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

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  • Susanna Tella
  • Nancy‐Jane Smith
  • Pirjo Partanen
  • David Jamookeeah
  • Marja‐Leena Lamidi
  • Hannele 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.

Suggested Citation

  • Susanna Tella & Nancy‐Jane Smith & Pirjo Partanen & David Jamookeeah & Marja‐Leena Lamidi & Hannele Turunen, 2015. "Learning to ensure patient safety in clinical settings: comparing Finnish and British nursing students’ perceptions," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(19-20), pages 2954-2964, October.
  • Handle: RePEc:wly:jocnur:v:24:y:2015:i:19-20:p:2954-2964
    DOI: 10.1111/jocn.12914
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    References listed on IDEAS

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    1. Marleen Smits & Cordula Wagner & Peter Spreeuwenberg & Danielle RM Timmermans & Gerrit van der Wal & Peter P Groenewegen, 2012. "The role of patient safety culture in the causation of unintended events in hospitals," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(23-24), pages 3392-3401, December.
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    Cited by:

    1. Pilar Fuster-Linares & Cristina Alfonso-Arias & Alberto Gallart Fernández-Puebla & Encarna Rodríguez-Higueras & Silvia García-Mayor & Isabel Font-Jimenez & Mireia Llaurado-Serra, 2022. "Assessing Nursing Students’ Self-Perceptions about Safe Medication Management: Design and Validation of a Tool, the NURSPeM," IJERPH, MDPI, vol. 19(8), pages 1-15, April.
    2. Simone Stevanin & Giulia Causero & Antonietta Zanini & Giampiera Bulfone & Valentina Bressan & Alvisa Palese, 2018. "Adverse events witnessed by nursing students during clinical learning experiences: Findings from a longitudinal study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(4), pages 438-444, December.
    3. Nahed Alquwez & Jonas Preposi Cruz & Farhan Alshammari & Ebaa Marwan Felemban & Joseph U. Almazan & Regie B. Tumala & Hawa M. Alabdulaziz & Fatmah Alsolami & John Paul Ben T. Silang & Hanan M. M. Tork, 2019. "A multi‐university assessment of patient safety competence during clinical training among baccalaureate nursing students: A cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1771-1781, May.

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