Kontakt 2023, 25(4):266-275 | DOI: 10.32725/kont.2023.040

Factors influencing nursing students' perception of patient safetyNursing - Review article

Dominika Kohanová1, 2, *, Daniela Bartoníčková2, 3, Radka Kurucová2, Katarína Žiaková2
1 Constantine the Philosopher University in Nitra, Faculty of Social Sciences and Health Care, Department of Nursing, Nitra, Slovak Republic
2 Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Department of Nursing, Martin, Slovak Republic
3 Palacký University in Olomouc, Faculty of Health Sciences, Department of Nursing, Olomouc, Czech Republic

Introduction: Patient safety is one of the main priorities of healthcare facilities worldwide. The perspective of nursing students on patient safety is essential for planning strategies to improve patient safety and its culture. Nursing students' perception of patient safety may differ between teaching and learning practices in nursing faculties, but also depends on the clinical experience gained during clinical placement.

Objective: To collate existing empirical research studies on factors influencing the perception of patient safety from the perspective of nursing students.

Methods: The search was performed in scientific databases PubMed, Scopus, and ProQuest in February 2023 and was limited to one language (English). The search produced 1,703 studies. The content analysis method was used in data synthesis.

Results: 36 studies were considered relevant for the review. 23 factors that affect the knowledge, skills, and attitudes of nursing students towards patient safety were determined. Four main factor groups were described as follows: Factors related to demographic data; Factors related to clinical environment; Factors related to academic environment; Contextual factors.

Conclusion: Nursing students' perception of patient safety was influenced by the educational and clinical environment. In relation to education, there is a need to integrate the patient safety subject at the beginning of nursing studies and to strengthen existing knowledge about adverse events.

Keywords: Academic environment; Clinical placement; Factors; Nursing students; Patient safety
Grants and funding:

The study was supported by the KEGA project no. 040UK-4/2023, ‘Safe Provision of Nursing Care’.

Conflicts of interest:

The authors have no conflict of interest to declare.

Received: May 11, 2023; Revised: August 9, 2023; Accepted: October 11, 2023; Prepublished online: November 2, 2023; Published: December 18, 2023  Show citation

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Kohanová D, Bartoníčková D, Kurucová R, Žiaková K. Factors influencing nursing students' perception of patient safety. Kontakt. 2023;25(4):266-275. doi: 10.32725/kont.2023.040.
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References

  1. Abdelrahman SM, Mohamed FR (2017). Patient safety culture as perceived by internship nursing students. Int J Adv Nurs Stud 6(2): 67-70. DOI: 10.14419/ijans.v6i2.7681. Go to original source...
  2. Alfredsdottir HK, Bjornsdottir K (2008). Nursing and patient safety in the operating room. J Adv Nurs 61(1): 29-37. DOI: 10.1111/j.1365-2648.2007.04462.x. Go to original source... Go to PubMed...
  3. Alquwez N, Cruz JP, Alshammari F, Felemban EM, Almazan JU, Tumala RB, et al. (2019). A multi-university assessment of patient safety competence during clinical training among baccalaureate nursing students: A cross-sectional study. J Clin Nurs 28(9-10): 1771-1781. DOI: 10.1111/jocn.14790. Go to original source... Go to PubMed...
  4. Amilia R, Nurmalia D (2020). A comparison of patient safety competencies between clinical and classroom settings among nursing students. Nurse Media J Nurs 10(1): 66-75. DOI: 10.14710/nmjn.v10i1.25231. Go to original source...
  5. Amsrud KE, Lyberg A, Severinsson E (2015). The influence of clinical supervision and its potential for enhancing patient safety - Undergraduate nursing students' views. J Nurs Educ Pract 5(6): 87-95. DOI: 10.5430/jnep.v5n6p87. Go to original source...
  6. Baker DP, Amodeo AM, Krokos KJ, Slonim A, Herrera H (2010). Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Qual Saf Health Care 19(6): e49. DOI: 10.1136/qshc.2009.036129. Go to original source... Go to PubMed...
  7. Bedgood AL, Mellot S (2021). The Role of Education in Developing a Culture of Safety Through the Perceptions of Undergraduate Nursing Students: An Integrative Literature Review. J Pat Saf 17(8): 1530-1536. DOI: 10.1097/PTS.0000000000000548. Go to original source... Go to PubMed...
  8. Bressan V, Causero G, Stevanin S, Cadorin L, Zanini A, Bulfone G, Palese A (2021). Nursing students' knowledge of patient safety and development of competences over their academic years: Findings from a longitudinal study. Zdr Varst 60(2): 114-123. DOI: 10.2478/sjph-2021-0017. Go to original source... Go to PubMed...
  9. Butterworth T, Jones K, Jordan S (2011). Building capacity and capability in patient safety, innovation and service improvement: an English case study. Qual Saf Innov 16(3): 243-251. DOI: 10.1177/1744987111406008. Go to original source...
  10. Chenot T, Daniel LG (2010). Frameworks for patient safety in the nursing curriculum. J Nurs Educ 49(10): 559-568. DOI: 10.3928/01484834-20100730-02. Go to original source... Go to PubMed...
  11. Colet PC, Cruz JP, Cruz CP, Al-Otaibi J, Qubeilat H, Alquwez N (2015). Patient safety competency of nursing students in Saudi Arabia: A self-reported survey. Int J Health Sci (Qassim) 9(4): 418-426. Go to original source...
  12. Çiftcioğlu S, Apaydin Cirik V, Efe E (2022). Student nurses' perceptions of a patient safety culture: A descriptive and cross-sectional study. Perspect Psychiatr Care 58(2): 658-663. DOI: 10.1111/ppc.12830. Go to original source... Go to PubMed...
  13. De Oliveira HKF, da Silva NC (2022). The meaning of patient safety for nursing students. Rev Bras Enferm 75(5): e20210567. DOI: 10.1590/0034-7167-2021-0567. Go to original source... Go to PubMed...
  14. Dimitriadou M, Merkouris A, Charalambous A, Lemonidou CH, Papastavrou E (2021). The knowledge about patient safety among undergraduate nurse students in Cyprus and Greece: a comparative study. BMC Nurs 20(1): 110. DOI: 10.1186/s12912-021-00610-6. Go to original source... Go to PubMed...
  15. Duhn L, Karp S, Oni O, Edge D, Ginsburg L, Vandenkerkhof E (2012). Perspectives on Patient Safety Among Undergraduate Nursing Students. J Nurs Educ 51(9): 526-531. DOI: 10.3928/01484834-20120706-04. Go to original source... Go to PubMed...
  16. Fagan A, Lea J, Parker V (2021). Student nurses' strategies when speaking up for patient safety: A qualitative study. Nurs Health Sci 23(2): 447-455. DOI: 10.1111/nhs.12831. Go to original source... Go to PubMed...
  17. Farokhzadian J, Myaneh ZT, Shahrakia SK, Malakoutikhah A, Nasratabadi I, Sarbijan-Nasab FR (2022). Patient Safety Competency and its Related Aspects in Professional Education among Nursing Students of Two Nursing Schools in Iran: A Comparative Study. Nurse Media J Nurs 12(2): 223-232. DOI: 10.14710/nmjn.v12i2.42122. Go to original source...
  18. Firat Kiliç H, Cevheroğlu S (2023). Patient safety competencies of nursing students. Nurse Educ Today 121: 105666. DOI: 10.1016/j.nedt.2022.105666. Go to original source... Go to PubMed...
  19. Fisher M, Kiernan M (2019). Student nurses' lived experience of patient safety and raising concerns. Nurse Educ Today 2019(77): 1-5. DOI: 10.1016/j.nedt.2019.02.015. Go to original source... Go to PubMed...
  20. Huang FF, Shen XY, Chen XL, He L, Huang SF, Li JX (2020). Self-reported confidence in patient safety competencies among Chinese nursing students: a multi-site cross-sectional survey. BMC Med Educ 20(1): 32. DOI: 10.1186/s12909-020-1945-8. Go to original source... Go to PubMed...
  21. IOM - Institute of Medicine (US) Committee on Quality of Health Care in America (2000). To Err is Human: Building a Safer Health System. Washington: National Academies Press (US). DOI: 10.17226/9728. Go to original source... Go to PubMed...
  22. Kalánková D, Bartoníčková D, Holubová D, Žiaková K (2022). Nursing Students' Perception of Patient Safety Culture During the Covid-19 Pandemic - Results of a Pilot Study. AMM 22(1): 45-53. DOI: 10.2478/acm-2022-0006. Go to original source...
  23. Kalisch BJ, Lee H, Rochman M (2010). Nursing staff teamwork and job satisfaction. J Nurs Manag 18(8): 938-947. DOI: 10.1111/j.1365-2834.2010.01153.x. Go to original source... Go to PubMed...
  24. Kong LN, Zhu WF, He S, Chen SZ, Yang L, Qi L, Peng X (2019). Attitudes towards patient safety culture among postgraduate nursing students in China: A cross-sectional study. Nurse Educ Pract 38(2): 1-6. DOI: 10.1016/j.nepr.2019.05.014. Go to original source... Go to PubMed...
  25. Langari MNM, Tella S, Smith NJ, Turunen H (2017). Self-assessment of patient safety competence: a questionnaire survey of final year British and Finnish pre-registration nursing students. Int J Caring Sci 10(3): 1212-1224.
  26. Lee SE, Dahinten VS (2023). Evaluating a patient safety course for undergraduate nursing students: A quasi-experimental study. Collegian 30(1): 75-83. DOI: 10.1016/j.colegn.2022.06.001. Go to original source...
  27. Lukewich J, Edge DS, Tranmer J, Raymond J, Miron J, Ginsburg L, VanDenKerkhof E (2015). Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010-2013). Int J Nurs Stud 52(5): 930-938. DOI: 10.1016/j.ijnurstu.2015.01.010. Go to original source... Go to PubMed...
  28. Lundell Rudberg S, Westerbotn M, Sormunen T, Scheja M, Lachmann H (2022). Undergraduate nursing students' experiences of becoming a professional nurse: a longitudinal study. BMC Nurs 21(1): 219. DOI: 10.1186/s12912-022- 01002-0. Go to original source...
  29. Mansour M (2015). Factor analysis of nursing students' perception of patient safety education. Nurse Educ Today 35(1): 32-37. DOI: 10.1016/j.nedt.2014.04.020. Go to original source... Go to PubMed...
  30. Mansour MJ, Al Shadafan SF, Abu-Sneineh FT, AlAmer MM (2018). Integrating Patient Safety Education in the Undergraduate Nursing Curriculum: A Discussion Paper. Open Nurs J 12(1): 125-132. DOI: 10.2174/1874434601812010125. Go to original source... Go to PubMed...
  31. Mayring P (2014). Qualitative Content Analysis: Theoretical Background and Procedures. In: Bikner-Ahsbahs A, Knipping C, Presmeg N (Eds). Approaches to Qualitative Research in Mathematics Education. Advances in Mathematics Education. Springer, Dordrecht. DOI: 10.1007/978-94-017-9181-6_13. Go to original source...
  32. McIntosh A, Gidman J, Smith D (2014). Mentors' perceptions and experiences of supporting student nurses in practice. Int J Nurs Pract 20(4): 360-365. DOI: 10.1111/ijn.12163. Go to original source... Go to PubMed...
  33. Morphet J, Hood K, Cant R, Baulch J, Gilbee A, Sandry K (2014). Teaching teamwork: an evaluation of an interprofessional training ward placement for health care students. Adv Med Educ Pract 5: 197-204. DOI: 10.2147/AMEP.S61189. Go to original source... Go to PubMed...
  34. Okuyama A, Martowirono K, Bijnen B (2011). Assessing the patient safety competencies of healthcare professionals: a systematic review. BMJ Qual Saf 20(11): 991-1000. DOI: 10.1136/bmjqs-2011-000148. Go to original source... Go to PubMed...
  35. Ortiz de Elguea J, Orkaizagirre-Gómara A, de Miguel MS, Urcola-Pardo F, Germín-Bes C, Lizaso-Elgarresta I (2019). Adapting and validating the Hospital Survey on Patient Safety Culture (HSOPS) for nursing students (HSOPS-NS): A new measure of Patient Safety Climate. Nurse Educ Today 75(5): 95-103. DOI: 10.1016/j.nedt.2019.01.008. Go to original source... Go to PubMed...
  36. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A (2016). Rayyan - a web and mobile app for systematic reviews. Systematic Rev 5(1): 210. DOI: 10.1186/s13643-016-0384-4. Go to original source... Go to PubMed...
  37. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372: n71. DOI: 10.1136/bmj.n71. Go to original source... Go to PubMed...
  38. Ryan L, Jackson D, Woods C, East L, Usher K (2021). Intentional rounding in the context of student learning. Collegian 28(3): 289-295. DOI: 10.1016/j.colegn.2020.09.008. Go to original source...
  39. Sherwood GK, Drenkard K (2007). Quality and safety curricula in nursing education: matching practice realities. Nurs Outlook 55(3): 151-155. DOI: 10.1016/j.outlook.2007.02.004. Go to original source... Go to PubMed...
  40. Stavrianopoulos T (2012). The development of patient safety culture. Health Sci J 6(2): 201-211.
  41. Stevanin S, Bressan V, Bulfone G, Zanini A, Dante A, Palese A (2015). Knowledge and competence with patient safety as perceived by nursing students: The findings of a cross-sectional study. Nurse Educ Today 35(8): 926-934. DOI: 10.1016/j.nedt.2015.04.002. Go to original source... Go to PubMed...
  42. Steven A, Magnusson C, Smith P, Pearson PH (2014). Patient safety in nursing education: Contexts, tensions and feeling safe to learn. Nurse Educ Today 34(2): 277-284. DOI: 10.1016/j.nedt.2013.04.025. Go to original source... Go to PubMed...
  43. Steven A, Rossi S, Dasso N, Napolitano F, Grosso A, Villa S, et al. (2023). A qualitative exploration of undergraduate nursing students' experience of emotional safety for learning during their clinical practice. Nurse Educ Today 121: 105673. DOI: 10.1016/j.nedt.2022.105673. Go to original source... Go to PubMed...
  44. Stievano A, Jurado MG, Rocco G, Sasso L (2009). A New Information Exchange System for Nursing Professionals to Enhance Patient Safety Across Europe. J Nurs Scholarsh 41(4): 391-398. DOI: 10.1111/j.1547-5069.2009.01307.x. Go to original source... Go to PubMed...
  45. Suliman M (2019). Measuring Patient Safety Competence Among Nursing Students in the Classroom and Clinical Settings. Nurs Educ Perspect 40(3): 3-7. DOI: 10.1097/01.NEP.0000000000000460. Go to original source... Go to PubMed...
  46. Sullivan DT, Hirst D, Cronenwett L (2009). Assessing quality and safety competencies of graduating prelicensure nursing students. Nurs Outlook 57(6): 323-331. DOI: 10.1016/j.outlook.2009.08.004. Go to original source... Go to PubMed...
  47. Sümen A, Ünal A, Aksoy S (2022). Nursing students' self-reported experiences and attitudes regarding patient safety: A cross-sectional study comparing the classroom and clinical settings. Collegian 29(3): 320-327. DOI: 10.1016/j.colegn.2021.08.010. Go to original source...
  48. Tella S, Smith N-J, Partanen P, Jamookeeah D, Lamidi MJ, Turnen H (2015a). Learning to ensure patient safety in clinical settings: comparing Finnish and British nursing students' perceptions. J Clin Nurs 24(19-20): 2954-2964. DOI: 10.1111/jocn.12914. Go to original source... Go to PubMed...
  49. Tella S, Smith N-J, Partanen P, Turunen H (2015b). Learning Patient Safety in Academic Settings: A Comparative Study of Finnish and British Nursing Students' Perceptions. Worldviews Evid Based Nurs 12(3): 154-164. DOI: 10.1111/wvn.12088. Go to original source... Go to PubMed...
  50. Torkaman M, Sabzi A, Farokhzadian J (2022). The Effect of Patient Safety Education on Undergraduate Nursing Students' Patient Safety Competencies. Community Health Equity Res Policy 42(2): 219-224. DOI: 10.1177/0272684X20974214. Go to original source... Go to PubMed...
  51. Tuomikoski A-M, Ruotsalainen H, Mikkon K, Miettunen J, Kääriäinen M (2018). The competence of nurse mentors in mentoring students in clinical practice - A cross-sectional study. Nurse Educ Today 71: 78-83. DOI: 10.1016/j.nedt.2018.09.008 Go to original source... Go to PubMed...
  52. Ulenaers D, Grosemans J, Schrooten W, Bergds J (2021). Clinical placement experience of nursing students during the COVID-19 pandemic: A cross-sectional study. Nurse Educ Today 99: 104746. DOI: 10.1016/j.nedt.2021.104746. Go to original source... Go to PubMed...
  53. Usher K, Woods C, Parmenter G, Hutchinsin M, Mannix J, Power T, et al. (2017). Self-reported confidence in patient safety knowledge among Australian undergraduate nursing students: A multi-site cross-sectional survey study. Int J Nurs Stud 71: 89-96. DOI: 10.1016/j.ijnurstu.2017.03.006. Go to original source... Go to PubMed...
  54. Vaismoradi M, Jordan S, Turunen H, Bondas T (2014). Nursing students' perspectives of the cause of medication errors. Nurse Educ Today 34(3): 434-440. DOI: 10.1016/j.nedt.2013.04.015. Go to original source... Go to PubMed...
  55. VanDenKerkhof E, Sears N, Edge DS, Tregunno D, Ginsburg L (2017). Patient safety in practical nurses' education: A cross-sectional survey of newly registered practical nurses in Canada. Nurse Educ Today 51: 48-56. DOI: 10.1016/j.nedt.2017.01.003. Go to original source... Go to PubMed...
  56. Walker D, Altmiller G, Barkell N, Hromadik L, Toothaker R (2019). Development and validation of the Just Culture Assessment Tool for Nursing Education. Nurse Educ 44(5): 261-264. DOI: 10.1097/NNE.0000000000000705. Go to original source... Go to PubMed...
  57. Walker D, Hromadik L, Altmiller G, Barkell N, Toothaker R, Powell K (2021). Exploratory factor analysis of the Just Culture Assessment Tool for nursing education. J Res Nurs 26(1-2): 49-59. DOI: 10.1177/1744987120951589. Go to original source... Go to PubMed...
  58. Weaver SJ, Lubomksi LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM (2013). Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med 158(5): 369-374. DOI: 10.7326/0003-4819-158-5-201303051-00002. Go to original source... Go to PubMed...
  59. World Health Organization (2019). Patient safety. [online] [cit. 2023-03-05]. Available from: https://www.who.int/news-room/fact-sheets/detail/patient-safety

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