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Nurses' Self-Perceived Patient Safety Competencies: Associations With Work- and Education-Related Factors in a
Liisi Mägi1, Kaja Põlluste2, Margus Lember2,3
1Department of Nursing Science, Institute of Family Medicine and Public Health, Faculty of Medicine, University of Tartu, Tartu, Estonia.
Journal of Advanced Nursing
|November 21, 2025
Summary
Nurses
Area of Science:
- Nursing Education
- Patient Safety
Background:
- Assessing nurses' self-perceived confidence in patient safety is crucial for improving healthcare quality.
- Understanding factors influencing this confidence can inform targeted interventions.
Purpose of the Study:
- To describe nurses' self-perceived confidence in patient safety competencies.
- To examine how work- and education-related factors influence nurses' confidence in patient safety.
Main Methods:
- A descriptive, explorative, cross-sectional survey was conducted in Estonia.
- The Health Professional Education in Patient Safety Survey (H-PEPSS) was administered to 376 nurses and master's students.
- Data were analyzed using descriptive statistics and multivariable logistic regression.
Main Results:
- Nurses reported highest confidence in human/environmental factors and lowest in teamwork.
- Longer work experience positively correlated with confidence in teamwork and safety culture.
- Master's students demonstrated higher confidence in adverse event response and safety culture.
- Prior patient safety training was linked to increased confidence across domains.
Conclusions:
- Nurses' confidence in patient safety competencies varies by domain and is influenced by experience, education, and workplace.
- Targeted training and supportive environments are vital for enhancing nursing competence in patient safety.
- Interventions addressing teamwork confidence are needed, as this is a noted area of weakness.
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