Cent Eur J Nurs Midw 2024, 15(1):1050-1058 | DOI: 10.15452/cejnm.2024.15.0002
Nursing students’ assessment of patient safety competencies: a pilot study
- 1 Department of Nursing, Faculty of Health Sciences, Palacký University in Olomouc, Czech Republic
- 2 Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Slovakia
- 3 Department of Nursing, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia
Aim: To investigate how nursing students assess their competencies in patient safety in the Czech Republic.
Design: A pilot study.
Methods: Data collection was carried out from January to April 2023 using the Health Professional Education in Patient Safety Survey instrument through the Google Forms® platform. The sample consisted of nursing students from seven faculties in the Czech Republic (n = 145). Descriptive and inductive statistics in the statistical program SPSS 25.0 were used in data analysis.
Results: Nursing students were more confident in both academic and clinical settings in the subscale of Managing safety risks (M = 3.85), and less confident in the subscale of Culture of safety (M = 3.54). Significant differences in assessment of competencies were found in three dimensions when academic and clinical settings were compared. Numerous associations were also demonstrated between patient safety dimensions and sociodemographic data, with the greatest impact on clinical factors.
Conclusion: Evaluation of patient safety competencies is a key element in increasing quality and safe care in general. Integrating sociocultural aspects of patient safety into the nursing curriculum is crucial. The main focus should be on patient safety culture education.
Keywords: competence, nursing education, nursing student, patient safety
Received: September 25, 2023; Revised: January 16, 2024; Accepted: February 7, 2024; Prepublished online: February 29, 2024; Published: March 6, 2024 Show citation
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References
- Alquwez, N., Cruz, J. P., Alshammari, F., Felemban, E. M., Almazan, J. U., Tumala, R. B., Alabdulaziz, H. M., Alsolami, F., Silang, J. P. B. T., & Tork, H. M. M. (2019). A multi-university assessment of patient safety competence during clinical training among baccalaureate nursing students: a cross-sectional study. Journal of Clinical Nursing, 28(9-10), 1771-1781. https://doi.org/10.1111/jocn.14790
Go to original source...
Go to PubMed...
- Bartoníčková, D., Kalánková, D., Lazarová, B., Bartošová, P., & Žiaková, K. (2022). Přehled nástrojů k hodnocení kultury bezpečí pacientů v primární péči [Overview of instruments assessing the patient safety culture in primary care]. Praktický lékař, 102(1), 18-26.
- Bartoníčková, D., Kohanová, D., & Žiaková, K. (2023). Measuring patient safety culture from the perspective of nursing students - a literature review. Central European Journal of Nursing and Midwifery, 14(1), 839-849. https://doi.org/10.15452/cejnm.2022.13.0015
Go to original source...
- Boucaut, R., & Cusack, L. (2016). 'Sometimes your safety goes a bit by the wayside' … exploring occupational health and safety (OHS) with student nurses. Nurse Education in Practice, 20(1), 93-98. https://doi.org/10.1016/j.nepr.2016.07.005
Go to original source...
Go to PubMed...
- Bressan, V., Stevanin, S., Bulfone, G., Zanini, A., Dante, A., & Palese, A. (2016). Measuring patient safety knowledge and competences as perceived by nursing students: an Italian validation study. Nurse Education in Practice, 16(1), 209-216. https://doi.org/10.1016/j.nepr.2015.08.006
Go to original source...
Go to PubMed...
- Buchan, J., Catton, H., & Shaffer, F. A. (2022). Sustain and retain in 2022 and beyond: the global nursing workforce and the Covid-19 pandemic. International Centre on Nurse Migration. https://www.icn.ch/sites/default/files/2023-04/Sustain%20and%20Retain%20in%202022%20and%20Beyond-%20The%20global%20nursing%20workforce%20and%20the%20COVID-19%20pandemic.pdf
- Chen, L., Huang, F., Yuan, X., Song, J., & Chen, L. (2019). An assessment of the reliability and factorial validity of the Chinese version of the Health Professional Education in Patient Safety Survey (H-PEPSS). Frontiers in Psychology, 10(12), 132-140. https://doi.org/10.3389/fpsyg.2019.02183
Go to original source...
Go to PubMed...
- DeBourgh, G. A. (2012). Synergy for patient safety and quality: academic and service partnerships to promote effective nurse education and clinical practice. Journal of Professional Nursing, 28(1), 48-61. https://doi.org/10.1016/j.profnurs.2011.06.003
Go to original source...
Go to PubMed...
- Dimitriadou, M., Merkouris, A., Charalambous, A., Lemonidou, C., & Papastavrou, E. (2021). The knowledge about patient safety among undergraduate nurse students in Cyprus and Greece: a comparative study. BMC Nursing, 20(1), 110. https://doi.org/10.1186/s12912-021-00610-6
Go to original source...
Go to PubMed...
- Duhn, L., Karp, S., Oni, O., Edge, D., Ginsburg, L., & VanDenKerkhof, E. (2012). Perspectives on patient safety among undergraduate nursing students. Journal of Nursing Education, 51(9), 526-531. https://doi.org/10.3928/01484834-20120706-04
Go to original source...
Go to PubMed...
- European Federation of Nurses Associations. (2015). EFN Guideline for the implementation of Article 31 of the Mutual Recognition of Professional Qualifications Directive 2005/36/EC, amended by Directive 2013/55/EU. http://www.efnweb.be/wp-content/uploads/EFN-Competency-Framework-19-05-2015.pdf
- Feng, X., Bobay, K., & Weiss, M. (2008). Patient safety culture in nursing: a dimensional concept analysis. Journal of Advanced Nursing, 63(3), 310-319. https://doi.org/10.1111/j.1365-2648.2008.04728.x
Go to original source...
Go to PubMed...
- Ginsburg, L., Castel, E., Tregunno, D., & Norton, P. G. (2012). The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence at entry into practice. BMJ Quality & Safety, 21(8), 676-684. https://doi.org/10.1136/bmjqs-2011-000601
Go to original source...
Go to PubMed...
- Huang, F. F., Shen, X. Y., Chen, X. L., He, L. P., Huang, S. F., & Li, J. X. (2020). Self-reported confidence in patient safety competencies among Chinese nursing students: a multi-site cross-sectional survey. BMC Medical Education, 20(1), 32. https://doi.org/10.1186/s12909-020-1945-8
Go to original source...
Go to PubMed...
- Institute of Health Information and Statistics of the Czech Republic. (2017). Czech Republic health statistics yearbook 2016. Institute of Health Information and Statistics of the Czech Republic.
- Kirwan, M., Riklikiene, O., Gotlib, J., Fuster, P., Borta, M., & on behalf of the RANCARE consortium. (2019). Regulation and current status of patient safety content in pre-registration nurse education in 27 countries: Findings from the Rationing - Missed nursing care (RANCARE) COST Action project. Nurse Education in Practice, 37(12), 132-140. https://doi.org/10.1016/j.nepr.2019.04.013
Go to original source...
Go to PubMed...
- Lee, S. E., & Dahinten, V. S. (2023). Evaluating a patient safety course for undergraduate nursing students: a quasi-experimental study. Collegian, 30(1), 75-83. https://doi.org/10.1016/j.colegn.2022.06.001
Go to original source...
- Lee, S. E., Lee, M. H., Peters, A. B., & Gwon, S. H. (2020). Assessment of patient safety and cultural competencies among senior baccalaureate nursing students. International Journal of Environmental Research and Public Health, 17(12), 75-83. https://doi.org/10.3390/ijerph17124225
Go to original source...
Go to PubMed...
- Listyowardojo, T. A., Nap, R. E., & Johnson, A. (2012). Variations in hospital worker perceptions of safety culture. International Journal for Quality in Health Care, 24(1), 9-15. https://doi.org/10.1093/intqhc/mzr069
Go to original source...
Go to PubMed...
- Lukewich, J., Edge, D. S., Tranmer, J., Raymond, J., Miron, J., Ginsburg, L., & VanDenKerkhof, E. (2015). 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). International Journal of Nursing Studies, 52(5), 930-938. https://doi.org/10.1016/j.ijnurstu.2015.01.010
Go to original source...
Go to PubMed...
- Official Journal of the European Union. (2009). Council recommendation of 9 June 2009 on patient safety, including the prevention and control of healthcare associated infections (2009/C 151/01). https://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:C:2009:151:0001:0006:en:PDF
- Raymond, J., Medves, J., & Godfrey, C. (2016). Perspectives on patient safety among practical nursing students. Canadian Journal of Nursing Research, 48(2), 41-47. https://doi.org/10.1177/0844562116664260
Go to original source...
Go to PubMed...
- Rebeschi, L. M. (2020). Perceived patient safety competence of baccalaureate nursing students: a descriptive comparative study. SAGE Open Nursing, 6(2), 80-89. https://doi.org/10.1177/2377960820930134
Go to original source...
Go to PubMed...
- Slater, B., Lawton, R., Armitage, G., Bibby, J., & Wright, J. (2012). Training and action for patient safety: embedding interprofessional education for patient safety within an improvement methodology. Journal of Continuing Education in the Health Professions, 32(2), 80-89. https://doi.org/10.1002/chp.21130
Go to original source...
Go to PubMed...
- Stavrianopoulos, T. (2012). The development of patient safety culture. Health Science Journal, 6(2), 201-211.
- Stevanin, S., Bressan, V., Bulfone, G., Zanini, A., Dante, A., & Palese, A. (2015). Knowledge and competence with patient safety as perceived by nursing students: the findings of a cross-sectional study. Nurse Education Today, 35(8), 926-934. https://doi.org/10.1016/j.nedt.2015.04.002
Go to original source...
Go to PubMed...
- Suliman, M. (2019). Measuring patient safety competence among nursing students in the classroom and clinical settings: a cross-sectional study comparing the classroom and clinical settings. Nursing Education Perspectives, 40(3), E3-E7. https://doi.org/10.1097/01.NEP.0000000000000460
Go to original source...
Go to PubMed...
- Sümen, A., Ünal, A., & Aksoy, S. (2022). Nursing students' self-reported experiences and attitudes regarding patient safety: a cross-sectional study comparing the classroom and clinical settings. Collegian, 29(3), 320-327. https://doi.org/10.1016/j.colegn.2021.08.010
Go to original source...
- Taskiran, G., Eskin Bacaksiz, F., & Harmanci Seren, A. K. (2020). Psychometric testing of the Turkish version of the Health Professional Education in Patient Safety Survey: H-PEPSSTR. Nurse Education in Practice, 42(2), 102640. https://doi.org/10.1016/j.nepr.2019.102640
Go to original source...
Go to PubMed...
- Torkaman, M., Sabzi, A., & Farokhzadian, J. (2022). The effect of patient safety education on undergraduate nursing students' patient safety competencies. Community Health Equity Research & Policy, 42(2), 219-224. https://doi.org/10.1177/0272684X20974214
Go to original source...
Go to PubMed...
- Tseng, Ch.-H., & Sim, D. (2021). Sample size planning for pilot studies. ArXiv preprint arXiv. https://arxiv.org/pdf/2105.05483.pdf
- Usher, K., Woods, C., Parmenter, G., Hutchinson, M., Mannix, J., Power, T., Chaboyer, W., Latimer, S., Mills, J., Siegloff, L., & Jackson, D. (2017). Self-reported confidence in patient safety knowledge among Australian undergraduate nursing students: a multi-site cross-sectional survey study. International Journal of Nursing Studies, 71, 89-96. https://doi.org/10.1016/j.ijnurstu.2017.03.006
Go to original source...
Go to PubMed...
- Vaismoradi, M., Salsali, M., & Marck, P. (2011). Patient safety: nursing students' perspectives and the role of nursing education to provide safe care. International Nursing Review, 58(4), 434-442. https://doi.org/10.1111/j.1466-7657.2011.00882.x
Go to original source...
Go to PubMed...
- VanDenKerkhof, E., Sears, N., Edge, D. S., Tregunno, D., & Ginsburg, L. (2017). Patient safety in practical nurses' education: a cross-sectional survey of newly registered practical nurses in Canada. Nurse Education Today, 51(3), 48-56. https://doi.org/10.1016/j.nedt.2017.01.003
Go to original source...
Go to PubMed...
- Weatherford, B. H., & Viveiros, J. A. (2015). Senior nursing students' perspectives on safety competencies: an end-of-program outcome evaluation. Nursing Education Perspectives, 36(3), 182-184. https://doi.org/10.5480/13-1182
Go to original source...
- Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., Verjee-Lorenz, A., & Erikson, P. (2005). Principles of good practice for the translation and cultural adaptation process for Patient-Reported Outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value in Health, 8(2), 94-104. https://doi.org/10.1111/j.1524-4733.2005.04054.x
Go to original source...
Go to PubMed...
- World Health Organization. (2021). Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. WHO. https://iris.who.int/bitstream/handle/10665/343477/9789240032705-eng.pdf?sequence=1
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