AIM:To explore nursing students' experiences of patient safety and peer reporting using hypothetical medication administration scenarios. BACKGROUND:Pre-registration nurse training is tasked with the preparation of students able to provide safe, high quality nursing care. How students' contextualise teaching related to patient safety, risk recognition and management in the clinical setting is less clear. METHOD:A total of 321 third year students enrolled in the final semester of an adult branch pre-registration nursing programme in 2011 in a UK university were surveyed. Using free texts, the questionnaire contained hypothetical medication administration scenarios where patient safety could potentially be at risk. Students' qualitative responses were analysed using thematic analysis. FINDINGS:The response rate was 58% (n = 186). Four themes were identified from the scenarios: (1) Protecting patient safety (2) Willingness to compromise; (3) Avoiding responsibility; (4) Consequences from my actions. CONCLUSION:The findings underscore the importance of contextual teaching about risk management, practical techniques for error management and leadership for optimal patient safety in nursing curricula. IMPLICATIONS FOR NURSING MANAGEMENT:Nurse managers are role models for nursing students in the clinical setting. Nursing management must lead, by example, the patient safety agenda in the clinical setting.

译文

目的:使用假设的药物管理方案,探索护理专业学生对患者安全和同行报告的经验。
背景:预注册护士培训的任务是准备能够提供安全,高质量护理的学生。在临床环境中,学生的情境化教学与患者安全性,风险识别和管理之间的关系还不清楚。
方法:对英国大学2011年成人分行预注册护理课程最后一个学期的321名第三年级学生进行了调查。调查问卷使用自由文本,包含假设的药物管理方案,可能会危及患者的安全。使用主题分析法对学生的定性反应进行了分析。
结果:回应率为58%(n = 186)。从方案中确定了四个主题:(1)保护患者安全(2)愿意妥协; (3)回避责任; (4)我行动的后果。
结论:研究结果强调了有关风险管理的上下文教学的重要性,错误管理的实用技术以及护理课程中的最佳患者安全领导能力。
护理管理的含义:护理经理是临床环境中护理专业学生的榜样。例如,护理管理必须领导临床环境中的患者安全议程。

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