Affordable Access

Access to the full text

Self-reported confidence in patient safety competencies among Chinese nursing students: a multi-site cross-sectional survey

Authors
  • Huang, Fei Fei1
  • Shen, Xiao Ying2
  • Chen, Xue Lei3
  • He, Li Ping4
  • Huang, Su Fen5
  • Li, Jin Xiu6
  • 1 Fujian Medical University, No 1 Xuefu north Road, Minhou county, Fuzhou, Fujian, 350108, China , Fuzhou (China)
  • 2 the 2nd Affiliated Hospital of Harbin Medical University, Herbin, China , Herbin (China)
  • 3 Guilin Medical University, Gulin, China , Gulin (China)
  • 4 Changzhi Medical College, Changzhi, China , Changzhi (China)
  • 5 Quanzhou Medical College, Quanzhou, China , Quanzhou (China)
  • 6 Ji Shou University, Jishou, China , Jishou (China)
Type
Published Article
Journal
BMC Medical Education
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Jan 31, 2020
Volume
20
Issue
1
Identifiers
DOI: 10.1186/s12909-020-1945-8
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundNursing interns are an important backup force for nursing professionals, so efforts to strengthen their patient safety (PS) competencies are a major priority. To do so requires assessing the strengths and weaknesses of Chinese nursing students’ PS competence and identifying the influencing factors.MethodsThis was a multi-site, cross-sectional, web-based study that was carried out between September 2018 and January 2019. A national online survey was completed by 732 Chinese undergraduate nursing students. Our primary outcome factor was the Health Professional Education in Patient Safety Survey score. We also collected socio-demographic and clinical practice-related characteristics as independent variables.Multiple stepwise linear regression was performed to identify predictors of PS competence.ResultsChinese undergraduate nursing students were fairly confident in their clinical safety skills but less confident in what they learned about sociocultural or context-dependent aspects of PS and speaking up about PS, including effective communication and understanding human and environmental factors. Less than half of the students felt that they could approach someone engaging in unsafe practice and were reluctant to voice concern about adverse events. We observed significant differences in PS competence between students from different regions, across different PS learning styles (self-study and classroom theoretical study), with different self-assessed PS competence levels, and with experiences of adverse events (p < 0.05). These factors accounted for almost 15% of the total variance in PS competence scores (adjusted R2 = 0.15, p = 0.00).ConclusionsThe results of this study provide a better understanding of PS competence among final-year nursing students in China. Our findings may help nursing educators or healthcare organizations to cultivate and improve PS competence by establishing documented policies or by improving the efficacy of intervention.

Report this publication

Statistics

Seen <100 times