Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Nursing and Midwifery Students' Patient Safety Knowledge and Competencies in the Classroom and Clinical Settings and its Predictors: A Cross-Sectional Study
Hemşirelik ve Ebelik Öğrencilerinin Sınıf ve Klinik Ortamlarda Hasta Güvenliği Bilgi ve Yeterlilikleri ile Yordayıcıları: Kesitsel Bir Çalışma
Gülcan TAŞKIRAN ESKİCİa, Yasemin SÖKMENb
aDepartment of Nursing Management, Ondokuz Mayıs University Faculty of Health Sciences, Samsun, Türkiye
bDepartment of Midwifery, Ondokuz Mayıs University Faculty of Health Sciences, Samsun, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(1):162-71
doi: 10.5336/nurses.2022-90788
Article Language: EN
Full Text
ABSTRACT
 Objective: To investigate nursing and midwifery students' patient safety knowledge and competencies in the classroom and clinical settings and its predictors. Material and Methods: The data of this cross-sectional study were collected from 318 nursing and midwifery students studying at the health sciences faculty of a state university between November and December 2021, using a descriptive information form and the Health Professional Education in Patient Safety Survey. Number, percentage, mean, standard deviation, minimum and maximum values were calculated in the data analysis, and independent-samples t test, one-way ANOVA, and regression analysis were used. Results: Nursing students' mean scores of the Health Professional Education in Patient Safety Survey were 3.88±0.50 in the classroom, 3.78±0.52 in the clinic and 4.05±0.48, 3.98±0.49 in midwifery students, respectively. Midwifery students' classroom and clinic mean scores were statistically higher than nursing students' mean scores (p=0.002; p=0.001). Moreover, there were statistically significant differences between nursing and midwifery students' mean scores in the 2 dimensions and all sub-dimensions except for the 'Culture of safety' sub-dimension (p≤0.05). Finally, it was determined that the variables of students' age, grade, department and patient safety competency level affected students' patient safety knowledge and competencies. Conclusion: Nursing and midwifery students' perception of patient safety knowledge and competencies were found to be above average. In addition, nursing and midwifery students' perceptions of patient safety knowledge were higher than their perceptions of patient safety competencies.

Keywords: Patient safety; knowledge; competence; nursing students; midwifery students
ÖZET
 Amaç: Hemşirelik ve ebelik öğrencilerinin sınıf ve klinik ortamlarda hasta güvenliği bilgi ve yeterliliklerini ve yordayan faktörleri belirlemektir. Gereç ve Yöntemler: Bu kesitsel araştırmanın verileri, Kasım-Aralık 2021 tarihleri arasında bir devlet üniversitesinin sağlık bilimleri fakültesinde öğrenim gören 318 hemşirelik ve ebelik öğrencisinden Tanıtıcı Bilgi Formu ve Sağlık Profesyonellerinin Eğitiminde Hasta Güvenliği Ölçeği kullanılarak toplanmıştır. Verilerin analizinde sayı, yüzde, ortalama, standart sapma, minimum ve maksimum değerler hesaplanmış olup; bağımsız gruplarda t testi, tek yönlü varyans analizi ve regresyon analizi kullanılmıştır. Bulgular: Hemşirelik öğrencilerinin Sağlık Profesyonellerinin Eğitiminde Hasta Güvenliği Ölçeği puan ortalaması sınıf ortamı boyutunda 3,88±0,50, klinik ortam boyutunda 3,78±0,52 olup, ebelik öğrencilerinin ise sırasıyla 4,05±0,48 ve 3,98±0,49'du. Ebelik öğrencilerinin sınıf ortamı ve klinik ortam puan ortalamaları, hemşirelik öğrencilerinin puan ortalamalarına göre istatistiksel olarak daha yüksek bulundu (p=0,002; p=0,001). Dahası, sınıf ortamının tüm alt boyutlarında ve klinik ortamda 'güvenlik kültürü' alt boyutu hariç diğer alt boyutlarda hemşirelik ve ebelik öğrencilerinin puan ortalamaları arasında istatistiksel olarak anlamlı farklılıklar belirlendi (p≤0,05). Son olarak öğrencilerin yaş, akademik not ortalaması, öğrenim görülen bölüm ve hasta güvenliği yeterlilik düzeyi değişkenlerinin öğrencilerin hasta güvenliği bilgi ve yeterliliğini etkilediği saptandı. Sonuç: Hemşirelik ve ebelik öğrencilerinin hasta güvenliği bilgi ve yeterlilik algısının ortalamanın üzerinde olduğu saptanmıştır. Ayrıca hemşirelik ve ebelik öğrencilerinin hasta güvenliği bilgisi algılarının, hasta güvenliği yeterliliği algılarından daha yüksek olduğu belirlenmiştir.

Anahtar Kelimeler: Hasta güvenliği; bilgi; yeterlilik; hemşirelik öğrencileri; ebelik öğrencileri
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