Professional

The perception of clinical risk among students of different health professions: a multicentre study

Abstract

Background:

the need for health care to be safe is increasingly guiding the development of policies to improve clinical practice and education; risk management and patient safety are essential competencies for health professionals.

Objective:

to examine how students working towards different degrees in Italy perceived their competence in clinical risk management and patient safety when learning in the classroom and the clinical setting.

Methods:

the Italian version of the H-PEPSS questionnaire was given to 154 students; 78 were studying for a nursing degree and 76 were on the cardio-circulatory pathophysiology and cardiovascular perfusion techniques (CPCPT) degree course.

Results:

nearly half of the students (46.10%) did not feel confident about their competence in patient safety and risk management during clinical training.

Conclusion:

significant differences in confidence between the two types of students were found in many areas, including in critical aspects of clinical risk management. However, both types of students had similar levels of confidence in some essential areas.

References

Abbott AA, Fuji KT, Galt KA, Paschal KA. How baccalaureate nursing students value an interprofessional patient safety course for professional development. ISRN Nurs. 2012; 2012:1–7. https://doi.org/10.5402/2012/401358 Crossref, Google Scholar
Agodi A, Auxilia F, Brusaferro S et al.. Education and training in patient safety and prevention and control of healthcare associated infections. Article in Italian. Epidemiol Prev. 2014; 38(6 Suppl 2):153–157 Medline, Google Scholar
Bacha EA, Chai P, Ündar A. Outcomes of the twelfth international conference on pediatric mechanical circulatory support systems and pediatric cardiopulmonary perfusion. Artif Organs. 2017; 41(1):7–10. https://doi.org/10.1111/aor.12896 Crossref, Medline, Google Scholar
Bressan V, Stevanin S, Bulfone G, Zanini A, Dante A, Palese A. Measuring patient safety knowledge and competences as perceived by nursing students: an Italian validation study. Nurse Educ Pract. 2016; 16(1):209–216. https://doi.org/10.1016/j.nepr.2015.08.006 Crossref, Medline, Google Scholar
Butterworth T, Jones K, Jordan S. Building capacity and capability in patient safety, innovation and service improvement: an English case study. J Res Nurs. 2011; 16(3):243–251. https://doi.org/10.1177/1744987111406008 Crossref, Google Scholar
Chenot TM, Daniel LG. Frameworks for patient safety in the nursing curriculum. J Nurs Educ. 2010; 49(10):559–568. https://doi.org/10.3928/01484834-20100730-02 Crossref, Medline, Google Scholar
Christiansen A, Robson L, Griffith-Evans C. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. J Nurs Manag. 2010; 18(7):782–728. https://doi.org/10.1111/j.1365-2834.2010.01114.x Crossref, Medline, Google Scholar
Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. J Prof Nurs. 2013; 29(2):109–116. https://doi.org/10.1016/j.profnurs.2012.12.005 Crossref, Medline, Google Scholar
Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs Outlook. 2007; 55(3):138–143. https://doi.org/10.1177/1744987111400960 Crossref, Medline, Google Scholar
Farokhzadian J, Dehghan Nayeri N, Borhani F. Assessment of clinical risk management system in hospitals: an approach for quality improvement. Glob J Health Sci. 2015; 7(5):294–303. https://doi.org/10.5539/gjhs.v7n5p294 Crossref, Medline, Google Scholar
Ginsburg L, Castel E, Tregunno D, Norton PG. The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence at entry into practice. BMJ Qual Saf. 2012; 21(8):676–684. https://doi.org/10.1136/bmjqs-2011-000601 Crossref, Medline, Google Scholar
Ginsburg LR, Tregunno D, Norton PG. Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. BMJ Qual Saf. 2013; 22(2):147–154. https://doi.org/10.1136/bmjqs-2012-001308 Crossref, Medline, Google Scholar
Gjersing L, Caplehorn JRM, Clausen T. Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC Med Res Methodol. 2010; 10(1):13. https://doi.org/10.1186/1471-2288-10-13 Crossref, Medline, Google Scholar
Kahan D, Slovic P, Braman D, Gastil J. Fear of democracy: a cultural evaluation of Sunstein on risk. Harv Law Rev. 2006; 119:1071–1109 Google Scholar
Lawson C, Predella M, Rowden A, Goldstein J, Sistino JJ, Fitzgerald DC. Assessing the culture of safety in cardiovascular perfusion: attitudes and perceptions. Perfusion. 2017; 32(7):583–590. https://doi.org/10.1177/0267659117699056 Crossref, Medline, Google Scholar
Leotsakos A, Ardolino A, Cheung R, Zheng H, Barraclough B, Walton M. Educating future leaders in patient safety. J Multidiscip Healthc. 2014; 19(7):381–388 Google Scholar
Mansour M. Current assessment of patient safety education. Br J Nurs. 2012; 21(9):536–543. https://doi.org/10.12968/bjon.2012.21.9.536 Link, Google Scholar
Miller CL, LaFramboise L. Student learning outcomes after integration of quality and safety education competencies into a senior-level critical care course. J Nurs Educ. 2009; 48(12):678–685. https://doi.org/10.3928/01484834-20091113-07 Crossref, Medline, Google Scholar
Ministry of Health. Decree. 27 July 1998. Document in Italian. https://tinyurl.com/y7g5ehpd (accessed 4 February 2019) Google Scholar
Ministry of Health. Decree. 2 April 2001. Document in Italian. https://tinyurl.com/y8aqy7ol (accessed 4 February 2019) Google Scholar
Ministry of Health. Decree. 14 April 2005. Document in Italian. https://tinyurl.com/y8e3rqc7 (accessed 4 February 2019) Google Scholar
Sidani S, Guruge S, Miranda J, Ford-Gilboe M, Varcoe C. Cultural adaptation and translation of measures: an integrated method. Res Nurs Health. 2010; 33(2):133–143. https://doi.org/10.1002/nur.20364 Medline, Google Scholar
Slater BL, Lawton R, Armitage G, Bibby J, Wright J. Training and action for patient safety: embedding interprofessional education for patient safety within an improvement methodology. J Contin Educ Health Prof. 2012; 32(2):80–89. https://doi.org/10.1002/chp.21130 Crossref, Medline, Google Scholar
Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2):268–274. https://doi.org/10.1111/j.1365-2753.2010.01434.x Crossref, Medline, Google Scholar
Sullivan DT, Hirst D, Cronenwett L. Assessing quality and safety competencies of graduating prelicensure nursing students. Nurs Outlook. 2009; 57(6):323–331. https://doi.org/10.1016/j.outlook.2009.08.004 Crossref, Medline, Google Scholar
Tella S, Liukka M, Jamookeeah D, Smith NJ, Partanen P, Turunen H. What do nursing students learn about patient safety? an integrative literature review. J Nurs Educ. 2014; 53(1):7–13. https://doi.org/10.3928/01484834-20131209-04 Medline, Google Scholar
Vaismoradi M, Bondas T, Jasper M, Turunen H. Nursing students' perspectives and suggestions on patient safety—implications for developing the nursing education curriculum in Iran. Nurse Educ Today. 2014; 34(2):265–270. https://doi.org/10.1016/j.nedt.2012.10.002 Crossref, Medline, Google Scholar
World Health Organization. Nurses and midwives for health. WHO European strategy for nursing and midwifery education. Section 1–8. Guidelines for member states on the implementation of the strategy. 2001. http://tinyurl.com/yavpxgvg (accessed 31 January 2019) Google Scholar
World Health Organization. Nursing and midwifery. Human resources for health. Global standards for the initial education of professional nurses and midwives. 2009. http://tinyurl.com/y85s8czz (accessed 31 January 2019) Google Scholar
World Health Organization. A brief synopsis on patient safety. 2010. http://tinyurl.com/yaxhcn9q (accessed 31 January 2019) Google Scholar
World Health Organization. Patient safety. Geneva: WHO; 2012. https://tinyurl.com/y8dkgx35 (accessed 31 January 2019) Google Scholar

14 February 2019Volume 28Issue 3

ISSN (print): 0966-0461
ISSN (online): 2052-2819

Metrics

Downloaded 9 times

History

Accepted 1 January 2019

Published online 12 February 2019

Published in print 14 February 2019

Information

Keywords

PDF download