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Exploring Students' Perceptions and Experiences of Raising Concerns During Pre-Registration Training in England: A
Charlotte Phillips1, Hazel Ann Smith1,2, Elizabeth Crisp1
1School of Health, Policing and Sciences, University of Staffordshire, Staffordshire, UK.
Journal of Advanced Nursing
|January 28, 2025
Summary
Pre-registration health and social care students face complex challenges when raising concerns due to their novice status and organizational factors. Addressing these barriers can improve patient safety and learning environments.
Area of Science:
- Healthcare education
- Patient safety
- Professional development
Background:
- Pre-registration health and social care students in England are crucial for identifying potential harm.
- Understanding student experiences when raising concerns is vital for improving training and patient care.
Purpose of the Study:
- To explore the perceptions and experiences of students raising concerns during pre-registration health and/or social care training in England.
Main Methods:
- Systematic review of studies published between September 2015 and August 2024.
- Searches included major databases (MEDLINE, CINAHL, ERIC, PsycINFO) and grey literature.
- Joanna Briggs Institute guidance and Mixed Methods Appraisal Tool were used for conduct and quality appraisal.
Main Results:
- Eleven studies were included in the review.
- Key themes identified were: conflicting needs, navigating professional workspaces, and the 'choice to voice'.
- Student position, individual, interpersonal, and organizational factors influenced experiences.
Conclusions:
- Raising concerns is a complex phenomenon for pre-registration students.
- Open cultures, leadership, and support can help students overcome barriers.
- Equipping students with skills to raise concerns enhances safety culture and learning in healthcare settings.
Keywords:
educationpatient safetypre‐registrationraising concernssafety culturespeaking upstudentssystematic reviewMore Related Videos
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