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First year nursing students' viewpoints about compromised clinical safety.

Laura A Killam1, Sharolyn Mossey, Phyllis Montgomery

  • 1School of Health Sciences and Emergency Services, Cambrian College, 1400 Barrydowne Road, Sudbury, Ontario, Canada P3A 3V8. laura.killam@cambriancollege.ca

Nurse Education Today
|June 5, 2012
PubMed
Summary

First-year nursing students perceive unsafe clinical situations through four distinct viewpoints, including discomfort and lack of integrity. They believe clinical educators are not solely responsible for patient safety.

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Area of Science:

  • Nursing Education
  • Patient Safety
  • Clinical Learning

Background:

  • Patient safety is a core professional and moral obligation for undergraduate nursing students from the start of their program.
  • Understanding student perspectives on clinical safety is crucial for developing effective educational strategies.

Purpose of the Study:

  • To explore first-year undergraduate nursing students' viewpoints on unsafe clinical learning situations.
  • To identify common themes and perspectives regarding patient safety in clinical education.

Main Methods:

  • Q-methodology was employed to analyze student perspectives.
  • Sixty-eight first-year nursing students ranked 43 statements about unsafe clinical situations.
  • Data analysis utilized a Q-program for factor analysis.

Main Results:

  • Four distinct viewpoints of unsafe clinical situations were identified among first-year students: inner discomfort, practicing contrary to conventions, lacking professional integrity, and disharmonizing relations.
  • A consensus emerged that clinical educators are not solely responsible for ensuring clinical safety.
  • Student perceptions highlight multifaceted challenges in maintaining a safe clinical learning environment.

Conclusions:

  • Findings can help students and educators collaboratively create a safer clinical learning environment.
  • Understanding student viewpoints is essential for improving nursing education and patient safety practices.
  • This research provides a foundation for developing targeted interventions to enhance clinical safety awareness among nursing students.