Together these elements add up to a skill set that prepares CRNs to evaluate, interpret, and synthesize information while ensuring research subjects’ safety, high-quality data, and protocol fidelity. Participants were asked 16 knowledge-based questions. LWN made a substantial contribution to the study conception, design, acquisition of data, analysis, interpretation of data, and drafting and revising the manuscript. The authors of this study trained the clinical instructors on how to use quality circle methods to solve nursing problems especially with relevance to the patient safety issues of students. It was hoped to achieve the POA in 4 weeks to improve the implementation of patient safety by nursing students. Cooper E. From the school of nursing quality and safety officer: nursing students’ use of safety reporting tools and their perception of safety issues in clinical settings. Manage cookies/Do not sell my data we use in the preference centre. The clinical instructors, despite having completed a QC training session, were still not able to incorporate their findings from the Fishbone Analysis into their POAs. Linda Wieke Noviyanti. The implementation of quality circles has a significant effect on patient safety. There was no significant difference in sociodemographic characteristics between the location of the two hospitals in terms of similarity of languages, tribes, and income. Pereira GM, Osburn HG. Cookies policy. 2000;12(5):413–8. This finding justifies the implementation of QCs because they can significantly affect the patient safety skills of nursing students. 2003;20(4):443–51. In Indonesia, incident data relating to patient safety involving students is not well documented, and the incidents often occur in the absence of a clinical instructor. Privacy Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. By using this website, you agree to our Rafati F, Nouhi E, Sabzehvari S, Dehghan-Nayyeri N. Iranian nursing students’ experience of stressors in their first clinical experience. Prior to applying the post-implementation survey, the authors engaged an independent team of expert reviewers, who were managers of clinical nursing instructors at different accredited teaching hospitals, to evaluate and finalize the procedure. Characteristics of medication errors made by students during the administration phase: a descriptive study. We brainstormed on patient safety issues faced by hospitals, especially from nursing students. Often, only those with diploma qualifications, rather than more highly qualified nurses with bachelor degrees, were assigned. Clinical instructors were first trained by the authors in QC procedures and how to produce a plan of action. The changes were not significant (p = 0.002; α = 0.05). The advantage of using QCs compared with other problem-solving methods, which utilize team co-operation, is that QCs are oriented to member performance and co-operation within the circle [17]. Disseminating research in journals t … 2015;46(6):261–72. Six research items were described:(1)To investigate the students’ degree of satisfaction with the learning session’s organization and relevance before and after practice(2… The intervention was the implementation of quality circles that focused on patient safety issues for the use of clinical instructors to assess and guide student nurse behaviour in regard to patient safety. BMC Nursing This may be due to many factors, such as the attributes of the nursing instructor or of the nursing student, or both. Background/Aim. The QC in this study was initiated by a voluntary gathering of a group of clinical nursing instructors interested in solving the problem of patient safety associated with nursing students. Tokyo: 3A corporation; 1990. Table 1 shows the detail of the QC procedure. Watkins C, Hart PL, Mareno N. The effect of preceptor role effectiveness on newly licensed registered nurses’ perceived psychological empowerment and professional autonomy. Explore the latest articles, projects, and questions and answers in clinical nursing research, and find clinical nursing research experts. 2014;41(5):447–57. HH and DG made contributions to the design of the study. The aim of the project was to explore the implications of the quality circle on clinical instructors by comparing the students’ knowledge, attitudes, and practices of control and intervention groups. A quasi-experimental study on a quality circle program in a Taiwanese hospital. The responsibility of management is to ensure that the learning process of nursing students should be guided by competent nurse instructors. This study used a quasi-experimental approach, comparing the pre-test cohort of student nurses with a post-test cohort. QCs have never been used to guide clinical nursing students with regard to patient safety. Piscotty R, Grobbel C, Tzeng H-M. 2011;50(8):429–36. The results of the analysis of patient safety Attitude showed no significant difference between the two groups. The control hospital has better clinical counselling arrangements than the intervention group hospital. Introductory management and leadership for nurse. 2. This article has been published as part of BMC Nursing Volume 17 Supplement 2, 2018: Proceedings of the 3rd International Conference on Nursing (ICON) 2017. In addition, we feel that the type of institution where students were trained may also affect the performance and the application of the results of these QCs. Pertinent Features Keep You Up-to-Date Clinical Nursing Research offers the following special features and articles that concentrate on nursing practice: 2013;37(4):356–70. Hu Y, Chen S, Chen I, Shen H-C, Lin Y-K, Chang W-Y. In addition, it shows there is a lack of active partnerships between nursing education and hospital quality assurance systems [20]. The reliability of this instrument was supported by a Cronbach’s alpha score of (r) > 0.76. Med Care. The subjects for this study were all final-year nursing students: 34 students from hospital who attended a month-long clinical placement using the QC method and 34 students from the other hospital as the control group who underwent clinical experience as usual. Clinical research nurses can experience internal conflict between being a patient advocate and adhering to a trial protocol. This was measured by the difference between pre-test and post-test results. The results showed a significant increase in the behaviour of nursing students towards patient safety issues (p < 0.001; α = 0.05). View or download all content the institution has subscribed to. The significant increase in “Knowledge” in the control group from our analysis is dominated by certain factors, among them the process of clinical guidance. This study identifies the effect of quality circles on improving the safety of patients of nursing students. Other research findings on medication errors and associated system factors have not significantly informed nursing practice. Keers RN, Williams SD, Cooke J, Ashcroft DM. 1st ed. Henderson A, Eaton E. Assisting nurses to facilitate student and new graduate learning in practice settings: what “support” do nurses at the bedside need? CJON 2020, 24(6), 635-643 DOI: 10.1188/20.CJON.635-643. 2009;30:372–6. This is in line with other research that shows QC programmes focussing on improving psychomotor skills have an impact, but do not improve peoples’ attitude [10]. Fam Pract. CriticalCareNurse is a bimonthly publication from the American Association of Critical-Care Nurses … The authors advise the use of a combination of other interventions alongside QCs to improve the quality of hospital services. QC implementation for clinical nursing instructors positively affected the patient safety skills of students, but did not show significant improvements in their knowledge or attitude. Akturk Z, Dagdeviren N, Sahin EM, Ozer C. Use of quality circles among first year medical students and impact on student satisfaction. The full contents of the supplement are available online at This special issue aims to explore how nurses and people with dementia and their family members can work together to enable the development of appropriate and robust research and the implementation of evidence-based interventions, policies and guidelines, across all stages of dementia and all health, social care, … Respondents originated from one region only, which is a potential limitation to generalizing our results to the national population of nursing students. Missouri: Saunders Elsevier; 2010. 2015;10:1–31., DOI: Proceedings of the 3rd International Conference on Nursing (ICON) 2017,,,, Nurse Educ Pract. This is important because, after all, the ultimate goal of nursing research is to generate findings that are of clinical or real life value to nursing theory and practice. Their experience can be enhanced through the application of quality circles. A model of preceptorship in nursing: reflecting the complex functions of the role. 2012;49(12):1047–53. Integrating quality and safety competencies into undergraduate nursing using student-designed simulation. Table 3 shows the pre-test and post-test mean scores of “Knowledge”, “Attitude”, and “Skills” of the intervention group and the control group. Clinical Nursing Research (CNR) is a peer-reviewed quarterly journal that addresses issues of clinical research that are meaningful to practicing nurses, providing an international forum to encourage discussion among clinical practitioners, enhance clinical practice by pinpointing potential clinical applications of the latest scholarly research, and disseminate research findings of particular interest to practicing nurses. It is therefore important to increase the expertise of the clinical instructor conducting the quality circle (QC). In this study, the authors acted as facilitators to ensure optimal implementation of the QC programmes. Patient outcomes in this study were associated with the implementation of patient safety procedures. The wrong patient can be given drugs intended for someone else, wrong doses, and inadequate supervision and monitoring of the patient leading to adverse events. Mitchell RJ, Williamson A, Molesworth B. One study showed that a climate of teamwork was associated with an improved attitude among nurses towards patient safety [15]. Clinical Nursing Research is a refereed journal publishing research articles that focus on nursing practice.It disseminates research findings of particular interest to practicing nurses, provides an international forum for discussion among clinical nurse researchers and by identifying practical applications of research, enhances practice. Beyer M, Gerlach FM, Flies U, Grol R, Król Z, Munck A, et al. Enhancing patient safety: the importance of direct supervision for avoiding medication errors and near misses by undergraduate nursing students. Journal description. This research was funded by the authors. Harding L, Teresa P. Nursing student medication errors: a retrospective review. The main focus of the programme was to bring about a re-socialization in the standard operating procedures such as proper patient identification, a paper-based examination to evaluate nursing student skills, and to implement a reward and punishment scheme with regard to the responses and awareness of patient safety of nursing students. 2002;132(11–12):143–7. 2010;16(3):225–32. Application of a human factor classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. Implementation of a QC programme ideally requires 6 months from the planning stage up to the evaluation, but in this study it was implemented in just a month. The clinical instructors in the QC identified the problems encountered using Fishbone Analysis [18] to help visualise the root causes and then to find the appropriate solution. J Prof Nurs. This can result in difficulties when recruiting study participants. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Once a QC has been established, it uses the following criteria in problem solving and QC development: The problem has to be identified, analysed, and solved, The solutions have to be implemented within a designated time frame, Monitoring of performance has to be carried out, Better all-round management of QCs to encourage innovation of problem-solving methods [14]. Clinical Journal of Oncology Nursing. Journal of Clinical Nursing is now considering submissions of Registered Reports. J Nurs Educ Pract. Lee LC, Yang KP, Chen TY. CiteScore values are based on citation counts in a range of four years (e.g. To avoid a testing effect, the selected hospitals were approximately 123 km (3 h by car) apart, thereby decreasing the likelihood that students at both hospitals would communicate with each other. The causes of patient safety incidents involve several factors, and organizational factors are the most significant and cause 83.3% of all incidents [3]. CRNs are often the only members of a research team with in-depth knowledge of both patient care and the research process, along with training in problem solving. We selected two hospitals for this study based on a similarity of the accreditation level and number of students. All authors read and approved the final manuscript. We know what it takes to succeed as a clinical professional, and our nursing articles and publications are developed with the aim to help advance your clinical … 2013;29(2):109–16. “Knowledge” increased in both groups but with large SDs. We believe that this results from the implementation of QCs which create a positive work environment and a sense of belonging to the organization [25]. Original Articles FEATURE ARTICLE Clinical Nursing Research: Its Meaning to the Practicing Nurse Clinton E. Lambert, Jr. and Vickie A. Lambert The ultimate purpose of clinical nursing is patient care. Dissemination of research findings in the clinical nursing literature occurred at two levels: through articles that reported studies of potential value to the nurse's practice and citations to research publications within articles. Categorical data such as sex, educational level, exposure about patient safety, hospital orientation, and the status of the institution from which the student comes were presented as a frequency distribution and proportion. 2015;5(6):87. Int Emerg Nurs. Springer Nature. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. Rall M, Van Gessel E, Staender S. Education, teaching and training in patient safety. 2011;25(2):251–62. Data were analysed using the SPSS software programme. Ideally, QC intervention should have been performed for a period of at least 3 months [30] to obtain the full support of management. 4th ed. Univariate analysis was conducted to describe the characteristics of each of the variables studied. We divided the clinical instructors into small groups to address issues related to patient safety. The study also has limitations related to technical research and the length of intervention. Nurs Educ Perspect. Clinical learning is a main part of nursing education. Boston: Jones and Barlett Publishers; 1998. This requires a good role model to embed and value the culture of safety [11]. Clinical instructors who are able to provide motivation and supervise the students contribute to the optimal implementation of patient safety [10]. The application of QCs for clinical nursing instructors significantly improved the patient safety implementation of nursing students, especially skills. As many as 79.7% of the errors occurred at the time of treatment [2]. J Bus Psychol. Swiss Med Wkly. Your session token has been successfully activated. 0399/UN.2.F12.D/HKP.02.04/2016. Int J Qual Heal Care. Surprisingly the mean “Knowledge” score was lower in the intervention group but was statistically insignificant. Directive functions had the purpose of setting, directing, and optimizing resources to achieve organizational goals [22]. A previous study from the Institute of Medicine claimed that every year one million people were injured and 98,000 died as a result of medical error in the United States [1]. The quality of supervision from the clinical counsellor influences the professional ability of nursing students. Further test analysis showed the skill levels had increase in the control group as well. statement and California Privacy Statement, Some workers in the field agree that clinical instructors can create a positive working atmosphere and, hence, decrease the level of anxiety amongst nursing students [10] and can optimise the implementation of patient safety. Singapore Journal of Nursing Research publishes original research papers, review and mini- review articles, rapid communications, method/protocol and perspective articles. Each clinical instructor supervises 3–8 nursing students during the implementation of plan of activation. One of the activities of a directive function is supervision activities [19]. 2008;47(1):43–8. Clinical Nursing Research is a refereed journal which meets the increasing demand for an international forum of scholarly research focused on clinical practice. CiteScore: 3.6 ℹ CiteScore: 2019: 3.6 CiteScore measures the average citations received per peer-reviewed document published in this title. CiteScore values are based on citation counts in a range of four years (e.g. Access to society journal content varies across our titles. Our analysis from a management function perspective is that the change of “knowledge” in the control group and the intervention group is not separate from the management function provided by clinical instructors [10]. Frequency and descriptive statistics were generated for each of the variables contained in the questionnaire. It is recognised worldwide that the skills of nursing students concerning patient safety is still not optimal. The equality test for the age variable, professional life, knowledge, attitudes, and safety measures of patients which are numerical data is made using an independent test sample t test. Results of a survey in 26 European countries. Registered Reports are a new form of empirical article in which the methods and proposed analyses are pre-registered and reviewed prior to research being conducted. However, the authors communicated that QCs are a problem-solving technique that integrates the functions of management and their responsibilities. J Prof Nurs. The groups agreed to apply one problem according to the safety standard of patients and they selected problems regarding patient identification. A non-randomized selection (based on sociodemographic characteristics) was used to determine the sample size at the two locations. A bachelor's degree in nursing (BSN) is typically a minimum educational requirement, but a Master's of Science in Nursing (MSN) with an educational specialization is recommended, along with leadership skills necessary to teach other nurses.1Despite the push for all nurses to attain their BSN, varying levels of education (with different levels of clinical experience) are still present in the nursing workforce. Panagioti M, Stokes J, Esmail A, Coventry P, Cheraghi-Sohi S, Alam R, et al. 2013;28(1):60–7. QCs are an alternative method of solving nursing problems. Nephrol Nurs J. Analysis of the statistics showed that there was no significant increase in the attitude of student nurses to patient safety after the implementation of the QCs. Targeted Therapies. Identifying challenges of nursing students in the clinical learning environment could improve training and enhance the quality of its planning and promotion of the students. Patient safety is inseparable from the quality of nursing education. Leadership roles and management functions in nursing: theory and application. They felt that the use of QCs could not be differentiated from optimal management procedures. Our investigation yielde… 2007;22(2):145–53. Int J Nurs Pract. The American Journal of Nursing, the profession's premier journal, promotes excellence in the nursing and healthcare profession. Regarding our analysis, the cause of a significant increase in the intervention group was due to the application of QC clinical instructors. In hospitals, the ratio between nursing students and clinical instructors is disproportionately low. Part of A follow up study should be performed by controlling characteristics of the students such as the length of professional service, hospital orientation, and type of institution the students studied at, whether private or government, especially if using undergraduate nursing students as samples. Background and aim. Death can even occur in rare instances. Correspondence to Clinical nursing research is a systematic inquiry into the problems encountered in nursing practice and into the modalities of patient care. Around 75% of the nursing students experience communication problems during the clinical learning process and 24% of them indicated that they found it difficult to endure these stressful conditions [9, 10]. The students’ attributes could not be controlled by the authors as the students were allocated to the study groups by the hospital. In Indonesia, there are limited data on incidents related to patient safety involving students since they are not well documented and often occur without the presence of a clinical instructor [8]. Numerical data such as age, length of clinical education, patient safety knowledge, student attitudes, and student actions regarding patient safety are presented as mean, median, and standard deviation (SD) with 95% confidence interval. Nursing students often experience real or imagined barriers associated with the clinical learning process. CiteScore: 3.0 ℹ CiteScore: 2019: 3.0 CiteScore measures the average citations received per peer-reviewed document published in this title. By continuing to browse Subscribe today! An atmosphere of teamwork is strongly related with student behaviour and attitude towards patient safety. You can be signed in via any or all of the methods shown below at the same time. Research carried out by nurses in the clinical setting and designed to provide information that will help … The study was divided into two locations that involved all students at each hospital. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated. The purpose of this research analysis is to show the significant difference between two groups—the intervention and the control group. 2013;13(3):197–201. Noviyanti, L.W., Handiyani, H. & Gayatri, D. Improving the implementation of patient safety by nursing students using nursing instructors trained in the use of quality circles. This site uses cookies. Nurse Educ Pract. Free full text medical journal articles. Students were supported by a clinical instructor linked to their clinical area throughout their clinical experience. This may help explain why the POAs were not implemented properly and why there was no significant increase in the knowledge and attitudes of patient safety. 2016;17:36–42. Syla S, Rexhepi G. Quality circles: what do they mean and how to implement them? J Nurs Educ. Management should maintain quality through evaluating and monitoring activities [28, 29]. A questionnaire will be conducted to evaluate the implementation of patient safety and the impact of the intervention. The introduction of QCs is integral to improve and optimise the quality of the role of the clinical nursing instructor. Happell B. One study stated that the quality of education delivered to nursing students can significantly reduce medical errors and improve the safety culture and quality of service [6, 7]. The role of clinical instructors is to instil in students the importance of patient safety. Genetics and Genomics. Patient safety incidents in healthcare facilities worldwide are still quite high. A total of 68 students were attending first-year clinical education, and the length of clinical education undertaken by students in the intervention group was 9.53 ± 0.50 months (mean ± SD 0.50) compared with 4.97 ± 1.29 months for the control group. Full-Text for Top Nursing and Medical Journals Researchers can access full text for the top nursing and medical journals, evidence-based summaries of diseases and conditions, full-text scholarly articles, legal cases, research instruments, drug information, the latest news and many other resources. Previous research has focused more on their effect on clinical nurses [12], job satisfaction [13, 14], and increases in motivation. Blake N, Leach LS, Robbins W, Pike N, Needleman J. If you experience any problems accessing SAGE Journals please contact us. © 2020 BioMed Central Ltd unless otherwise stated. However, it was felt that the time allocated for the implementation of the QCs was too short and that programme supervision was not performed adequately. 2013;21(4):264–70. Publons is a third party service that seeks to track, verify and give credit for peer review. Therefore, an investigation regarding to what extent population characteristics of samples differ from the national population of nursing students is needed. Research evidence available indicates that clinical placement is an important part of the undergraduate nursing programme in the preparation of students for entry into the nursing profession [5, 6] as it provides undergraduate nursing students with the opportunity to learn within clinical practice environments in real life situations . As reported in Table 2, the majority of students were female (76.5%), and their mean age was 22.91 ± 0.86 years in the intervention group and 22.82 ± 0.83 years in the control group. The bivariate analysis was performed to: 1) compare mean scores between pre- and post-tests in the intervention and control groups using dependent sample t tests (a p value < 0.05 from the t test would imply that there is significant difference between the pre-test and post-test both in the control and intervention group); and 2) compare the mean difference between scores of pre- and post-test in the intervention and control groups using independent sample t tests (with a significant mean difference between control and intervention group described by a p value < 0.05). Login failed. The effectiveness of the intervention was measured through a pre-test and a questionnaire issued to participants approximately 4 weeks after the implementation of the intervention. Training is performed by an active learning method. We believe that QCs influenced the work environment in the intervention group by subjecting them to more practice regarding patient safety. Discussions were held with nursing management to obtain their perspective and to develop their understanding of, and involvement with, QCs. Article  Healthy work environments and staff nurse retention. Call For Papers: Dementia Care - Research and Clinical Innovation. Molecular Biomarkers: A Review of Multiple Applications in Clinical Care of Colorectal Cancer. J Nurs Educ. CiteScore values are based on citation counts in a range of four years (e.g. They had to give a self-evaluation of their attitude and skills in order to assess their knowledge of patient safety. This study used five patient safety goals to allow for adjustment with the study respondents, and therefore required continuous evaluation to test the consistency of the use of the instrument for the next study. Philadelphia: Lipponcott Williams & Wilkins; 2012. Leadership and nursing care management. The clinical instructor endeavours to educate students about patient safety. Therefore, this work aimed to study how the implementation of QCs under the control of clinical nursing instructors affected the attitude of nursing students towards patient safety. This study used a quasi-experimental research design with pre-test and post-test non-equivalent control groups. Effects of participation in decision making on performance and employee attitudes: a quality circles meta-analysis. Another factor is unsafe procedures carried out by health workers, which contributes up to 53.7% of patient safety incidents [3, 4]. Patient safety is inseparable from the quality of nursing education. Journal of Clinical Nursing Researchpresents original, peer-reviewed research findings obviously and directly for clinical discovery in all nursing specialties. The effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. The improvement in patient safety resulted from the clinical instructors’ POA which focussed on the students’ safety skills. Reid-Searl K, Moxham L, Happell B. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. In this short article, I will briefly explain the concepts of statistical and clinical significance in nursing research in an attempt to highlight the equal importance of both concepts when making conclusions about research findings. This quality circle model was delivered to the clinical instructor in the experiment group using the QC module. Terms and Conditions, View or download all the content the society has access to. 2013;36:1045–67. Therefore, it is important to have competent clinical instructors. Clinical Nursing Research is committed to delivering high quality, fast peer-review for your paper, and as such has partnered with Publons. However, in the main, the mean scores of the parameters measured increased in the intervention group. Management staff involvement impacts job satisfaction and helps assign staff with optimal capabilities to the organization. Article  Bivariate analysis was conducted to find out the relationship between dependent and independent variables. The results of research indicate that the benefits gained by students during the optimal clinical counselling process is increased knowledge [21]. Suggestions and recommendations from this study are that the hospital should use the results of this research to formulate policies and procedures for coaching clinics to improve patient safety by nursing students. Statistical analyses included univariate and bivariate analysis. Appl Ergon. ... Research in Nursing Practice. Nursing Articles and Publications Nursing articles and publications are a main focus of Lippincott J Nurs Care Qual. The development of quality circles/peer review groups as a method of quality improvement in Europe. Int J Acad Res Bus Soc Sci. Hosseinabadi R, Karampourian A, Beiranvand S, Pournia Y. The effect of quality circles on job satisfaction and quality of work-life of staff in emergency medical services. The hospital management decided which experienced nurses were to be assigned to the QCs. This research was conducted with an equality test in the intervention group and control group before the intervention was performed. Some society journals require you to create a personal profile, then activate your society account. Methods Articles ; Nursing Systems/Quality of Care; Nurses Week 2018 ; Point-of-Care Research; Supplements; Theory; Calls for Papers; For Authors & Reviewers. PLoS One. In hospitals, the ratio between nursing students and clinical instructors is disproportionately low. PubMed  The role of a clinical instructor is central to the learning process of nursing students. You can still view the shared article with access restrictions. Application of a POA from QC meetings led to awareness of the importance of supervision by clinical instructors. Amsrud KE, Lyberg A, Severinsson E. The influence of clinical supervision and its potential for enhancing patient safety—undergraduate nursing students’ views. Kathryn Waldegrave recaps the findings of two studies: one that explores the experience of people living with multiple chronic conditions; the other examines intellectual disabilities While multiple chronic conditions (MCCs) such as hypertension, type 2 … Yates, Morgan ... A Clinical Review. Wolf ZR, Hicks R, Serembus JF. Scheduling an evaluation which should be done twice, could only be done once at the end of the session. This module was produced by the author and involved expertise in academic and clinical nursing. Marquis BL, Huston CJ. Data from this research will not be shared to ensure data confidentiality. Analysis of the “Skills” statistics showed that the use of QC by nursing instructors improved the patient safety skills of nursing students significantly. The success of a programme like this depends, to a large extent, on the ability of QC members to analyse problems [27]. The optimal implementation of patient safety by students is inseparable from the role of clinical instructors since the role of an effective clinical instructor is related to improving the autonomous ability and psychological mental readiness of the student undergoing the transition process to a professional nurse [23, 24]. It was found that the consistency and commitment of the clinical instructors running the QC programmes was low. 2016;52:185–95. A 2007 study by Woodward and colleagues in the Journal of Research in Nursing found that nurse clinicians engaged in research often perceive a lack of support from nurse managers and resentment from colleagues who see the research as taking them away from clinical practice. CAS  J Prof Nurs. This is supported by the significant improvement in patient safety skills in the intervention group. The technical implementation of the research still has limitations due to the non-ideal implementation of the application of QCs. Cite this article. Implementation of QCs can create a positive environment for nursing students to gain confidence and develop a positive attitude to patient safety procedures. Multimorbidity and patient safety incidents in primary care: a systematic review and meta-analysis. The authors developed the instrument based on six patient safety goals. The journal aims to publish most-advanced and rigorous scientific research related to the basic science and clinical aspects of Nursing and Health Care. The study protocol was reviewed and approved by the Ethics Committee of the Nursing Science Faculty Universitas Indonesia, no. Google Scholar. PubMed Google Scholar. The answers were evaluated according to the three criteria: 1) “Knowledge” refers to the students’ knowledge about patient safety standards; 2) “Attitude” refers to the inward response, perception, and opinion on the implementation of patient safety standards; and 3) “Skill” refers to how skilfully patient safety standards were undertaken. 2006;22(1):39–51. The unique combination of applied research knowledge and expert clinical skills sets the specialty of clinical research nursingapart. Students’ exposure to clinical learning environment is one of the most important factors affecting the teaching-learning process in clinical settings. We found that management did not supervise the QCs well. Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Oncology Nursing Society. Evaluation of work stress, turnover intention, work experience, and satisfaction with preceptors of new graduate nurses using a 10-minute preceptor model. J Contin Educ Nurs. Find out about Lean Library here, If you have access to journal via a society or associations, read the instructions below. The application of QCs for clinical nursing instructors significantly improved the patient safety implementation of nursing students, especially skills. Swansburg RC. Google Scholar. A QC is a method of problem solving in a workplace environment using groups [13]. Existing research shows that the introduction of patient safety should be part of the education at all levels of the healthcare system [5]. Nurs Adm Q. A good team structure with good leadership and the support of clinical nursing instructors can nurture positive attitudes of student nurses toward patient safety [11, 16]. Existing research shows that patient safety should be emphasised at all levels of the healthcare education system. Huber DL. BMC Nurs 17, 53 (2018). For more information please … The clinical nursing instructors were first trained in the QC process to facilitate and empower them to implement and arrange a QC programme. This is in line with the results of a study that supervision can improve the professional values associated with patient safety [23]. volume 17, Article number: 53 (2018) If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box. Vol. We observed that technical factors led to the non-optimum implementation of QCs, the main factor one being the inadequate preparation of the QCs. Clinical research nurses experience isolation, and contributing to this is their perception of nonresearch nurses’ lack of understanding for their role. CNEs may be educating nurses with an associate degree but vast clinical experience, as well as recently grad… We aimed to explore Iranian nursing students’ challenges in the clinical learning environment.Materials and Methods… Without proper regard to patient safety, the health and welfare of a patient can suffer. In Clinical Nursing Research, graduate and undergraduate students alike have access to a rich source of research ideas and studies that can be directly related to clinical settings. CiteScore: 3.0 ℹ CiteScore: 2019: 3.0 CiteScore measures the average citations received per peer-reviewed document published in this title. Fukui R, Honda Y, Kaneko N. Handbook for TQM and QCC. 2017;33(3):250–7. Tokyo: Development Bank of Japan (DBJ) and Japan Economic Research Institute (JERI; 2003. This is important so that the implementation of patient safety is initiated properly. Best Pract Res Clin Anaesthesiol. Furthermore, the nurse selected as the clinic supervisor at the control hospital is not concentrated as head of the room. In addition, clinical instructors follow an “office”-type schedule of shifts rather than just the morning service, meaning the supervision process for students other than in the morning can also run well. Breast Cancer Research, November 27, ... Clinical Journal of Oncology Nursing. Furthermore, we were also not yet supposed to be getting QC managerial support from the hospital. The post test score for patient safety attitude shows insignificant change from the pre-test scores. This resulted in an organized programme of measures to be taken to achieve a goal, called a plan of action (POA). Sign in here to access free tools such as favourites and alerts, or to access personal subscriptions, If you have access to journal content via a university, library or employer, sign in here, Research off-campus without worrying about access issues. Relevance to clinical practice. Publication of this article was funded by the International Scientific Publication Office of the University of Brawijaya. There was a significant increase in the skills of nursing students regarding patient safety. The purpose of this study was to try out two different learning sessions related to the bed bath procedure. the site you are agreeing to our use of cookies. Ulrich B, Kear T. Patient safety and patient safety culture: foundations of excellent health care delivery. Ishikawa K. Introduction to quality control. Data were collected using a self-administered questionnaire. This can affect the implementation of patient safety since the role of clinical instructors can run optimally. Google Scholar. The control group only used the conventional model of clinical learning. 7th ed. Suggestions and recommendations from this study are that the hospital should use the results of this research to formulate policies and procedures for coaching clinics to improve patient safety by nursing students. Variables that use categorical data were tested using Chi Square test analysis. Hand picked by Medscape editors. The data were statistically analysed using independent t tests. Drug Saf. Access to society journal content varies across our titles. In both groups, 29 students (85.3%) had previous exposure to patient safety information, while five (14.7%) in both groups reported never having received information about patient safety. All students (100%) in the control group received patient safety orientation from their hospital while six students (17.7%) in the intervention group had not received orientation from their hospital. The authors declare that they have no competing interests. Contact us if you experience any difficulty logging in. Students distrust their own ability which then leads to anxiety. A QC was applied to clinical instructors in the experiment group. If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box. Browse all issues of Clinical Nursing Research. Clinical practice settings can positively contribute to patient safety, as shown by a study that found good clinical practice environments affected patient outcomes [7, 26]. This affected the success of the QCs in optimizing patient safety. Skills increased significantly in the intervention group but declined insignificantly in the control group. The ethical clearance issues was reviewed and approved by the Ethics Committee of the Nursing Science Faculty, Universitas Indonesia. A total of 68 students (response rate = 85%) participated in the study; students who did not participate for different reasons (absent on the day of tool administration, or refusal to participate) were homogeneously distributed, with those with just bachelor degrees involved. The importance of robust scholarly research for quality, safe, effective and efficient care of patients and their families is well established (Australian Commission on Safety and Quality in Health Care 2009).Although research evidence is being produced at an increasing rate, change in clinical practice to reflect this evidence has lagged behind (Kitson 2008, Benner et al. 2013;3(12):243–51. Clinical Nursing Research adheres to a rigorous double-blind reviewing policy in which the identity of both the reviewer and author are always concealed from both parties. A previous study found that inexperience and distraction were the leading factors contributing to student errors [19]. Members of _ can log in with their society credentials below. Please check you selected the correct society from the list and entered the user name and password you use to log in to your society website. Li A-T. Teamwork climate and patient safety attitudes. The email address and/or password entered does not match our records, please check and try again. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. It was pointed out that QC methods are useful for human resource management because they contain elements of management participation [13]. The overall goal for CLP is to ensure that nursing students who enter their first clinical practice period in community healthcare settings have the proper defensible knowledge and practical skills required to take care of patients in a safe manner. Utilization of a QC can have a positive impact on the work environment. The authors’ institutions and all participating bodies gave permission by a signed letter of informed consent. Over 5000 peer-reviewed articles on clinical research, trials, nurse CPD, nursing ideas, and all other aspects of nursing. Nursing Management Department, Brawijaya University, Malang, East Java, 65145, Indonesia, Basic Nursing Department, University of Indonesia, Depok, West Java, 16424, Indonesia, You can also search for this author in Therefore, it is recommended to implement quality circles as a problem-solving technique to optimize patient safety. Table 4 compares the “Knowledge”, “Attitude” and “Skill” parameters between the intervention and control groups with regard to patient safety.

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