Disclosing and Reporting Practice Errors by Nurses in Residential Long-Term Care Settings: A Systematic Review

Patient safety is crucial for the sustainability of the healthcare system. However, this may be jeopardized by the high prevalence of practice errors, particularly in residential long-term care. Development of improvement initiatives depends on full reporting and disclosure of practice errors. This systematic review aimed to understand factors that influence disclosing and reporting practice errors by nurses in residential long-term care settings. A systematic review using an integrative design was conducted. Electronic databases including PubMed (including Medline), Scopus, CINAHL, Embase, and Nordic and Spanish databases were searched using keywords relating to reporting and disclosing practice errors by nurses in residential long-term care facilities to retrieve articles published between 2010 and 2019. The search identified five articles, including a survey, a prospective cohort, one mixed-methods and two qualitative studies. The review findings were presented under the categories of the theoretical domains of Vincent’s framework for analyzing risk and safety in clinical practice: ‘patient’, ‘healthcare provider’, ‘task’, ‘work environment’, and ‘organisation & management’. The review findings highlighted the roles of older people and their families, nurses’ individual responsibilities, knowledge and collaboration, workplace atmosphere, and support by nurse leaders for reporting and disclosing practice errors, which had implications for improving the quality of healthcare services in residential long-term care settings

Mentors' self‐assessed competence in mentoring nursing students in clinical practice: A systematic review of quantitative studies

Aims and objectives: To examine registered nurses' self‐evaluation of their competence in mentoring nursing students in clinical practice. Background: Clinical mentors have significant roles and responsibility for nursing students' clinical learning. Moreover, the mentors' role is becoming increasingly important internationally, as the role of nurse teachers in mentoring students in clinical practice has declined. However, in most EU countries there are no specific educational requirements for clinical mentors, although they need targeted education to increase their competence in mentoring nursing students. Design: The systematic review of quantitative studies was designed according to guidelines of the Centre for Reviews and Dissemination and PRISMA protocol. Methods: Studies published during 2000–2019 that met inclusion criteria formulated in PiCOS format were systematically reviewed by three independent reviewers. CINAHL (Ebsco), PubMed (MEDLINE), Scopus, ERIC and Medic databases were used to retrieve the studies. Three independent reviewers conducted the systematic review process. The studies were tabulated, thematically compared and narratively reported. Results: In total, 16 peer‐reviewed studies met the inclusion criteria. The studies identified various dimensions of mentors´ competence and associated environmental factors. Generally, participating mentors rated competences related to the clinical environment, mentoring, supporting students' learning processes and relevant personal characteristics fairly high. They also rated organisational practices in their workplaces, resources in the clinical environment and their mentor–student and mentor–stakeholder pedagogical practices, as respectable or satisfactory. Conclusion: The results indicate considerable scope for improving mentors' competence, particularly through enhancing organisational mentoring practices and relevant resources in clinical environments. Relevance for clinical practice: Pedagogical practices of mentors in relations with both students and stakeholders should be enhanced to improve future nurses' learning. This systematic review addresses a gap in knowledge of mentors' self‐evaluated competence that could assist the formulation of effective educational programmes for mentors internationally and improving clinical environments.We would like to acknowledge European Commission, Erasmus+, KA2: Strategic partnership for providing funding for the project Quality mentorship for developing competent nursing students (QualMent)

Development of an evidence-based nurse mentor’s competence model

ERASMUS+ KA2: Strategic partnership. RESEARCH AND DEVELOPMENT PROJECT: QUALITY MENTORSHIP FOR DEVELOPING COMPETENT NURSING STUDENTS. "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.

Directrices para el desarrollo de competencias de tutoría de enfermeras mentoras clínicas

La guía se basa en evidencia de investigación evaluada críticamente y se ha desarrollado durante los años 2018-2021 a través del proyecto Erasmus +: Mentoría de Calidad para el Desarrollo de Estudiantes de Enfermería Competentes (QualMent) bajo el liderazgo de un equipo internacional de expertos con amplios conocimientos y experiencia en tutoría.Proyecto Erasmus + Mentoría de Calidad para el Desarrollo de Estudiantes de Enfermería Competentes (QualMent) 2018-1-SI01-KA203-04708

Mentoring of nursing students—A comparative study of Japan and five European countries

Aims: This study aimed to explore mentoring competence in nursing student mentors during clinical practice by identifying different mentor profiles and connections between different competence areas among five European countries and Japan. Methods: The study implemented a cross-sectional design in Finland, Italy, Lithuania, Slovenia, Spain, and Japan during 2016 and 2019. In total, 6208 mentors were invited, and 1862 participated from 58 healthcare organizations. The data were collected with a survey questionnaire by including background question items with the Mentor Competence Instrument. K-clustering and structural equation modeling were used for data analysis. Results: Four mentor profiles, A (43%), B (30%), C (18%), and D (9%), were identified according to the seven mentoring competence areas with high statistical significance (mean >3.50) was observed among Finnish, Lithuanian, and Slovenian mentors with university education in nursing, older ages, more work experience, and previous education in mentoring. Lower competence (mean <2.49) was observed among Japanese and Italian mentors with diplomas in nursing, younger ages, less work experience, and no previous education in mentoring. Conclusion: Mentoring requires motivated, highly competent mentors since mentoring is a critical aspect of nursing education. Mentoring roles should be given to nurses with higher education and mentoring training. Younger, less experienced nurses without formal mentoring training may need support from senior nurses when performing mentoring roles and could also facilitate a more balanced workload between patient care and mentoring for senior nurses

An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics : A role theory perspective

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Apoyo social formal a un grupo de madres con hijos menores de un año

Objective: Formal social support for a group of mothers with children under age one is analyzed in this research. Method: A qualitative, descriptive study of an interpretive nature was conducted in which ten women participated in a focus group that met on sevenoccasions. Results: A content analysis of the group’s dynamics showed formal informative support is the most common and is difficult to separate from emotional support. Through informative support, professionals address issues related to health promotion and diseaseprevention, and accompany mothers in this capacity. Conclusion: For mothers, the formal support provided by members of the nursingstaff is positive and perceived as a reinforcement of their experience with motherhood, and should be framed in a cultural context.Objetivo: este trabalho pretende analisar o apoio social formal a um grupo de mães com filhos menores de um ano. Método: estudoqualitativo, descritivo interpretativo, do qual participaram dez mulheres em um grupo focal que se reuniu em sete ocasiões. Resultados:a partir da análise de conteúdo das dinâmicas grupais, detecta-se que o apoio formal informativo é o mais frequente e resulta difícil separá-lo do emocional. Os profissionais, por meio do apoio informativo, tratam temas relacionados com a promoção da saúde e prevenção dadoença, e acompanham as mães neste papel. Conclusão: para as mães, o apoio formal oferecido pelo pessoal de enfermagem é positivoe percebido como um reforço em sua vivência da maternidade e deve estar situado em um contexto cultural.Objetivo: este trabajo pretende analizar el apoyo social formal a un grupo de madres con hijos menores de un año. Método: estudiocualitativo, descriptivo interpretativo, en el cual participaron diez mujeres en un grupo focal que se reunió en siete ocasiones. Resultados:a partir del análisis de contenido de las dinámicas grupales se detecta que el apoyo formal informativo es el más frecuente y resulta difícilsepararlo del emocional. Los profesionales, a través del apoyo informativo, tratan temas relacionados con la promoción de la salud y prevenciónde la enfermedad y acompañan a las madres en este rol. Conclusión: para las madres el apoyo formal brindado por el personalde enfermería es positivo y percibido como un refuerzo en su vivencia de la maternidad, y debe estar enmarcado en un contexto cultural

Opinión de los estudiantes sobre el Prácticum del Grado en Enfermería de la Universidad de Alicante

Los periodos del Prácticum dentro del Plan de Estudios del Grado en Enfermería son uno de los pilares esenciales para el proceso de aprendizaje y socialización de las/los alumnas/os. De esta manera, constituye el contexto que vincula el aprendizaje teórico con el práctico y con el desempeño profesional. En este trabajo nos hemos propuesto conocer la opinión de los estudiantes de tercer curso sobre distintos aspectos relacionados con el Prácticum del Grado en Enfermería. Constituirán la población a estudio las alumnas/os de tercer curso de la I promoción del Grado en Enfermería de la Universidad de Alicante. Para la recogida de datos se ha diseñado un cuestionario autoadministrado, anónimo y voluntario compuesto por 20 ítems que reflejan distintos aspectos relacionados con el proceso de enseñanza-aprendizaje del Prácticum. El análisis de los datos obtenidos nos ofrecerá una visión general de la opinión de los alumnos sobre este periodo del proceso de enseñanza-aprendizaje, que podría ser útil para diseñar propuestas de modificación que optimicen este entorno de aprendizaje

Mentors' competence in mentoring nursing students in clinical practice: Detecting profiles to enhance mentoring practices

Aims: To describe the mentoring competence of clinical practice nurse mentors and identify different mentor profiles. Design: Cross-sectional research design, secondary analysis. Methods: An international, cross-sectional study design was performed in five European countries. A total of 1 604 mentors from 33 healthcare organizations participated in the study between 2016–2019. The Mentors' Competence Instrument (MCI), which includes seven sub-dimensions and 44 items, was used to collect data. K-means cluster and binary regression analyses were performed to detect mentor profiles and determine how various factors affect competence, respectively. Results: The K-means cluster analysis identified three distinct profiles: A (n = 926); B (n = 566); and C (n = 85). The profiles showed significantly different values (p < .001) across all seven areas of mentoring competence. In comparison with the other profiles, nurses in profile A were older, had more work experience and were more probably to have completed mentoring-specific training.We would like to acknowledge European Commission, Erasmus+and KA2: Strategic partnership for providing funding for the project Quality mentorship for developing competent nursing students (QualMent)

Tic-Tac en el entorno de aprendizaje práctico

En este informe científico-técnico se presenta sintéticamente la temática y desarrollo de los proyectos desarrollados por la Red TIC-TAC en el Entorno de Aprendizaje Práctico (3828) del Programa REDES-I3CE de Investigación en Docencia Universitaria 2016-17 de la Universidad de Alicante. En los apartados del capítulo se presenta el problema objeto de estudio, la revisión de la literatura, los objetivos, metodología empleada y desarrollado del proyecto, los resultados obtenidos y principales conclusiones. Finalizamos con la exposición de las conclusiones, de las dificultades halladas y las propuestas de mejora en previsión de continuidad de la red en próximas ediciones