A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment

Article


Fagan, Anthea, Parker, Vicki and Jackson, Debra. 2016. "A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment." Journal of Advanced Nursing. 72 (10), pp. 2346 - 2357. https://doi.org/10.1111/jan.13028
Article Title

A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment

ERA Journal ID14101
Article CategoryArticle
AuthorsFagan, Anthea, Parker, Vicki and Jackson, Debra
Journal TitleJournal of Advanced Nursing
Journal Citation72 (10), pp. 2346 - 2357
Number of Pages12
Year2016
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN0309-2402
1365-2648
Digital Object Identifier (DOI)https://doi.org/10.1111/jan.13028
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/jan.13028
Abstract

AIM: An analysis of the concept of nursing students speaking up for patient safety in the workplace.

BACKGROUND: 'Speaking up' is assertive communication in clinical situations that requires action through questions or statements of opinion or information with appropriate persistence and is linked to patient safety. Previously, the concept of speaking up has focused on the registered or experienced practitioners, there is minimal discussion relating to student nurses. Analysis of the elements of students speaking up will identify the key elements that will give understanding to their position and experiences.

DESIGN: A concept analysis.

DATA: Literature included publications between 1970-2015 from, MEDLINE, CINHAL, PUBMED and SCOPUS. Search terms included patient safety AND speaking up; AND pre-registration/undergraduate nursing students, patient advocate, error reporting, organizational silence, whistleblowing and clinical placement/practicum.

METHODS: The Walker and Avant concept analysis model was modified and used to examine the literature.

RESULTS: Nursing students speaking up behaviour is influenced by individual and contextual factors that differ from those influencing more experienced colleagues. Motivators and barriers to voicing concerns include moral and ethical beliefs, willingness and confidence to speak up in the workplace. Students' subordinate and often vulnerable position creates additional tensions and challenges that impact their decisions and actions.

CONCLUSION: This concept analysis provides a clear definition of 'speaking up' in relation to nursing students. The analysis will facilitate understanding and operationalization of the concept applied to learning and teaching, practice and research.

Keywordsclinical placement/practicum; error reporting; organizational silence; patient advocate; patient safety; pre-registration; speaking up; undergraduate nursing students; whistleblowing
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Byline AffiliationsUniversity of New England
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