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Creating safety in care: Student nurses' perspectives.

Authors
  • O'Keeffe, Valerie1
  • Boyd, Carolyn2
  • Phillips, Craig3
  • Oppert, Michelle4
  • 1 Centre for Workplace Excellence, School of Management, School of Engineering, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia. Electronic address: [email protected] , (Australia)
  • 2 School of Engineering, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia. Electronic address: [email protected] , (Australia)
  • 3 School of Nursing, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia. Electronic address: [email protected] , (Australia)
  • 4 Centre for Workplace Excellence, School of Management, School of Engineering, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia. Electronic address: [email protected] , (Australia)
Type
Published Article
Journal
Applied ergonomics
Publication Date
Sep 07, 2020
Volume
90
Pages
103248–103248
Identifiers
DOI: 10.1016/j.apergo.2020.103248
PMID: 32889427
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Nursing is often hazardous work. Promoting safety and care requires nurses to apply knowledge, skill and creativity in patient encounters. Nurses' risk exposures are well documented, with research on student nurses' safety more limited. We studied final-year nursing students' risk perceptions using questionnaire-based vignettes involving four patient presentations on patient aggression, manipulating patient and resource risk factors. We found student nurses were most likely to ask for help and wait when managing high-risk patient aggression scenarios. Student nurses placed most importance on their own safety and patient condition in making decisions. Resource risk significantly interacted with gender, with male nurses more likely to seek help when risks were high. There is need to improve student nurse training on managing patient aggression by promoting creative approaches to problem solving and critical thinking using simulation techniques to enhance situation awareness and translate knowledge to practice. Copyright © 2020 Elsevier Ltd. All rights reserved.

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