Kontakt X:X | DOI: 10.32725/kont.2025.041

Postgraduate nursing students' reflection on safe clinical practice: a descriptive qualitative studyNursing - Original article

Dominika Kohanová1, *, Veronika Šulajová2, Dana Zrubcová1, Ľuboslava Pavelová1, Andrea Sollárová1
1 Constantine the Philosopher University in Nitra, Faculty of Social Sciences and Health Care, Department of Nursing, Nitra, Slovak Republic
2 St. Elizabeth University of Health and Social Sciences, St. Ladislaus Faculty of Health Care and Social Work, Department of Nursing, Nové Zámky, Slovak Republic

Introduction: Patient safety is a critical component of nursing practice, yet the integration of safety competencies into postgraduate nursing education remains inconsistent. As future nurse leaders, postgraduate students must be equipped not only with clinical skills but also with the ability to identify, reflect on, and address safety risks in complex care environments.

Objective: To explore how postgraduate nursing students perceive, experience, and interpret the provision of safe nursing care during clinical placements.

Methods: A descriptive qualitative design was carried out between June 2024 and August 2024. Semi-structured interviews were conducted with nine postgraduate nursing students who had completed clinical placements at the hospital setting. Data were analyzed using reflective thematic analysis.

Results: Four key themes emerged: (1) From barriers to professionalism in nursing practice; (2) From theory to safe practice; (3) Nursing under pressure: resources, communication, and individualized care; and (4) Ensuring patient safety in nursing practice - challenges and the role of students.

Conclusion: Postgraduate nursing students face multifaceted challenges in delivering safe care during clinical placements. Enhancing clinical supervision, aligning theoretical education with real-world practice, and fostering a safety culture through open communication and leadership are essential for improving patient safety education and outcomes.

Keywords: Clinical placement; Nursing education; Patient safety; Postgraduate nursing students; Qualitative study
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: June 19, 2025; Revised: August 20, 2025; Accepted: September 8, 2025; Prepublished online: September 23, 2025 

Download citation

Attachments

Download fileKONT_Kohanova_1701_Suppl-material.pdf

File size: 1.61 MB

References

  1. 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...
  2. Braun V, Clarke V (2022a). Thematic analysis: A practical guide. London: SAGE Publications, 376 p.
  3. Braun V, Clarke V (2022b). Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a knowing researcher. Int J Transgend Health 24(1): 1-6. DOI: 10.1080/26895269.2022.2129597. Go to original source... Go to PubMed...
  4. Cant R, Ryan C, Hughes L, Ossenberg C, Cooper S (2024). Nursing student voices: A qualitative thematic synthesis of education elements supporting nursing students' clinical learning during placement. Nurse Educ Pract 80: 104150. DOI: 10.1016/j.nepr.2024.104150. Go to original source... Go to PubMed...
  5. Carvello M, Lupo R, Rum G, Vitale E, Conte L, Cremonini V (2024). Mind the Gap Between Theory and Practice: Nursing Students and Tutors in Comparison. J Client-Center Nurs Care 10(3): 223-230. DOI: 10.32598/JCCNC.10.3.630.1. Go to original source...
  6. Durham CF, Alden KR (2008). Enhancing Patient Safety in Nursing Education Through Patient Simulation. In: Hughes RG (Ed.). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); Chapter 51.
  7. Gradišnik M, Fekonja Z, Vrbnjak D (2024). Nursing students' handling patient safety incidents during clinical practice: A retrospective qualitative study. Nurse Educ Today 132: 105993. DOI: 10.1016/j.nedt.2023.105993. Go to original source... Go to PubMed...
  8. Gropelli T, Shanty JA (2018). Nursing Students' Perceptions of Safety and Communication Issues in the Clinical Setting. J Nurs Educ 57(5): 287-290. DOI: 10.3928/01484834-20180420-06. Go to original source... Go to PubMed...
  9. Hooiveld J (2024). How staffing shortages affect patient safety in healthcare and nursing. [online] [ci. 2025-03-17]. Available from: https://www.patientsafety.com/en/blog/staffing-shortages-affects-patient-safety
  10. Keil S, Ward K (2019). Nurses' attitudes and behaviors during bachelor of nursing students' clinical learning experiences. J Nurs Educ Pract 10(2): 24-32. DOI: 10.5430/jnep.v10n2p24. Go to original source...
  11. Kohanová D, Bartoníčková D, Kurucová R, Žiaková K (2023). Factors influencing nursing students' perception of patient safety. Kontakt 25(4): 266-275. DOI: 10.32725/kont.2023.040. Go to original source...
  12. Kurt Y, Turhal E, Batmaz F (2024). Nursing students' processes of taking role models and being role models: A descriptive phenomenological study. Nurse Educ Today 132: 106015. DOI: 10.1016/j.nedt.2023.106015. Go to original source... Go to PubMed...
  13. Machitidze M, Gocashivili M, Durglishvili N (2023). The Nurses' Role in Patient Safety - Literature Review. Am J Biomed Sci Res 18(6): 612-616. DOI: 10.34297/AJBSR.2023.18.002533. Go to original source...
  14. Majda A, Majkut M, Wróbel A, Kurowska A, Wojcieszek A, Kołodziej K, et al. (2024). Perceptions of Clinical Adverse Event Reporting by Nurses and Midwives. Healthcare (Basel) 12(4): 460. DOI: 10.3390/healthcare12040460. Go to original source... Go to PubMed...
  15. Makhaya TS, Lethale S, Mogakwe LJ (2023). Factors influencing the clinical mentoring of nursing students at a hospital in the North West Province. Int J Afr Nurs Sci 19: 100629. DOI: 10.1016/j.ijans.2023.100629. Go to original source...
  16. Mamaghani AE, Rahmani A, Hassankhani H, Saunders C, Dean S, Ferguson C, Irajpour A (2019). Effective Characteristics of Iranian Nursing Students in Their Relationship with Clinical Nurses. J Caring Sci 8(3): 173-179. DOI: 10.15171/jcs.2019.025. Go to original source... Go to PubMed...
  17. Mistri IU, Badge A, Shahu S (2023). Enhancing Patient Safety Culture in Hospitals. Cureus 15(12): e51159. DOI: 10.7759/cureus.51159. Go to original source... Go to PubMed...
  18. Moghaddam RH, Aghamohammadi V, Jafari M, Absalan M, Nasiri K (2020). Challenges Faced by Nursing Students to Work with Nursing Personnel: A Qualitative Study. Adv Med Educ Pract 11: 313-319. DOI: 10.2147/AMEP.S246901. Go to original source... Go to PubMed...
  19. Oshodi TO, Sookhoo D (2025). Nursing students' perceptions of inadequate nurse staffing in the clinical learning environment - a systematic narrative review. Nurse Educ Pract 82: 104221. DOI: 10.1016/j.nepr.2024.104221. Go to original source... Go to PubMed...
  20. Park HY, Yeom I (2025). Effects of patient safety education programs on nursing students' knowledge, attitude, and competency with patient safety: A systematic review, meta-analysis, and meta-regression. Nurse Educ Today 150: 106675. DOI: 10.1016/j.nedt.2025.106675. Go to original source... Go to PubMed...
  21. Sadler F, Snively E (2023). Essential qualities and characteristics of a good nurse. [online] [cit. 2025-03-17]. Available from: https://www.relias.com/blog/qualities-and-characteristics-of-a-good-nurse
  22. Song MO, Kim S (2023). The Experience of Patient Safety Error for Nursing Students in COVID-19: Focusing on King's Conceptual System Theory. Int J Environ Res Public Health 20(3): 2741. DOI: 10.3390/ijerph20032741. Go to original source... Go to PubMed...
  23. Tambunan EH (2024). Theory-Practice Gap During Clinical Learning: A Descriptive Qualitative Study of Nursing Students' Experiences and Perceptions. J Caring Sci 13(2): 74-81. DOI: 10.34172/jcs.33251. Go to original source... Go to PubMed...
  24. Vaismoradi M, Tella S, A Logan P, Khakurel J, Vizcaya-Moreno F (2020). Nurses' Adherence to Patient Safety Principles: A Systematic Review. Int J Environ Res Public Health 17(6): 2028. DOI: 10.3390/ijerph17062028. Go to original source... Go to PubMed...
  25. WHO (2023). Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. Geneva: World Health Organization. [online] [cited 2025-03-17]. Available from: https://www.who.int/teams/integratedhealth-services/patient-safety/policy/global-patient-safety-action-plan
  26. Yilmaz A, Erdem Ö (2023). Patient safety competence of nursing students and affecting factors. J Patient Saf Risk Manag 29(1): 54-62. DOI:10.1177/25160435231213302. Go to original source...

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.