Student nurses' strategies when speaking up for patient safety: A qualitative study

Article


Fagan, Anthea, Lea, Jackie and Parker, Vicki. 2021. "Student nurses' strategies when speaking up for patient safety: A qualitative study ." Nursing and Health Sciences. 23 (2), pp. 447-455. https://doi.org/10.1111/nhs.12831
Article Title

Student nurses' strategies when speaking up for patient safety: A qualitative study

ERA Journal ID14142
Article CategoryArticle
AuthorsFagan, Anthea, Lea, Jackie and Parker, Vicki
Journal TitleNursing and Health Sciences
Journal Citation23 (2), pp. 447-455
Number of Pages9
Year2021
PublisherJohn Wiley & Sons
Place of PublicationAustralia
ISSN1441-0745
1442-2018
Digital Object Identifier (DOI)https://doi.org/10.1111/nhs.12831
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/nhs.12831
Abstract

The purpose of this study was to understand student nurses' perceptions and experiences of witnessing and responding to risks to patient safety during their integrated learning experiences. This qualitative study's two-phased approach included individual semi-structured interviews, followed by focus group discussions with students. Participants included 53 pre-registration nursing students recruited from the first, second, and third years of study at two Australian universities. All had attended at least one clinical placement experience. Interpretive Description was used as a framework to guide the study. The findings highlight that students engage in specific and deliberate strategies when attempting to speak up. Students weigh up the risk to the patient and themselves. They use questioning techniques and their knowledge, experiences, and resources when speaking up. Students highlighted the need for caution and persistence while aiming to reduce the risk of reprisal. Exposing the challenges and successes students experience will provide educators, managers, and clinicians with the understanding necessary to better support both students and clinicians to achieve safe outcomes for patients as well a students.

Keywordsclinical placement; moral dilemma; patient safety; speaking up; student nurses
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420599. Nursing not elsewhere classified
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Byline AffiliationsUniversity of New England
School of Nursing and Midwifery
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