Investigation and Comparative Analysis of Knowledge on Patient Safety before Internship between Medical Students and Nursing Students_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 241002, 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：

ZHANGMing-ming, Email: mingming-zhang@163.com

Keywords：

Patient safety; Medical education; Nursing education; Survey

DOI：

10.7507/1672-2531.20140192

Video：

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Objective To investigate and analyze the knowledge, skills and attitudes of clinical medical students and nursing students to patient safety before internship so as to provide evidence for implementation of patient safety curriculum in medical and nursing students. Methods Five-year clinical medical undergraduates and nursing students before internship in the Wannan Medical College were recruited. The questionnaire method was performed to investigate the knowledge, attitudes and skills of patient safety. The data were input using EpiData 3.0 software and were analyzed by SPSS 13.0. Results A total of 771 questionnaires were distributed, of which 320 clinical medical students and 435 nursing students completed the survey. The results showed that, the totals of both kinds of students were low concerning the knowledge, attitudes and skills of patient safety; scores were significantly higher in nursing students than in clinical medical students concerning the items of "Knowledge about medical errors" (P=0.012), "Feelings about making errors" (P=0.000), "Feelings about making errors" (P=0.001), and "Personal attitudes to patient safety" (P=0.001). Scores of "Feelings about making errors" were significantly higher in female students than in male students. Conclusion Both nursing students and clinical medical students lack the knowledge of patient safety before internship, and the latter lack more. More attention should be paid to the knowledge of patient safety for both clinical medical and nursing students.

Citation： HESheng-hong, LIYuan-zhen, LVJian-ping, JIAPeng-li, ZHANGMing-ming. Investigation and Comparative Analysis of Knowledge on Patient Safety before Internship between Medical Students and Nursing Students. Chinese Journal of Evidence-Based Medicine, 2014, 14(10): 1190-1193. doi: 10.7507/1672-2531.20140192 Copy

1.	曹榮桂.中國醫療質量與患者安全.中國醫院, 2007, 11(11):1-4.
2.	WHO Patient Safety Curriculum Guide for Medical Schools.2009. Available at:http://www.who.int/patientsafety/education/curriculum/download/en/index.html.
3.	Deshpande JK, Throop PG, Slayton JM. Standardization of Case Reviews (Morbidity and Mortality Rounds) Promotes Patient Safety. Pediatr Clin North Am, 2012, 59(6):1307-1315.
4.	Li L, Duan Y, Chen P, et al. Knowledge, skills, and attitudes of medical students to patient safety:a cross-sectional pilot investigation in China. J Evid Based Med, 2012, 5(3):124-133.
5.	Nie Y, Mao X, Cui H, et al. Hospital survey on patient safety culture in China. BMC Health Serv Res, 2013, 13(1):228-238.
6.	聞彩芬.患者安全文化教育主題的構建及在高職護生教學中的實踐, 護理學雜志, 2012, 27(24):78-81.
7.	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.
8.	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.
9.	Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative:insights from participants, project leads and steering committee members. BMJ Qual Saf, 2013, 22(11):923-930.
10.	Travaglia JF, Nugus PI, Greenfield D, et al. Visualizing differences in professionals' perspectives on quality and safety. BMJ Qual Saf, 2012, 21(9):778-783.
11.	Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf, 2012, 21(9):722-728.
12.	Patey R, Flin R, Cuthbertson BH, et al. Patient safety:helping medical students understand error in healthcare. Qual Saf Health Care, 2007, 16(4):256-259.
13.	Muller D, Ornstein K. Perceptions of and attitudes towards medical errors among medical trainees. Med Educ, 2007, 41(7):645-652.
14.	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.
15.	Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture:an experimental study. J Eval Clin Pract, 2012, 18(3):671-675.
16.	程艷敏, 劉巖, 劉亞民.我國醫療不良事件報告系統研究與應用現狀述評.中國醫院管理, 2012, 32(10):40-40.
17.	Liu Y, Kalisch BJ, Zhang L, et al. Perception of safety culture by nurses in hospitals in China. J Nurs Care Qual, 2009, 24(1):63-68.
18.	Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture:an experimental study. J Eval Clin Pract, 2012, 18(3):671-675.
19.	Day L. Error, blame, and professional responsibility. Am J Crit Care, 2010, 19(3):296-298.

1. 曹榮桂.中國醫療質量與患者安全.中國醫院, 2007, 11(11):1-4.
2. WHO Patient Safety Curriculum Guide for Medical Schools.2009. Available at:http://www.who.int/patientsafety/education/curriculum/download/en/index.html.
3. Deshpande JK, Throop PG, Slayton JM. Standardization of Case Reviews (Morbidity and Mortality Rounds) Promotes Patient Safety. Pediatr Clin North Am, 2012, 59(6):1307-1315.
4. Li L, Duan Y, Chen P, et al. Knowledge, skills, and attitudes of medical students to patient safety:a cross-sectional pilot investigation in China. J Evid Based Med, 2012, 5(3):124-133.
5. Nie Y, Mao X, Cui H, et al. Hospital survey on patient safety culture in China. BMC Health Serv Res, 2013, 13(1):228-238.
6. 聞彩芬.患者安全文化教育主題的構建及在高職護生教學中的實踐, 護理學雜志, 2012, 27(24):78-81.
7. 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.
8. 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.
9. Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative:insights from participants, project leads and steering committee members. BMJ Qual Saf, 2013, 22(11):923-930.
10. Travaglia JF, Nugus PI, Greenfield D, et al. Visualizing differences in professionals' perspectives on quality and safety. BMJ Qual Saf, 2012, 21(9):778-783.
11. Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf, 2012, 21(9):722-728.
12. Patey R, Flin R, Cuthbertson BH, et al. Patient safety:helping medical students understand error in healthcare. Qual Saf Health Care, 2007, 16(4):256-259.
13. Muller D, Ornstein K. Perceptions of and attitudes towards medical errors among medical trainees. Med Educ, 2007, 41(7):645-652.
14. 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.
15. Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture:an experimental study. J Eval Clin Pract, 2012, 18(3):671-675.
16. 程艷敏, 劉巖, 劉亞民.我國醫療不良事件報告系統研究與應用現狀述評.中國醫院管理, 2012, 32(10):40-40.
17. Liu Y, Kalisch BJ, Zhang L, et al. Perception of safety culture by nurses in hospitals in China. J Nurs Care Qual, 2009, 24(1):63-68.
18. Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture:an experimental study. J Eval Clin Pract, 2012, 18(3):671-675.
19. Day L. Error, blame, and professional responsibility. Am J Crit Care, 2010, 19(3):296-298.

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