scholarly journals Utilization of an Instructional Package on Patient Safety Culture to Enhance Knowledge of Nursing Students in Two Selected Universities in South-West, Nigeria

2020 ◽  
pp. 37-45
Author(s):  
Emeghara, Obiageli Christiana ◽  
Emeghara Okechukwu ◽  
Asonye Christian C. C. ◽  
Oladapo Rasheed Olawale ◽  
Akinlawon Adekemi Quamariyat
Keyword(s):  
Patient Safety ◽  
Nursing Students ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Control Group ◽  
Knowledge Gain ◽  
Post Intervention ◽  
Significance Level ◽  
Instructional Package ◽  
Experimental Group

Aims: The culture of keeping patients safe is a global issue which should be emphasized within the nursing profession. Despite exposure of nursing students to patient safety teachings, its knowledge among nursing students has been low. Re-emphasizing a positive culture of patient safety in classroom is essential in the training of nurses that will provide high quality care. This study was developed to assess the outcome of an instructional package on the knowledge of baccalaureate nursing trainees concerning patient safety culture in two chosen Universities in Southwest, Nigeria. Study Design: The researchers adopted a two groups nonequivalent pre-test, and post-test quasi-experimental design. Place and Duration of Study: Babcock University, Ogun State and Afe Babalola University, Ekiti State between March and April 2018. Methodology: The study participants comprised 143 nursing students from Babcock University (experimental group) and Afe Babalola University (control group). A self-developed questionnaire was employed to obtain data on the knowledge of patient safety culture pre-intervention and two weeks post intervention. Data was examined using Statistical package for the social science (SPSS) and t-test was done at a significance level of P<0.05. Results: Findings revealed experimental mean knowledge gain of 2.425, while control group mean knowledge gain was 0.110. Significant differences were found in the participants knowledge of patient safety culture between the experimental group and control group (P<0.001) and between knowledge of error reporting in the experimental group (P<0.001).  Conclusion: Teaching sessions on patient safety culture can improve nursing students’ knowledge about patient safety. The findings of the study recommends that patient safety education should be reinforced in the curriculum of nursing schools, and that supplementary boosting sessions be executed periodically to ensure the  retention of learned materials.

scholarly journals Evaluation of nursing students’ learning using realistic scenarios with and without debriefing

2019 ◽  
Vol 27 ◽  
Author(s):  
Rita de Cassia Silva Vieira Janicas ◽  
Nádia Zanon Narchi
Keyword(s):  
Nursing Students ◽  
Performance Test ◽  
Clinical Performance ◽  
Randomized Study ◽  
Control Group ◽  
Baseline Measurement ◽  
Post Intervention ◽  
Before And After ◽  
Teaching Learning ◽  
Experimental Group

Objective: to compare the clinical performance of nursing students in learning scenarios with and without debriefing in a simulation center. Method: a longitudinal, prospective, interventional, crossover randomized study, with a quantitative approach and before-and-after type, with a population composed of 120 nursing students distributed randomly between experimental and control group. The study phases included theoretical and demonstrative practice on child immunization; first Clinical Performance Test, which served as baseline measurement; randomization; scenarios with debriefing for the experimental group and without debriefing for the control group, according to clinical performance/intervention examination; exchange of groups or crossover; third Clinical Performance Test. Results: debriefing was proven to be effective in improving the performance of the students in the clinical exams, because improvement in the performance of the experimental group both in relation to the baseline measurement examination and in comparison with the control group in the post-intervention performance examination and in the third examination, after crossover (p<0.001). Conclusion: the use of scenarios with debriefing constitutes a strategy facilitating the teaching-learning process in the undergraduate nursing course.

scholarly journals Adapting and validating the Hospital Survey on Patient Safety Culture (HSOPS) for nursing students (HSOPS-NS): A new measure of Patient Safety Climate

2019 ◽  
Vol 75 ◽  
pp. 95-103 ◽  
Author(s):  
Javier Ortiz de Elguea ◽  
Aintzane Orkaizagirre-Gómara ◽  
Manuel Sánchez De Miguel ◽  
Fernando Urcola-Pardo ◽  
Concepción Germán-Bes ◽  
...  
Keyword(s):  
Patient Safety ◽  
Nursing Students ◽  
Safety Culture ◽  
Safety Climate ◽  
Patient Safety Culture ◽  
Patient Safety Climate

scholarly journals Self-Learning Methodology in Simulated Environments (MAES©) as a Learning Tool in Perioperative Nursing. An Evidence-Based Practice Model for Acquiring Clinical Safety Competencies

2021 ◽  
Vol 18 (15) ◽  
pp. 7893
Author(s):  
Ester Peñataro-Pintado ◽  
José Luis Díaz-Agea ◽  
Isabel Castillo ◽  
César Leal-Costa ◽  
Antonio Jesús Ramos-Morcillo ◽  
...  
Keyword(s):  
Nursing Students ◽  
Clinical Training ◽  
Surgical Patients ◽  
Control Group ◽  
Post Intervention ◽  
Clinical Safety ◽  
Simulated Environments ◽  
Study Results ◽  
Self Learning ◽  
Experimental Group

Background: The self-learning Methodology in Simulated Environments (Spanish acronym: MAES©, (Murcia, Spain) is a type of self-directed and collaborative training in health sciences. The objective of the present study was to compare the level of competence of postgraduate surgical nursing students in the clinical safety of surgical patients, after training with the MAES© methodology versus traditional theoretical–practical workshops, at different points in time (post-intervention, after three months, six months post-intervention, and at the end of the clinical training period, specifically nine months post-intervention). Methods: We conducted a prospective study with an experimental group of surgical nursing postgraduate students who participated in MAES© high-fidelity simulation sessions, and a control group of postgraduate nursing students who attended traditional theoretical–practical sessions at two universities in Catalonia (Spain). The levels of competence were compared between the two groups and at different time points of the study. Results: The score was higher and statistically significantly different in the experimental group for all the competencies, with a large effect size at every measurement point previously mentioned. Conclusions: The postgraduate nurses were the most competent in the clinical safety of surgical patients when they trained with the MAES© methodology than when they learned through traditional theoretical–practical workshops. The learning of surgical safety competencies was more stable and superior in the experimental group who trained with MAES©, as compared to the control group.

scholarly journals Baseline assessment of patient safety culture in primary care centres in Kuwait: a national cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Talal ALFadhalah ◽  
Buthaina Al Mudaf ◽  
Hanaa A. Alghanim ◽  
Gheed Al Salem ◽  
Dina Ali ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Multivariate Regression Analysis ◽  
Healthcare Services ◽  
Cross Sectional ◽  
Significance Level ◽  
Primary Health

Abstract Background Assessments of the culture surrounding patient safety can inform healthcare settings on how their structures and processes impact patient outcomes. This study investigated patient safety culture in Primary Health Care Centres in Kuwait, and benchmarked the findings against regional and international results. This study also examined the association between predictors and outcomes of patient safety culture in these settings. Methods This cross-sectional quantitative study used the Medical Office Survey on Patient Safety Culture. The study was targeted at staff of all the Primary Health Care Centres in Kuwait with at least one year of experience. Data were analysed using SPSS 23 at a significance level of ≤ .05. Univariate (means, standard deviations, frequencies, percentages) and bivariate (chi-squared tests, student t-tests, ANOVA F-tests, Kruskal–Wallis tests, Spearman’s correlation) analyses provided an overview of participant socio-demographics and the association between patient safety culture composites and outcomes. We undertook a multivariate regression analysis to predict the determinants of patient safety culture. Results were benchmarked against similar local (Kuwait, 2014), regional (Yemen, 2015) and international (US, 2018) studies. Results The responses of 6602 employees from 94 centres were included in the study, with an overall response rate of 78.7%. The survey revealed Teamwork (87.8% positive ratings) and Organisational Learning (78.8%) as perceived areas of strength. Communication about Error (57.7%), Overall Perceptions of Patient Safety and Quality (57.4%), Communication Openness (54.4%), Owner/Managing Partner/Leadership Support for Patient Safety (53.8%) and Work Pressure and Pace (28.4%) were identified as areas requiring improvement. Benchmarking analysis revealed that Kuwait centres are performing at benchmark levels or better on four and six composites when compared to international and regional findings, respectively. Regression modelling highlighted significant predictions regarding patient safety outcomes and composites. Conclusions This is the first major study addressing the culture of patient safety in public Primary Health Care Centres regionally. Improving patient safety culture is critical for these centres to improve the quality and safety of the healthcare services they provide. The findings of this study can guide country-level strategies to develop the systems that govern patient safety practices.

Piloting the SinergyAPS theory-based online intervention centred around the systematic patient feedback for improving patient safety in Primary Care: a mixed-methods feasibility study (Preprint)

2021 ◽  
Author(s):  
Maria J Serrano-Ripoll ◽  
Maria A. Fiol-DeRoque ◽  
José M. Valderas ◽  
Rocío Zamanillo-Campos ◽  
Joan Llobera ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Online Intervention ◽  
Patient Safety Culture ◽  
Post Intervention ◽  
Patient Feedback ◽  
Perceived Utility ◽  
Improve Patient

BACKGROUND Developing new strategies to support the provision of safer primary care (PC) is a major priority both internationally and in Spain, where around 3 million adverse events occur each year in the PC setting. OBJECTIVE The primary aims of this mixed-methods feasibility study were to examine the feasibility and to explore the acceptability and perceived utility of the SinergiAPS intervention, a novel low-cost and scalable theory-based online intervention to improve patient safety in PC centres, based on the use of patient feedback. The secondary aim was to examine the potential impact of the intervention to improve patient safety culture and avoidable hospitalizations in PC centres. METHODS We conducted a three-month, one-arm, feasibility trial in ten PC centres in Spain. Centres were fed back information regarding patients' experiences of safety (collected through PREOS-PC questionnaire) and were instructed to plan safety improvement actions based on it. We measured recruitment and follow-up rates, and intervention uptake (number of centres registering improvement plans). We explored the impact of the intervention on patient safety culture (MOSPSC questionnaire), and avoidable hospital admissions rate. We conducted semi-structured interviews with nine professionals to explore the acceptability and perceived utility of the intervention. RESULTS Of 256 professionals invited, 120 (47%) accepted to participate and 97 completed baseline and post-intervention measures. Of 780 patients invited, 585 (77%) completed the PREOS-PC questionnaire. Five centres designed 27 improvement actions. Most of the actions addressed treatment-related safety problems and consisted in the provision of training to PC providers. Compared to baseline, post-intervention MOSPSC scores were significantly higher (indicating a higher level of culture) for the safety culture synthetic index (3.36/5 at baseline vs. 3.44/5 at post-intervention (2% increase); p=0.01). No differences (p=0.11) were observed in avoidable admissions rate before (median (IQR)=0.78 (0.7 to 0.9) vs. after the intervention (0.45 (0.33 to 0.83)). The interviews revealed that the intervention was perceived as a novel strategy that could produce long-term safety improvements by raising their awareness and improving their technical knowledge about patient safety. CONCLUSIONS The proposed intervention is feasible to deliver and perceived as acceptable and useful by PC professionals if the barriers identified are addressed. The effectiveness of the refined intervention will be assessed in a trial involving 59 centres. CLINICALTRIAL clinicaltrials.gov NCT03837912

scholarly journals Effectiveness of self-re-learning using video recordings of advanced life support on nursing students’ knowledge, self-efficacy, and skills performance

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Kyeongmin Jang ◽  
Sung Hwan Kim ◽  
Ja Young Oh ◽  
Ji Yeon Mun
Keyword(s):  
Nursing Students ◽  
Self Efficacy ◽  
Life Support ◽  
Statistical Significance ◽  
Advanced Life Support ◽  
Rank Test ◽  
Control Group ◽  
Bulletin Board ◽  
Post Intervention ◽  
Experimental Group

Abstract Background Nurses are presumably the first to see an in-hospital cardiac arrest patient. This study proposed measuring nursing students’ knowledge, self-efficacy, and skills performance in advanced life support (ALS), 6 months after training, by sending videos taken during their final skills test after the ALS training. Methods This is an experimental study using a randomised control group design. This study was conducted from June to December 2018, and the subjects of the study were 4th year students, recruited through a bulletin board at a nursing university. The participants’ knowledge, self-efficacy, and skill performance in ALS were evaluated immediately after the training, and participants were videotaped during the final skills test. Thereafter, the videos were sent to the experimental group through a mobile phone messenger application, once a month, from the third month after training. Approximately six months after training day, a follow-up test was conducted for the measured variables using a blinded method. The paired t-test and Wilcoxon signed-rank test were used to compare the two groups pre-and post-intervention. The statistical significance level was set at p < .05. Results Six months after the ALS training, knowledge scores decreased significantly in both groups (p < 0.001). Self-efficacy decreased by about 3 points from 50.55 to 47.18 in the experimental group (p = 0.089), while it decreased by 10 points in the control group, from 50.67 to 39 (p < 0.001). The skills performance decreased from 27.5 to 26.68 in the experimental group, while it decreased significantly from 27.95 to 16.9 in the control group (p < 0.001). Conclusion Self-study with videos taken during an ALS skills test helps enhance the sustainable effects of training such as knowledge, self-efficacy, and skills performance.

Patient safety culture as perceived by intern-ship nursing students

2017 ◽  
Vol 6 (2) ◽  
pp. 67
Author(s):  
Safaa Mohamed ◽  
Fatma Rushdy
Keyword(s):  
Patient Safety ◽  
Nursing Students ◽  
Health Care Providers ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Care Providers ◽  
Convenience Sample ◽  
Work Area ◽  
Hospital Work ◽  
Positive Correlations

Background: Patient Safety Culture is a relatively new concept in health management. Highly reliable health care providers have a patient safety culture incorporated in them. Aim: To assess perception of internship nursing students about patient safety culture during their work-ing at Minia and Assiut Universities Hospitals. Subjects and methods: Descriptive correlation design was utilized for this current study. A convenience sample of nurses' intern, equal both to participate 200 nurse intern from Minia and Assiut Universities Hospitals. The data collected through self-administered questionnaire which includes personal characteristics data and patient safety culture questionnaire. Re-sults: Illustrated the positive correlation between all factors of patient safety culture among internship nursing students in Minia and patient safety level with highly statistically significant differences. There were positive correlations between hospital work area / unit and residence with statistically significant differences. Conclusions: There were positive correlations among studied internship nursing students as regard to the level of patient safety and all factors of patient safety cultures (Hospital work area, your supervisor, Communication, Frequency of events reported, Patient safety at your hospital). Recommendations: Study the association between patient safety culture and quality of care from patients’ perspectives.

scholarly journals Effect of Video Assisted Teaching on Knowledge of BSc Nursing Students regarding Renal Dialysis for Chronic Renal Failure Patients

2021 ◽  
Vol 10 (01) ◽  
pp. 1-6
Author(s):  
Abha Oriel ◽  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Nursing Students ◽  
Renal Dialysis ◽  
Control Group ◽  
Knowledge Gain ◽  
Video Assisted ◽  
Post Test ◽  
And Control ◽  
Experimental Group

Background: The present study was conducted to assess the effect of video assisted teaching on the knowledge gain of BSc Nursing students on renal dialysis for chronic renal failure patients. Methods: An experimental design was chosen with pre test and post test of experimental and control group. The sample size was 60 registered BSc Nursing students divided into two groups - 30 in the experimental and 30 in the control group. The tools used for conducting the study included demographic variables, self structured questionnaire to assess knowledge of experimental and control group. The experimental group was given video- assisted teaching as an intervention and the control group was used for comparison only. The data were analysed with the help of descriptive and inferential statistics. Result: The study clearly shows that there was a significant gain in knowledge of BSc Nursing students in experimental group with video assisted teaching which emphasises that renal dialysis for chronic renal failure patients is good for their health. Conclusion: The BSc Nursing students can be benefited with video assisted teaching to improve knowledge and practice on renal dialysis for Chronic Renal Failure Patients and they can practice these interventions in clinical area in future.

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