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A Nationwide Italian Cross-sectional Study on Nursing Students' Perceived Workplace Safety During Clinical Practice
Silvia Gonella1, Anna Brugnolli, Alice Bosco
1Author affiliations: Research Fellow in Nursing, (Ms Gonella), Associate Professor in Nursing, (Mr Dimonte), Department of Public Health, University of Torino; Nurse Manager, (Ms Brugnolli), Nurse Educator, (Dr Canzan and Ms Randon), and Professor in Nursing Science, (Ms Saiani), Department of Diagnostics and Public Health, University of Verona; Clinical Nurse, (Ms Bosco), Nurse Educator (Dr Mansutti), Lecturer, (Dr Grassetti), Associate Professor in Nursing, (Dr Palese), Department of Medical Science, University of Udine; and Nurse Educator, (Dr Terzoni), Associate Professor, (Dr Zannini), Associate Professor in Nursing (Ms Destrebecq), Department of Biomedical Sciences for Health, University of Milano, Italy.
Most nursing students perceive their clinical environments as somewhat safe, influenced by learning opportunities and care quality. Ensuring a safe clinical setting is crucial for nursing students
Area of Science:
- Nursing Education Research
- Clinical Environment Safety
- Healthcare Professional Development
Background:
- Student perception of a safe clinical working environment is vital for professional skill development and career progression in nursing.
- Understanding student experiences in clinical settings informs educational strategies and supports future nursing workforce development.
Purpose of the Study:
- To quantify the extent to which nursing students perceive their clinical workplaces as safe during rotations.
- To identify factors influencing nursing students' perceptions of workplace safety in clinical settings.
Main Methods:
- A nationwide cross-sectional study conducted in Italy involving 9607 nursing students from 27 universities.
- Data collected from 95 three-year nursing programs between 2015-2016, with secondary analyses performed in 2019.
Main Results:
- A significant majority of students perceived their clinical environments as safe to some extent (42.1%) or always (26.0%).
- Factors positively associated with a safe perception included enhanced learning opportunities, high safety and nursing care quality, effective tutorial strategies, and self-directed learning support.
- Only a small percentage (4.2%) of students reported never feeling safe in their workplace.
Conclusions:
- Nursing faculty must rigorously evaluate clinical settings to ensure they provide a safe and conducive learning experience.
- Prioritizing quality learning opportunities and supportive environments is essential for fostering positive student perceptions of clinical safety.
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