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

Fagan, Anthea and Lea, Jackie ORCID: https://orcid.org/0000-0003-3189-0950 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):e12381. pp. 1-11. ISSN 1320-7881


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.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery (1 Jan 2015 - )
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery (1 Jan 2015 - )
Date Deposited: 13 Jan 2022 04:54
Last Modified: 13 Jan 2022 09:15
Uncontrolled Keywords: clinical placement; dissonance; moral dilemma; patient safety; poor practice; speaking up; Student nurses
Fields of Research (2008): 13 Education > 1399 Other Education > 139999 Education not elsewhere classified
11 Medical and Health Sciences > 1110 Nursing > 111099 Nursing not elsewhere classified
Fields of Research (2020): 39 EDUCATION > 3999 Other Education > 399999 Other education not elsewhere classified
42 HEALTH SCIENCES > 4205 Nursing > 420599 Nursing not elsewhere classified
Socio-Economic Objectives (2008): E Expanding Knowledge > 97 Expanding Knowledge > 970113 Expanding Knowledge in Education
E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Socio-Economic Objectives (2020): 16 EDUCATION AND TRAINING > 1601 Learner and learning > 160102 Higher education
16 EDUCATION AND TRAINING > 1601 Learner and learning > 160199 Learner and learning not elsewhere classified
Identification Number or DOI: https://doi.org/10.1111/nin.12381
URI: http://eprints.usq.edu.au/id/eprint/41235

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