Cent Eur J Nurs Midw 2025, 16(3):2227-2237 | DOI: 10.15452/cejnm.2025.16.0016

Self-reported competencies in patient safety and influencing factors: a preliminary study among healthcare students

Dominika Kohanová1, Daniela Bartoníčková2, Andrea Sollárová1, Dana Zrubcová1, Andrea Botíková3
1 Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Slovak Republic
2 Department od Nursing, Faculty of Health Sciences, Palacký University in Olomouc, Czech Republic
3 Department of Nursing, Faculty of Health Care and Social Work, Trnava University in Trnava, Slovak Republic

Aim: The study aimed to evaluate the self-reported competencies of healthcare students in patient safety within academic and clinical settings and to identify factors influencing these competencies.

Design: A cross-sectional study.

Methods: The study was conducted between February and June 2024 among 282 healthcare students (nursing, midwifery, and paramedicine) from two faculties in the Slovak Republic. The Health Professional Education in Patient Safety Survey (H-PEPSS) was used to measure six key dimensions of patient safety competencies. Data were analyzed using descriptive and inferential statistics, with correlations explored between competencies and sociodemographic or personality factors.

Results: Students reported higher patient safety competencies in academic settings compared to clinical environments, with Managing Safety Risks receiving the highest ratings and Effective Communication the lowest. Significant differences were observed across disciplines, with nursing students generally reporting stronger competencies. Factors such as year of study, clinical placement type, previous healthcare experience, and personality factors influenced competency evaluations (p ≤ 0.05).

Conclusion: The findings highlight the need to enhance training in communication and teamwork, and to foster a safety culture, particularly in clinical settings. Expanding patient safety education to a broader range of healthcare disciplines and standardizing training across curricula are vital steps to ensuring comprehensive preparation for future healthcare providers.

Klíčová slova: competencies, healthcare, patient safety, self-report, students

Vloženo: 16. prosinec 2024; Revidováno: 9. duben 2025; Přijato: 1. červenec 2025; Zveřejněno online: 7. srpen 2025; Zveřejněno: 6. září 2025  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Kohanová D, Bartoníčková D, Sollárová A, Zrubcová D, Botíková A. Self-reported competencies in patient safety and influencing factors: a preliminary study among healthcare students. Central European Journal of Nursing and Midwifery. 2025;16(3):2227-2237. doi: 10.15452/cejnm.2025.16.0016.
Sdílet...
Stáhnout citaci
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Zobrazit celý článek

    Reference

    1. Alingh, C. W., van Wijngaarden, J. D. H., Huijsman, R., & Paauwe, J. (2018). The influence of environmental conditions on safety management in hospitals: a qualitative study. BMC Health Services Research, 18, 313. https://doi.org/10.1186/s12913-018-3116-8 Přejít k původnímu zdroji... Přejít na PubMed...
    2. Amilia, R., & Nurmalia, D. (2020). A comparison of patient safety competencies between clinical and classroom settings among nursing students. Nurse Media Journal of Nursing, 10(1), 66-75. https://doi.org/10.14710/nmjn.v10i1.25231 Přejít k původnímu zdroji...
    3. Bartoníčková, D., Kohanová, D., Mazalová, L., Brišová, K., Bomberová, M., & Žiaková, K. (2024). Nursing students' assessment of patient safety competencies: a pilot study. Central European Journal of Nursing and Midwifery, 15(1), 1050-1058. https://doi.org/10.15452/cejnm.2024.15.0002 Přejít k původnímu zdroji...
    4. Curry, L. A., Brault, M. A., Linnander, E. L., McNatt, Z., Brewster, A. L., Cherlin, E., Flieger, S. P., Ting, H. H., & Bradley, E. H. (2018). Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. BMJ Quality & Safety, 27(3), 207-217. https://doi.org/10.1136/bmjqs-2017-006989 Přejít k původnímu zdroji... Přejít na PubMed...
    5. De Miguel, M. S., de Elguea, J. O., Gómez-Gastiasoro, A., Urcola, F., Cid-Expósito, M. G., Torres-Enamorado, D., & Orkaizagirre-Gomara, A. (2023). Patient safety and its relationship with specific self-efficacy, competence, and resilience among nursing students: a quantitative study. Nurse Education Today, 121, 105701. https://doi.org/10.1016/j.nedt.2022.105701 Přejít k původnímu zdroji... Přejít na PubMed...
    6. Ghasempour, M., Ghahramanian, A., Zamanzadeh, V., Valizadeh, L., Killam, L. A., & Asghari-Jafarabadi, M., & Purabdollah, M. (2023). Identifying self-presentation components among nursing students with unsafe clinical practice: a qualitative study. BMC Medical Education, 23, 524. https://doi.org/10.1186/s12909-023-04486-9 Přejít k původnímu zdroji... Přejít na PubMed...
    7. 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 Přejít k původnímu zdroji... Přejít na PubMed...
    8. Gradišnik, M., Fekonja, Z., & Vrbnjak, D. (2024). Nursing students' handling patient safety incidents during clinical practice: a retrospective qualitative study. Nurse Education Today, 132, 105993. https://doi.org/10.1016/j.nedt.2023.105993 Přejít k původnímu zdroji... Přejít na PubMed...
    9. Huang, H., Chen, J., Xiao, M., Cao, S., & Zhao, Q. (2020). Experiences and responses of nursing students as second victims of patient safety incidents in a clinical setting: a mixed-methods study. Journal of Nursing Management, 28(6), 1317-1325. https://doi.org/10.1111/jonm.13085 Přejít k původnímu zdroji... Přejít na PubMed...
    10. Hullová, D., & Duriš, R. (2017). Slovenská verzia dotazníku Mini IPIP [Slovak version of the Mini IPIP questionnaire]. IPIP. https://ipip.ori.org/newItemTranslations.htm
    11. Institute of Medicine (US) Committee on Quality of Health Care in America. (2000). To err is human: building a safer health system. National Academies Press.
    12. Jafari, M. J., Mostafazadeh, P., Mojebi, M. R., Nemati-Vakilabad, R., & Mirzaei, A. (2024). Identifying predictors of patient safety competency based on sleep quality in student faculty of nursing and midwifery during the internship period: a multidisciplinary study. BMC Nursing, 23, 67. https://doi.org/10.1186/s12912-024-01725-2 Přejít k původnímu zdroji... Přejít na PubMed...
    13. Kakemam, E., Albelbeisi, A. H., Rouzbahani, M., Gharakhani, M., Zahedi, H., & Taheri, R. (2024). Nurses' perceptions of patient safety competency: a cross-sectional study of relationships with occurrence and reporting of adverse events. PloS One, 19(1), e0297185. https://doi.org/10.1371/journal.pone.0297185 Přejít k původnímu zdroji... Přejít na PubMed...
    14. Kalánková, D., Bartoníčková, D., Holubová, D., & Žiaková, K. (2022). Nursing students' perception of patient safety culture during the COVID-19 pandemic - results of a pilot study. Acta Medica Martiniana, 22(1), 45-53. https://doi.org/10.2478/acm-2022-0006 Přejít k původnímu zdroji...
    15. Kong, L.-N., Zhu, W.-F., He, S., Chen, S.-Z., Yang, L., Qi, L., & Peng, X. (2019). Attitudes towards patient safety culture among postgraduate nursing students in China: a cross-sectional study. Nurse Education in Practice, 38, 1-6. https://doi.org/10.1016/j.nepr.2019.05.014 Přejít k původnímu zdroji... Přejít na PubMed...
    16. Lee, E., & Kim, Y. (2020). The relationship of moral sensitivity and patient safety attitudes with nursing students' perceptions of disclosure of patient safety incidents: a cross-sectional study. PloS One, 15(1), e0227585. https://doi.org/10.1371/journal.pone.0227585 Přejít k původnímu zdroji... Přejít na PubMed...
    17. Lundell Rudberg, S., Westerbotn, M., Sormunen, T., Scheja, M., & Lachmann, H. (2022). Undergraduate nursing students' experiences of becoming a professional nurse: a longitudinal study. BMC Nursing, 21, 219. https://doi.org/10.1186/s12912-022-01002-0 Přejít k původnímu zdroji... Přejít na PubMed...
    18. Ramírez-Torres, C. A., Rivera-Sanz, F., Cobos-Rincon, A., Sufrate-Sorzano, T., Juárez-Vela, R., Gea-Caballero, V., Tejada Garrido, C. I., Colado Tello, M. E., Durante, A., & Santolalla-Arnedo, I. (2023). Perception of patient safety culture among nursing students: a cross-sectional study. Nursing Open, 10(12), 7596-7602. https://doi.org/10.1002/nop2.1995 Přejít k původnímu zdroji... Přejít na PubMed...
    19. Rodziewicz, T. L., Houseman, B., Vaqar, S., & Hipskind, J. E. (2024). Medical error reduction and prevention. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499956/
    20. Steven, A., Magnusson, C., Smith, P., & Pearson, P. H. (2014). Patient safety in nursing education: contexts, tensions and feeling safe to learn. Nurse Education Today, 34(2), 277-284. https://doi.org/10.1016/j.nedt.2013.04.025 Přejít k původnímu zdroji... Přejít na PubMed...
    21. Strandås, M., Vizcaya-Moreno, M. F., Ingstad, K., Sepp, J., Linnik, L., & Vaismoradi, M. (2024). An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective. Journal of Multidisciplinary Healthcare, 17, 1385-1400. https://doi.org/10.2147/JMDH.S460194 Přejít k původnímu zdroji... Přejít na PubMed...
    22. Sullivan, D. T., Hirst, D., & Cronenwett, L. (2009). Assessing quality and safety competencies of graduating prelicensure nursing students. Nursing Outlook, 57(6), 323-331. https://doi.org/10.1016/j.outlook.2009.08.004 Přejít k původnímu zdroji... Přejít na PubMed...
    23. 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 Přejít k původnímu zdroji...
    24. Taşkiran Eskici, G., & Sökmen, Y. (2023). Nursing and midwifery students' patient safety knowledge and competencies in the classroom and clinical settings and its predictors: a cross-sectional study. Turkiye Klinikleri Journal of Nursing Sciences, 15(1), 162-171. https://doi.org/10.5336/nurses.2022-90788 Přejít k původnímu zdroji...
    25. Torkaman, M., Sabzi, A., & Farokhzadian, J. (2020). 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 Přejít k původnímu zdroji... Přejít na PubMed...
    26. 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 Přejít k původnímu zdroji... Přejít na PubMed...
    27. von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., Vandenbroucke, J. P., & STROBE Initiative. (2008). The strengthening of the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Journal of Clinical Epidemiology, 61(4), 344-349. https://doi.org/10.1016/j.jclinepi.2007.11.008 Přejít k původnímu zdroji... Přejít na PubMed...
    28. World Health Organization (2017). Patient safety: making health care safer. https://www.who.int/publications/i/item/WHO-HIS-SDS-2017.11

    Tento článek je publikován v režimu tzv. otevřeného přístupu k vědeckým informacím (Open Access), který je distribuován pod licencí Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), která umožňuje nekomerční distribuci, reprodukci a změny, pokud je původní dílo řádně ocitováno. Není povolena distribuce, reprodukce nebo změna, která není v souladu s podmínkami této licence.


    Zpět na obsah