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Updated: Oct 1, 2025

Driving Simulation in the Clinic: Testing Visual Exploratory Behavior in Daily Life Activities in Patients with Visual Field Defects
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Safety Competency, Certification, and Practical Drift.

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Transport nurse certification status did not correlate with safety competency. Experienced nurses reported lower safety skills, possibly due to practical drift, highlighting the need for improved safety culture and training.

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Area of Science:

  • Nursing
  • Patient Safety
  • Transport Medicine

Background:

  • Transport nursing involves high-risk patient care, making safety a paramount concern.
  • Ensuring safety competency among transport nurses is critical due to the unpredictable nature of patient transport.
  • Existing safety competency measures require adaptation for the specialized field of transport nursing.

Purpose of the Study:

  • To investigate the relationship between transport nurse certification status and self-rated safety competency.
  • To assess safety competency using an adapted version of the Critical Care Nursing Competence Questionnaire for Patient Safety (C3Q-safety) tailored to transport nursing standards.

Main Methods:

  • A cross-sectional survey was conducted with 432 transport nurses.
  • The Critical Care Nursing Competence Questionnaire for Patient Safety (C3Q-safety) was adapted and validated by experts.
  • Data were analyzed using t-tests and linear regression to examine relationships between variables.

Main Results:

  • No significant relationship was found between certification status and safety competency.
  • A negative correlation was observed between years of experience and safety competency scores (β = -0.150, P = 0.037).
  • Practical drift was identified as a potential factor contributing to lower scores in experienced nurses.

Conclusions:

  • Certification status does not appear to influence transport nurse safety competency.
  • Increased experience may be paradoxically linked to decreased self-rated safety competency, potentially due to practical drift.
  • Recommendations include fostering a strong safety culture, encouraging nonpunitive reporting, and utilizing simulation to mitigate errors and practical drift in transport nursing.