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Current status of quality and safety competency among master of nursing specialist students and its influencing factors
Objective To investigate the current status of quality and safety competency among master of nursing specialist students and analyze its influencing factors. Methods From March 2023 to October 2023,a convenient sampling method was used to select 667 master of nursing specialist students from seven regions as survey participants. A general information questionnaire and the Chinese version of Quality and Safety Framed Clinical Evaluation for Nurse Practitioner Students Scale were used for the survey. Results A total of 639 valid questionnaires were collected,with an effective response rate of 95.8%. The overall score for quality and safety competency among the 639 master of nursing specialist students was(101.75±19.61) points. The lowest average score for the quality improvement dimension was(2.78±0.67) points,while the highest average score for the patient-centered care dimension was(3.15±0.79) points. Multiple linear regression analysis showed that gender,grade level,witnessing near-misses or nursing errors by others,personal experience with near-misses,participation in training on reporting adverse events,perceived necessity of cross-professional quality and safety education,duration of quality and safety education in the college,and duration of hospital quality and safety training were factors that influenced the quality and safety competency of master of nursing specialist students(P<0.05),which explained 53.8% of the total variation. Conclusion The quality and safety competency of master of nursing specialist students is at a moderate level and influenced by various factors. Standardized education on nursing quality and safety should be provided and the connection between college and clinical teaching content should be focused on to enhance their quality and safety competency.
Fei WANG , Xin ZHANG , Dongmei LIAN , Kexin HE , Jiayan GOU . Current status of quality and safety competency among master of nursing specialist students and its influencing factors[J]. Chinese Journal of Nursing Education, 2024 , 21(10) : 1180 -1185 . DOI: 10.3761/j.issn.1672-9234.2024.10.005
| [1] | Hunt D. QSEN competencies[J]. Nurs Made Incred Easy, 2012, 10(5):1-3. |
| [2] | 梁思静, 翟惠敏, 卜梦茹, 等. 护理硕士专业学位研究生课程人文认知及对人文教育需求的调查[J]. 护理学杂志, 2021, 36(10):74-76. |
| [3] | Ferro AL, Yoder LH. A scoping review of graduate nurses’ education and use of QSEN competencies[J]. Mil Med, 2023, 189(Suppl 1):45-50. |
| [4] | Walton M, Woodward H, van Staalduinen S, et al. The WHO patient safety curriculum guide for medical schools[J]. Qual Saf Health Care, 2010, 19(6):542-546. |
| [5] | Spence J, Goodwin B, Enns C, et al. Patient safety education:an exploration of student-driven contextual learning[J]. J Nurs Educ, 2012, 51(8):466-470. |
| [6] | Gough S, Jones N, Hellaby M. Innovations in interprofessional learning and teaching:providing opportunities to embed patient safety within the pre-registration physiotherapy curriculum. A pilot study[J]. Phys Ther Rev, 2013, 18(6):416-430. |
| [7] | Miltner RS, Patrician PA, Dawson M, et al. Incorporating quality and safety education into a nursing administration curriculum[J]. J Nurs Adm, 2012, 42(10):478-482. |
| [8] | Sherwood G, Jones CB, Conklin JL, et al. Quality and safety education for nurses:a bibliometric analysis[J]. Nurs Scholarsh, 2023, 5(5):914-925. |
| [9] | 汪苗, 李远珍, 张鸣明. 我国患者安全护理教育的研究现状与反思[J]. 中国循证医学杂志, 2018, 18(3):363-366. |
| [10] | 赵春莹, 李春映, 徐凤, 等. 在读护理硕士研究生患者安全胜任力现状及影响因素分析[J]. 护理管理杂志, 2021, 21(4):291-295. |
| [11] | 陈琪琦, 牟绍玉. 基于患者安全的护理硕士专业学位研究生临床学习环境研究[J]. 卫生职业教育, 2022, 40(10):102-104. |
| [12] | Tran DT, Johnson M. Classifying nursing errors in clinical management within an Australian hospital[J]. Int Nurs Rev, 2010, 57(4):454-462. |
| [13] | Lee J. Understanding nurses’ experiences with near-miss error reporting omissions in large hospitals[J]. Nurs Open, 2021, 8(5):2696-2704. |
| [14] | 王菲, 张欣, Gerry Altmiller, 等. 护理硕士研究生质量与安全能力临床评估量表的汉化及信效度检验[J]. 护理学杂志, 2023, 38(17):90-94. |
| [14] | Wang F, Zhang X, Gerry A, et al. Reliability and validity of the Quality and Safety Framed Clinical Evaluation for Nurse Practitioner Students Scale[J]. J Nurs Sci, 2023, 38(17):90-94. |
| [15] | Altmiller G, Dugan MA. Content validation of the quality and safety framed clinical evaluation for nurse practitioner students[J]. Nurse Educ, 2021, 46(3):159-163. |
| [16] | Peterson-Graziose V, Bryer J. Assessing student perceptions of quality and safety education for nurses competencies in a baccalaureate curriculum[J]. J Nurs Educ, 2017, 56(7):435-438. |
| [17] | Marcomini I, Destrebecq A, Rosa D, et al. Self-reported skills for ensuring patient safety and quality of care among Italian nursing students:a descriptive cross-sectional study[J]. Int J Health Promot Educ, 2022, 60(2):67-78. |
| [18] | 热孜万古丽·艾尼瓦. 医学类专业本科生《患者安全》课程编制与应用研究[D]. 乌鲁木齐: 新疆医科大学, 2022. |
| [19] | 顾海莲, 姚雅青, 张晓琪, 等. 实习护生病人安全感知能力现状及影响因素的调查研究[J]. 全科护理, 2022, 20(22):3116-3119. |
| [20] | James B, Beattie M, Shepherd A, et al. Time,fear and transformation:student nurses’ experiences of doing a practicum(quality improvement project) in practice[J]. Nurse Educ Pract, 2016,19:70-78. |
| [21] | Sullivan DT, Hirst D, Cronenwett L. Assessing quality and safety competencies of graduating prelicensure nursing students[J]. Nurs Outlook, 2009, 57(6):323-331. |
| [22] | Kiymaz D, Ko Z. Identification of factors which affect the tendency towards and attitudes of emergency unit nurses to make medical errors[J]. J Clin Nurs, 2018, 27(5/6):1160-1169. |
| [23] | Dahlin KB, Chuang YT, Roulet TJ. Opportunity,motivation,and ability to learn from failures and errors:review,synthesis,and ways to move forward[J]. Acad Manag Ann,2018, 12(1):252-277. |
| [24] | Kirca N, Ozgonul ML, Bademli K. The relationship between the competence of nurses and their attitudes in medical errors:a cross-sectional survey[J]. J Nurs Manag, 2020, 28(5):1144-1152. |
| [25] | Weissman JS, Schneider EC, Weingart SN, et al. Comparing patient-reported hospital adverse events with medical record review:do patients know something that hospitals do not[J]. Ann Intern Med, 2008, 149(2):100-108. |
| [26] | Kantelhardt P, Müller M, Giese A, et al. Implementation of a critical incident reporting system in a neurosurgical department[J]. Cent Eur Neurosurg, 2011, 72(1):15-21. |
| [27] | 傅文瑶, 庄一渝. 护理硕士研究生跨专业教育的范围综述[J]. 中华护理教育, 2023, 20(6):757-762. |
| [27] | Fu WY, Zhuang YY. Scoping review of interprofessional education for nursing postgraduates[J]. Chin J Nurs Educ, 2023, 20(6):757-762. |
| [28] | World Health Organization. Patient safety curriculum guide:multi-professional edition[EB/OL]. (2011-07-06)[2023-10-25]. https://www.who.int/publications/i/item/9789241501958. |
| [29] | Altmiller G, Hopkins-Pepe L. Why quality and safety education for nurses(QSEN) matters in practice[J]. J Contin Educ Nurs, 2019, 50(5):199-200. |
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