for nursing practice

Nurses\u27 Perceptions of Structural Empowerment: A Practice Review Process Pilot

Nurses are professionally and morally obliged to monitor and evaluate nursing practice via active participation in review mechanisms that are designed to promote patient safety and care delivery, thereby improving patient care quality (American Nurses Association [ANA], 1988, 2001, 2004; O\u27Rourke, 2006). The purpose of this Doctor of Nursing Practice (DNP) project was to develop, pilot, and evaluate a nurse practice review process with frontline nurses within Fresno Heart & Surgical Hospital (FHSH), a small specialty hospital, affiliated with Community Medical Centers (CMC) in Fresno, California. A nurse practice algorithm was subsequently developed and structural empowerment was assessed with the Conditions of Work Effectiveness Questionnaire-II (CWEQ-II) (Laschinger, Finegan, Shamian, & Wilk, 2001). While there was a small sample size, the DNP project evaluation demonstrated that frontline nurses want to participate in improvement activities within the facility and believed the nurse practice review algorithm would effectively monitor and evaluate nursing practice

Relationship Between Clinical Learning and Classroom Learning with the Perspective of Confidence Level on Patient Safety Among Baccalaureate Nursing Students

Patient safety is a global issue in these days. Nurses play important role in patient safety through monitoring the patient in front line of health care team. The international nursing group and global health were growing the essential ability to improve patient safety. To make nurses more confident in patient safety, early training with protection of affected person as a prominent feature of the nursing curriculum is necessary. The objective of study to check the Relationship between Clinical Learning and Classroom Learning with the perspective of Confidence level on Patient Safety among Nursing Students. . Descriptive cross sectional study conducted in the Lahore school of nursing, the University of Lahore. The study data collected using a questionnaire, Health professional Education in Patient Safety Survey (HPESS), which consisted on 7 subscales.   The target population 170 and the study was conducted on Baccaular of Science in Nursing (Hones) and Baccaular of Science in Nursing (Post RN) students.  The results of this study have given the picture of the association of classroom learning with that of the implementation of the clinical practice. By incorporating the higher level of objectives about patient safety in objection in learning in nursing curriculum, students will be able to gain more knowledge about the importance of patient safety issue, which will increase the confidence level in classroom and clinical learning on patient safety among nursing students. Keywords: Patient Safety, Nursing Curriculum, Confidence Level. DOI: 10.7176/JHMN/62-04 Publication date:May 31st 201

Impact of COVID‐19 on professional nursing practice environments and patient safety culture

Aim: To analyse the impact of COVID-19 on professional nursing practice environments and patient safety culture. Background: The relationship between work environments and patient safety has been internationally recognized. In 2020, the pandemic imposed enormous challenges, yet the impact on these variables remains unknown. Method: This is a quantitative observational study, conducted in a Portuguese hospital, with 403 registered nurses. A self-completion questionnaire was used. Results: The impact on the Structure and Outcome components of nursing professional practice environments was positive. Although the Process component remained favourable to quality of care, a negative trend was confirmed in almost all dimensions. The results regarding safety culture showed weaknesses; ‘teamwork within units’ was the only dimension that maintained a positive culture. Conclusion: Positive responses regarding patient safety were significantly associated with the quality of the nursing professional practice environment. The need to invest in all dimensions of safety culture emerges to promote positive professional environments. Implications for nursing management: Improving professional nursing practice environments can be achieved through managers’ investment in the participation and involvement of nurses in the policies and functioning of institutions, as well as promoting an open, fair and participatory safety culture that encourages reporting events and provides adequate support for professionals.info:eu-repo/semantics/publishedVersio

Postgraduate nurses’ insights into the nursing leadership role. Do they intuitively link the role to patient safety?

Nursing leaders are compelled to ensure a safety and quality agenda in the acute care environment as patient outcomes are linked to nursing care. Good nursing leadership where focus is directed to accountability and responsibility for clinical outcomes and patient safety, results in reduced adverse events and patient mortality. Integral to the future of high-quality effective clinical care with an absence of errors is the training of the next generation of nursing leaders. In this discussion paper, the extent to which future nurse leaders intuitively acknowledge patient safety as part of their leadership role was examined amongst a cohort of postgraduate nursing students. A content analysis to search for quality and safety terminology was conducted on 146 essay responses to a question about the nurse leader role in today’s healthcare environment. The results indicated minimal acknowledgement of patient safety as an intuitive consideration in the nursing leadership role. Recommendations are discussed for developing postgraduate nursing educational curricula with patient safety strategies as a central component to the practice of leadership

Correlations between characteristics of nurses and working environment with patient safety application in Muhammadiyah Palembang Hospital, Indonesia

The complexity of health services in hospitals have an impact on the quality of nursing care and patient safety aspects. The role of nurses needed in maintaining patient safety through environmental transformation and performance as the standard implementation. This study aimed to determine the relationship between characteristics of nurses and working environment with performance of nurse in patient safety application. This study used a cross-sectional study with number of samples were 113 nurses. Analysis using chi square and unpaired t-test with 95% CI. Based on the analysis of the working environment, around 59.3% were in high workloads, 54% were in good autonomy, 39.8% were in good availability of resources, 49.6% were in good aspects of leadership and management, and then 81.4% were in good performance of nurses in patient safety application. Bivariate analysis found a significant relationship between autonomous practice with the performance of nurses in patient safety application (p = 0.001) and management and leadership with the performance nurses in patient safety application (p = 0.003). The characteristics of nurses, workload and resource availability is not related to the performance of nurses in patient safety application. However, the performance of nurses in patient safety application related to how the perception of nurses regarding autonomy of nursing practice and management support and leadership in nursing.

Nursing Care of the Mechanically Ventilated Patient: What Does the Evidence Say? Part Two

The care of the mechanically ventilated patient is a fundamental component of a nurse's clinical practice in the intensive care unit (ICU). Published work relating to the numerous nursing issues of the care of the mechanically ventilated patient in the ICU is growing significantly, yet is fragmentary by nature. The purpose of this paper is to provide a single comprehensive examination of the evidence related to the care of the mechanically ventilated patient. In part one of this two-part paper, the evidence on nursing care of the mechanically ventilated patient was explored with specific focus on patient safety: particularly patient and equipment assessment. This article, part two, examines the evidence related to the mechanically ventilated patient's comfort: patient position, hygiene, management of stressors (such as communication, sleep disturbance and isolation), pain management and sedation

PROMOTING SAFETY THROUGH ADVOCACY AND PRACTICE: NURSE INPUT AND BELIEFS REGARDING HOSPITAL FALL PREVENTION POLICIES IN THE INPATIENT SETTING

Throughout the evolving healthcare system, many issues in the hospital setting pose significant risk to patient safety and outcomes. Falls occur at detrimental rates that inevitably impact both the patient and the nurse. Of the several reasons one would choose to join the profession, nurses often seek the satisfaction of knowing the care they have provided impacted a patient, physically and spiritually. The healthcare system has allotted for variables in patient safety to promote safe outcomes and the reduction of fall risk, such as evidence-based practices and tools like cameras and assessments. However, the lack of nursing involvement in these processes often leaves them a step behind the pattern they wish to follow. Collecting baseline data regarding nursing staff knowledge of policies and procedures allows both the researcher and nursing leadership team to drive change in many areas of practice beyond fall prevention and risk reduction alone. The purpose of the study is to highlight current nursing staff understanding regarding hospital fall prevention policies, implement an increased frequency of current assessments, and review whether these changes made an impact on staff’s beliefs about their involvement in practice. Recreating this in other areas of patient safety concerns may potentially impact nursing practice at the organizational level and lead to better patient outcomes

Patient Safety Based Knowledge Management SECI to Improve Nusrsing Students Competency

Introduction: Patient safety is an important component of health services quality,and basic principles of patient care. Nursing students also have a great potential to make an action that could endanger the patient, because hospital is one of student practice area. The purpose of this study was to improve the nursing students competency in patient safety by using knowledge management SECI approached. Method: The study used exploratory survey, and quasy experiment. The samples were some of nursing students of STIKes Muhammadiyah Samarinda who were on internship programme that selected using simple random sampling technique, in total of 54 students. This research's variables were the knowledge management SECI based-patient safety and nursing student's competency. The data were collected by using questionnaires and observation. The data were analyze by using Partial Least Square (PLS). Result: The result showed that there were significant influence the implementation of a model patient safety based knowledge management seci on increased competence nursing students. Discussion: Improved student competency in patient safety using SECI knowledge management was carried out in four phases, that is Socialization, Externalization, Combination, and Internalization. The result was a new knowledge related to patient safety that able to improve the student's competency.