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Learning to ensure patient safety in clinical settings : comparing Finnish and British nursing students’ perceptions

Tella, S; Smith, NJ; Partanen, P; Jamookeeah, D; Lamidi, M; Turunen, H

Authors

S Tella

NJ Smith

P Partanen

D Jamookeeah

M Lamidi

H Turunen



Abstract

Aims and objectives

To explore and compare Finnish and British nursing students’ perceptions of their learning about patient safety in clinical settings.


Background

Patient safety culture and practices in different health care organisations and clinical units varies, posing challenges for nursing students’ learning about patient safety during their clinical placements. Patient safety as a growing international concern has challenged health care professionals globally requiring a comprehensive review. International studies comparing nursing education about patient safety are lacking.


Design

A cross-sectional comparative study.


Method

The participants were final year preregistration nursing students from two universities of applied sciences in Finland (n = 195) and from two universities in England, UK (n = 158). The data were collected with the Patient Safety in Nursing Education Questionnaire and analysed with principal component analysis, Pearson Chi-Square and Mann–Whitney U tests and logistic regression.


Results

Finnish nursing students had significantly more critical perceptions on their learning about patient safety in clinical settings than their British peers. A strong predictor for differences was supportive and systems-based approaches in learning to ensure patient safety. Notably, fewer Finnish students had practiced reporting of incidents in clinical settings compared to British students. In both countries, the students held learning about patient safety in higher esteem compared to their learning experiences in clinical settings.


Conclusions

Nursing students appear to want more learning opportunities related to patient safety compared to the reality in clinical settings. Learning systematically from errors in a supportive environment and having systems-based approaches to ensure patient safety are essential elements for nursing students’ learning about safe practice. Finnish students seem to experience more barriers in learning about safe practices and to report errors than the British students.


Relevance to clinical practice

Health care organisations and professionals with responsibilities for patient safety should seek to standardise the preparation of nursing students incorporating requisite international standards and benchmarks.

Citation

Tella, S., Smith, N., Partanen, P., Jamookeeah, D., Lamidi, M., & Turunen, H. (2015). Learning to ensure patient safety in clinical settings : comparing Finnish and British nursing students’ perceptions. Journal of Clinical Nursing, 24(19-20), 2954-2964. https://doi.org/10.1111/jocn.12914

Journal Article Type Article
Publication Date Jan 1, 2015
Deposit Date Nov 8, 2016
Journal Journal of Clinical Nursing
Print ISSN 0962-1067
Publisher Wiley
Volume 24
Issue 19-20
Pages 2954-2964
DOI https://doi.org/10.1111/jocn.12914
Publisher URL http://dx.doi.org/10.1111/jocn.12914


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