Conflict, confusion and inconsistencies: Pre-registration nursing students’ perceptions and experiences of speaking up for patient safety

Article


Fagan, Anthea, Lea, Jackie and Parker, Vicki. 2020. "Conflict, confusion and inconsistencies: Pre-registration nursing students’ perceptions and experiences of speaking up for patient safety." Nursing Inquiry. 28 (1), pp. 1-11. https://doi.org/10.1111/nin.12381
Article Title

Conflict, confusion and inconsistencies: Pre-registration nursing students’ perceptions and experiences of speaking up
for patient safety

ERA Journal ID14147
Article CategoryArticle
AuthorsFagan, Anthea (Author), Lea, Jackie (Author) and Parker, Vicki (Author)
Journal TitleNursing Inquiry
Journal Citation28 (1), pp. 1-11
Article Numbere12381
Number of Pages11
Year2020
Place of PublicationUnited Kingdom
ISSN1320-7881
1440-1800
Digital Object Identifier (DOI)https://doi.org/10.1111/nin.12381
Web Address (URL)https://onlinelibrary.wiley.com/doi/full/10.1111/nin.12381
Abstract

There is growing evidence demonstrating that nursing students encounter unsafe and poor clinical practice when on clinical placement. The impact on nursing students remains relatively under-explored, especially in the Australian context. This two-phased qualitative study used Interpretive Description to explore 53 pre-registration nursing students’ perceptions and experiences of speaking up for patient safety. Results of the study identified students believe speaking up is the right thing to do, and their professional responsibility. The study results add to previous research by describing the dissonance students experience due to the inconsistencies between what is taught at university and performed in practice. Student's distress arises when observing nurses taking short cuts, justifying such actions and making excuses about poor practice. Students report experiencing dissonance, bewilderment and confusion and at times, anger when observing poor practice. The clinical environment culture influences students’ decisions to speak up or remain silent. Understanding students’ perceptions and responses will promote awareness and discussion essential to the future development of curricula and clinical support strategies that will enable students to speak up.

Keywordsclinical placement; dissonance; moral dilemma; patient safety; poor practice; speaking up; Student nurses
ANZSRC Field of Research 2020399999. Other education not elsewhere classified
420599. Nursing not elsewhere classified
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Byline AffiliationsUniversity of New England
University of Southern Queensland, Australia
Institution of OriginUniversity of Southern Queensland
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