Influence of Internship on Nursing Students' Knowledge of Patient Safety: A Questionnaire Survey_Chinese Journal of Evidence-Based Medicine

Authors：

 HESheng-hong ¹ ^# ,  LIYuan-zhen ² ^# , LVJian-ping ¹ , JIAPeng-li ³ ,  ZHANGMing-ming ³ ^*

1. Nursing Department, Affiliated Yijishan Hospital of Wannan Medical College, Wuhu 241001, China;
2. School of Nursing, Wannan Medical College, Wuhu 241002, China;
3. Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding?author：

HESheng-hong, Email: hesh200451@163.com; ZHANGMing-ming, Email: mingming-zhang@163.com

Keywords：

Patient safety; Nursing student; Internship; Survey

DOI：

10.7507/1672-2531.20140074

Video：

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Objective To investigate and analyze the knowledge, skills and attitudes of nursing students to patient safety before and after internship so as to provide evidence for implementation of patient safety curriculum in nursing students. Methods Undergraduate nursing students before and after internship in nursing school of Wannan Medical College were recruited. The questionnaire method was performed to investigate the knowledge, attitudes and skills of patient safety before and after the internship. The data were input using EpiData 3.0 software and were analyzed by SPSS 13.0. Results A total of 451 questionnaires were distributed before the internship and of which 435 nursing students completed the survey (96.45%), 418 questionnaires were distributed after the internship, of which 412 (98.56%) nursing students completed the survey. There were significant higher scores in female nursing students after the internship in the items of 'Knowledge about medical errors' and 'What am I supposed to do when medical errors occur' (P=0.000 and 0.000, respectively), while lower scores of the items of 'Feelings about making errors' and 'Your intentions regarding patient safety' (P=0.002 and 0.006, respectively). Only the score of the item 'What am I supposed to do when medical errors occur' was significantly higher in male nursing students after the internship (P=0.046). Conclusion The internship is useful for improving experiencing practice, knowledge on patient safety, reduce the negative feelings about making errors.

Citation： HESheng-hong, LIYuan-zhen, LVJian-ping, JIAPeng-li, ZHANGMing-ming. Influence of Internship on Nursing Students' Knowledge of Patient Safety: A Questionnaire Survey. Chinese Journal of Evidence-Based Medicine, 2014, 14(4): 424-426. doi: 10.7507/1672-2531.20140074 Copy

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12.	孫靜, 甲芝蓮, 王麗娟.護生臨床實習中一般護理差錯發生情況及相關因素分析.護理管理雜志, 2012, 12(1):32-34.
13.	趙秀麗.臨床實習護生壓力源與應對方式的分析研究.河北醫科大學, 2010.
14.	孫霞, 楊興菊, 楊黎.不同學歷護生臨床實習心理壓力和應對方式調查.護理學雜志, 2007, 22(7):21-22.
15.	Nevalainen M, Kuikka L, Sj?berg L, et al.Tolerance of uncertainty and fears of making mistakes among fifth-year medical students.Fam Med, 2012, 44(4):240-246.
16.	栗潔婷, 金瑞華.男護生臨床實習期間存在的問題及心思想狀況的調查與思考.中華護理教育, 2009, 6(3):113-115.
17.	余曉龍, 王躍錡.對男護生實習后離院現象的研究及干預措施.醫學信息, 2013, 26(6):63-64.
18.	Adigosky WS, Headrick LA, Nelson K, et al.Changing and sustaining medical students'knowledge, skills, and attitudes about patient safety and medical fallibility.Acad Med, 2006, 81(1):94-101.
19.	Wang XQ, Wang XT, Zheng JJ.How to end violence against doctors in China.Lancet, 2012, 380(9842):647-648.
20.	Sun S, Wang W.Violence against Chinese health-care workers.Lancet, 2011, 377(9779):1747.
21.	Yu D, Li T.Facing up to the threat in China.Lancet, 2010, 376(9755):1823-1824.

1. DeBourgh GA, Prion SK.Patient safety manifesto:a professional imperative for prelicensure nursing education.J Prof Nurs, 2012, 28(2):110-118.
2. Steven A, Magnusson C, Smith P, et al.Patient safety in nursing education:contexts, tensions and feeling safe to learn.Nurse Educ Today, 2014, 34(2):277-284.
3. Maeda S, Kamishiraki E, Starkey J, et al.Patient safety education at Japanese nursing schools:results of a nationwide survey.BMC Res Notes, 2011, 4(1):416-422.
4. Smith EL, Cronenwett L, Sherwood G.Current assessments of quality and safety education in nursing.Nurs Outlook, 2007, 55(3):132-137.
5. 劉義蘭, 陳玲玲, 阮滿真, 等.運用問題為基礎教學法對實習護生進行患者安全教育的實踐.中華護理雜志, 2009, 44(10):926-928.
6. 張希春, 吳希榮, 洪瑩彬, 等.應用以問題為基礎的教學法對高職護生進行患者護理安全教育的效果.護理與康復, 2013, 12(7):702-704.
7. 孫靜, 甲芝蓮, 王麗娟.護生臨床實習中一般護理差錯發生情況及相關因素分析.護理管理雜志, 2012, 12(1):32-34.
8. 李美圓, 孫小琴, 李偉麗.護生差錯危險行為的現狀調查.護理學雜志, 2011, 26(22):76-78.
9. 李元珍, 汪苗, 何圣紅, 等.在本科護生中開展患者安全教育的效果研究.中國循證醫學雜志, 2014, 41(1):30-33.
10. 曹榮桂.中國醫療質量與患者安全.中國醫院, 2007, 11(11):1-4.
11. 李美圓, 孫小琴, 李偉麗.護生差錯危險行為的現狀調查.護理學雜志, 2011, 26(22):76-78.
12. 孫靜, 甲芝蓮, 王麗娟.護生臨床實習中一般護理差錯發生情況及相關因素分析.護理管理雜志, 2012, 12(1):32-34.
13. 趙秀麗.臨床實習護生壓力源與應對方式的分析研究.河北醫科大學, 2010.
14. 孫霞, 楊興菊, 楊黎.不同學歷護生臨床實習心理壓力和應對方式調查.護理學雜志, 2007, 22(7):21-22.
15. Nevalainen M, Kuikka L, Sj?berg L, et al.Tolerance of uncertainty and fears of making mistakes among fifth-year medical students.Fam Med, 2012, 44(4):240-246.
16. 栗潔婷, 金瑞華.男護生臨床實習期間存在的問題及心思想狀況的調查與思考.中華護理教育, 2009, 6(3):113-115.
17. 余曉龍, 王躍錡.對男護生實習后離院現象的研究及干預措施.醫學信息, 2013, 26(6):63-64.
18. Adigosky WS, Headrick LA, Nelson K, et al.Changing and sustaining medical students'knowledge, skills, and attitudes about patient safety and medical fallibility.Acad Med, 2006, 81(1):94-101.
19. Wang XQ, Wang XT, Zheng JJ.How to end violence against doctors in China.Lancet, 2012, 380(9842):647-648.
20. Sun S, Wang W.Violence against Chinese health-care workers.Lancet, 2011, 377(9779):1747.
21. Yu D, Li T.Facing up to the threat in China.Lancet, 2010, 376(9755):1823-1824.

Chinese Journal of Evidence-Based Medicine

Influence of Internship on Nursing Students' Knowledge of Patient Safety: A Questionnaire Survey

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