This research was funded by the authors. The reliability of this instrument was supported by a Cronbach’s alpha score of (r) > 0.76. Panagioti M, Stokes J, Esmail A, Coventry P, Cheraghi-Sohi S, Alam R, et al. The development of quality circles/peer review groups as a method of quality improvement in Europe. © 2020 BioMed Central Ltd unless otherwise stated. J Prof Nurs. Univariate analysis was conducted to describe the characteristics of each of the variables studied. Privacy Pereira GM, Osburn HG. Utilization of a QC can have a positive impact on the work environment. A non-randomized selection (based on sociodemographic characteristics) was used to determine the sample size at the two locations. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated. Philadelphia: Lipponcott Williams & Wilkins; 2012. Nurs Adm Q. We selected two hospitals for this study based on a similarity of the accreditation level and number of students. Full-Text for Top Nursing and Medical Journals Researchers can access full text for the top nursing and medical journals, evidence-based summaries of diseases and conditions, full-text scholarly articles, legal cases, research instruments, drug information, the latest news and many other resources. The clinical instructor endeavours to educate students about patient safety. 0399/UN.2.F12.D/HKP.02.04/2016. The optimal implementation of patient safety by students is inseparable from the role of clinical instructors since the role of an effective clinical instructor is related to improving the autonomous ability and psychological mental readiness of the student undergoing the transition process to a professional nurse [23, 24]. For more information please … Please check you selected the correct society from the list and entered the user name and password you use to log in to your society website. Therefore, an investigation regarding to what extent population characteristics of samples differ from the national population of nursing students is needed. Sign in here to access free tools such as favourites and alerts, or to access personal subscriptions, If you have access to journal content via a university, library or employer, sign in here, Research off-campus without worrying about access issues. Application of a POA from QC meetings led to awareness of the importance of supervision by clinical instructors. The overall goal for CLP is to ensure that nursing students who enter their first clinical practice period in community healthcare settings have the proper defensible knowledge and practical skills required to take care of patients in a safe manner. A previous study from the Institute of Medicine claimed that every year one million people were injured and 98,000 died as a result of medical error in the United States [1]. Table 1 shows the detail of the QC procedure. If you experience any problems accessing SAGE Journals please contact us. 2013;3(12):243–51. Cite this article. Clinical Nursing Research is a refereed journal which meets the increasing demand for an international forum of scholarly research focused on clinical practice. It is recognised worldwide that the skills of nursing students concerning patient safety is still not optimal. This article has been published as part of BMC Nursing Volume 17 Supplement 2, 2018: Proceedings of the 3rd International Conference on Nursing (ICON) 2017. Boston: Jones and Barlett Publishers; 1998. By using this website, you agree to our Drug Saf. The role of a clinical instructor is central to the learning process of nursing students. The clinical instructors in the QC identified the problems encountered using Fishbone Analysis [18] to help visualise the root causes and then to find the appropriate solution. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. Without proper regard to patient safety, the health and welfare of a patient can suffer. Leadership roles and management functions in nursing: theory and application. Students were supported by a clinical instructor linked to their clinical area throughout their clinical experience. Wolf ZR, Hicks R, Serembus JF. ... Research in Nursing Practice. Suggestions and recommendations from this study are that the hospital should use the results of this research to formulate policies and procedures for coaching clinics to improve patient safety by nursing students. Ulrich B, Kear T. Patient safety and patient safety culture: foundations of excellent health care delivery. Yates, Morgan ... A Clinical Review. The results of the analysis of patient safety Attitude showed no significant difference between the two groups. Background/Aim. In Indonesia, incident data relating to patient safety involving students is not well documented, and the incidents often occur in the absence of a clinical instructor. They felt that the use of QCs could not be differentiated from optimal management procedures. This is supported by the significant improvement in patient safety skills in the intervention group. Management should maintain quality through evaluating and monitoring activities [28, 29]. Together these elements add up to a skill set that prepares CRNs to evaluate, interpret, and synthesize information while ensuring research subjects’ safety, high-quality data, and protocol fidelity. The ethical clearance issues was reviewed and approved by the Ethics Committee of the Nursing Science Faculty, Universitas Indonesia. Methods Articles ; Nursing Systems/Quality of Care; Nurses Week 2018 ; Point-of-Care Research; Supplements; Theory; Calls for Papers; For Authors & Reviewers. A model of preceptorship in nursing: reflecting the complex functions of the role. J Contin Educ Nurs. Blake N, Leach LS, Robbins W, Pike N, Needleman J. 2003;20(4):443–51. Int J Qual Heal Care. Furthermore, the nurse selected as the clinic supervisor at the control hospital is not concentrated as head of the room. Often, only those with diploma qualifications, rather than more highly qualified nurses with bachelor degrees, were assigned. The quality of supervision from the clinical counsellor influences the professional ability of nursing students. 2006;22(1):39–51. The application of QCs for clinical nursing instructors significantly improved the patient safety implementation of nursing students, especially skills. CiteScore: 3.6 ℹ CiteScore: 2019: 3.6 CiteScore measures the average citations received per peer-reviewed document published in this title. Numerical data such as age, length of clinical education, patient safety knowledge, student attitudes, and student actions regarding patient safety are presented as mean, median, and standard deviation (SD) with 95% confidence interval. Int Emerg Nurs. Original Articles FEATURE ARTICLE Clinical Nursing Research: Its Meaning to the Practicing Nurse Clinton E. Lambert, Jr. and Vickie A. Lambert The ultimate purpose of clinical nursing is patient care. Enhancing patient safety: the importance of direct supervision for avoiding medication errors and near misses by undergraduate nursing students. Directive functions had the purpose of setting, directing, and optimizing resources to achieve organizational goals [22]. Participants were asked 16 knowledge-based questions. Call For Papers: Dementia Care - Research and Clinical Innovation. Around 75% of the nursing students experience communication problems during the clinical learning process and 24% of them indicated that they found it difficult to endure these stressful conditions [9, 10]. Some society journals require you to create a personal profile, then activate your society account. The study was divided into two locations that involved all students at each hospital. Data were collected using a self-administered questionnaire. Identifying challenges of nursing students in the clinical learning environment could improve training and enhance the quality of its planning and promotion of the students. Analysis of the statistics showed that there was no significant increase in the attitude of student nurses to patient safety after the implementation of the QCs. The changes were not significant (p = 0.002; α = 0.05). A total of 68 students (response rate = 85%) participated in the study; students who did not participate for different reasons (absent on the day of tool administration, or refusal to participate) were homogeneously distributed, with those with just bachelor degrees involved. In this study, the authors acted as facilitators to ensure optimal implementation of the QC programmes. The introduction of QCs is integral to improve and optimise the quality of the role of the clinical nursing instructor. Li A-T. Teamwork climate and patient safety attitudes. An atmosphere of teamwork is strongly related with student behaviour and attitude towards patient safety. It was pointed out that QC methods are useful for human resource management because they contain elements of management participation [13]. CNEs may be educating nurses with an associate degree but vast clinical experience, as well as recently grad… Med Care. The equality test for the age variable, professional life, knowledge, attitudes, and safety measures of patients which are numerical data is made using an independent test sample t test. 2002;132(11–12):143–7. Research evidence available indicates that clinical placement is an important part of the undergraduate nursing programme in the preparation of students for entry into the nursing profession [5, 6] as it provides undergraduate nursing students with the opportunity to learn within clinical practice environments in real life situations . The students’ attributes could not be controlled by the authors as the students were allocated to the study groups by the hospital. 2013;37(4):356–70. Members of _ can log in with their society credentials below. The technical implementation of the research still has limitations due to the non-ideal implementation of the application of QCs. The American Journal of Nursing, the profession's premier journal, promotes excellence in the nursing and healthcare profession. This can affect the implementation of patient safety since the role of clinical instructors can run optimally. We know what it takes to succeed as a clinical professional, and our nursing articles and publications are developed with the aim to help advance your clinical … Table 3 shows the pre-test and post-test mean scores of “Knowledge”, “Attitude”, and “Skills” of the intervention group and the control group. 2. Statistical analyses included univariate and bivariate analysis. The email address and/or password entered does not match our records, please check and try again. CiteScore values are based on citation counts in a range of four years (e.g. Clinical Nursing Research is committed to delivering high quality, fast peer-review for your paper, and as such has partnered with Publons. A questionnaire will be conducted to evaluate the implementation of patient safety and the impact of the intervention. Clinical research nurses can experience internal conflict between being a patient advocate and adhering to a trial protocol. In addition, it shows there is a lack of active partnerships between nursing education and hospital quality assurance systems [20]. This module was produced by the author and involved expertise in academic and clinical nursing. Terms and Conditions, Int J Acad Res Bus Soc Sci. Each clinical instructor supervises 3–8 nursing students during the implementation of plan of activation. Your session token has been successfully activated. PubMed Google Scholar. Google Scholar. Surprisingly the mean “Knowledge” score was lower in the intervention group but was statistically insignificant. It was hoped to achieve the POA in 4 weeks to improve the implementation of patient safety by nursing students. There was a significant increase in the skills of nursing students regarding patient safety. We divided the clinical instructors into small groups to address issues related to patient safety. Journal description. Swansburg RC. J Nurs Educ Pract. Prior to applying the post-implementation survey, the authors engaged an independent team of expert reviewers, who were managers of clinical nursing instructors at different accredited teaching hospitals, to evaluate and finalize the procedure. This requires a good role model to embed and value the culture of safety [11]. In this short article, I will briefly explain the concepts of statistical and clinical significance in nursing research in an attempt to highlight the equal importance of both concepts when making conclusions about research findings. Rall M, Van Gessel E, Staender S. Education, teaching and training in patient safety. PubMed  Hosseinabadi R, Karampourian A, Beiranvand S, Pournia Y. Background and aim. Analysis of the “Skills” statistics showed that the use of QC by nursing instructors improved the patient safety skills of nursing students significantly. Targeted Therapies. The QC in this study was initiated by a voluntary gathering of a group of clinical nursing instructors interested in solving the problem of patient safety associated with nursing students. Best Pract Res Clin Anaesthesiol. Six research items were described:(1)To investigate the students’ degree of satisfaction with the learning session’s organization and relevance before and after practice(2… The authors advise the use of a combination of other interventions alongside QCs to improve the quality of hospital services. Therefore, it is recommended to implement quality circles as a problem-solving technique to optimize patient safety. The responsibility of management is to ensure that the learning process of nursing students should be guided by competent nurse instructors. We aimed to explore Iranian nursing students’ challenges in the clinical learning environment.Materials and Methods… The results of research indicate that the benefits gained by students during the optimal clinical counselling process is increased knowledge [21]. Data were analysed using the SPSS software programme. Access to society journal content varies across our titles. QCs are an alternative method of solving nursing problems. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. Some workers in the field agree that clinical instructors can create a positive working atmosphere and, hence, decrease the level of anxiety amongst nursing students [10] and can optimise the implementation of patient safety. 2013;29(2):109–16. 2011;25(2):251–62. View or download all content the institution has subscribed to. 2009;30:372–6. Bivariate analysis was conducted to find out the relationship between dependent and independent variables. 2015;10:1–31. Further test analysis showed the skill levels had increase in the control group as well. 2014;41(5):447–57. This affected the success of the QCs in optimizing patient safety. The success of a programme like this depends, to a large extent, on the ability of QC members to analyse problems [27]. CAS  Watkins C, Hart PL, Mareno N. The effect of preceptor role effectiveness on newly licensed registered nurses’ perceived psychological empowerment and professional autonomy. Leadership and nursing care management. The results showed a significant increase in the behaviour of nursing students towards patient safety issues (p < 0.001; α = 0.05). The journal aims to publish most-advanced and rigorous scientific research related to the basic science and clinical aspects of Nursing and Health Care. Noviyanti, L.W., Handiyani, H. & Gayatri, D. Improving the implementation of patient safety by nursing students using nursing instructors trained in the use of quality circles. Pertinent Features Keep You Up-to-Date Clinical Nursing Research offers the following special features and articles that concentrate on nursing practice: Existing research shows that the introduction of patient safety should be part of the education at all levels of the healthcare system [5]. 2013;13(3):197–201. Free full text medical journal articles. Clinical nursing research is a systematic inquiry into the problems encountered in nursing practice and into the modalities of patient care. Mitchell RJ, Williamson A, Molesworth B. The authors developed the instrument based on six patient safety goals. J Prof Nurs. 1st ed. Manage cookies/Do not sell my data we use in the preference centre. Vol. Clinical Nursing Research (CNR) is a peer-reviewed quarterly journal that addresses issues of clinical research that are meaningful to practicing nurses, providing an international forum to encourage discussion among clinical practitioners, enhance clinical practice by pinpointing potential clinical applications of the latest scholarly research, and disseminate research findings of particular interest to practicing nurses. Fukui R, Honda Y, Kaneko N. Handbook for TQM and QCC. Nursing Management Department, Brawijaya University, Malang, East Java, 65145, Indonesia, Basic Nursing Department, University of Indonesia, Depok, West Java, 16424, Indonesia, You can also search for this author in This study identifies the effect of quality circles on improving the safety of patients of nursing students. LWN made a substantial contribution to the study conception, design, acquisition of data, analysis, interpretation of data, and drafting and revising the manuscript. The wrong patient can be given drugs intended for someone else, wrong doses, and inadequate supervision and monitoring of the patient leading to adverse events. In Indonesia, there are limited data on incidents related to patient safety involving students since they are not well documented and often occur without the presence of a clinical instructor [8]. Previous research has focused more on their effect on clinical nurses [12], job satisfaction [13, 14], and increases in motivation. Missouri: Saunders Elsevier; 2010. The data were statistically analysed using independent t tests. Fam Pract. 7th ed. The hospital management decided which experienced nurses were to be assigned to the QCs. Piscotty R, Grobbel C, Tzeng H-M. A good team structure with good leadership and the support of clinical nursing instructors can nurture positive attitudes of student nurses toward patient safety [11, 16]. Application of a human factor classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. In addition, clinical instructors follow an “office”-type schedule of shifts rather than just the morning service, meaning the supervision process for students other than in the morning can also run well. It was found that the consistency and commitment of the clinical instructors running the QC programmes was low. Singapore Journal of Nursing Research publishes original research papers, review and mini- review articles, rapid communications, method/protocol and perspective articles. Huber DL. Training is performed by an active learning method. The post test score for patient safety attitude shows insignificant change from the pre-test scores. The purpose of this research analysis is to show the significant difference between two groups—the intervention and the control group. Integrating quality and safety competencies into undergraduate nursing using student-designed simulation. Respondents originated from one region only, which is a potential limitation to generalizing our results to the national population of nursing students. Introductory management and leadership for nurse. CiteScore: 3.0 ℹ CiteScore: 2019: 3.0 CiteScore measures the average citations received per peer-reviewed document published in this title. Explore the latest articles, projects, and questions and answers in clinical nursing research, and find clinical nursing research experts. J Nurs Care Qual. Nursing students often experience real or imagined barriers associated with the clinical learning process. PLoS One. All students (100%) in the control group received patient safety orientation from their hospital while six students (17.7%) in the intervention group had not received orientation from their hospital. The authors of this study trained the clinical instructors on how to use quality circle methods to solve nursing problems especially with relevance to the patient safety issues of students. Genetics and Genomics. In Clinical Nursing Research, graduate and undergraduate students alike have access to a rich source of research ideas and studies that can be directly related to clinical settings. As reported in Table 2, the majority of students were female (76.5%), and their mean age was 22.91 ± 0.86 years in the intervention group and 22.82 ± 0.83 years in the control group. Nurs Educ Perspect. 2000;12(5):413–8. Multimorbidity and patient safety incidents in primary care: a systematic review and meta-analysis. Happell B. Their experience can be enhanced through the application of quality circles. 2008;47(1):43–8. Characteristics of medication errors made by students during the administration phase: a descriptive study. The implementation of quality circles has a significant effect on patient safety. Data from this research will not be shared to ensure data confidentiality. HH and DG made contributions to the design of the study. This study used five patient safety goals to allow for adjustment with the study respondents, and therefore required continuous evaluation to test the consistency of the use of the instrument for the next study. Oncology Nursing Society. Tokyo: 3A corporation; 1990. This may be due to many factors, such as the attributes of the nursing instructor or of the nursing student, or both. We believe that QCs influenced the work environment in the intervention group by subjecting them to more practice regarding patient safety. A bachelor's degree in nursing (BSN) is typically a minimum educational requirement, but a Master's of Science in Nursing (MSN) with an educational specialization is recommended, along with leadership skills necessary to teach other nurses.1Despite the push for all nurses to attain their BSN, varying levels of education (with different levels of clinical experience) are still present in the nursing workforce. 2011;50(8):429–36. CJON 2020, 24(6), 635-643 DOI: 10.1188/20.CJON.635-643. Patient safety is inseparable from the quality of nursing education. 2016;52:185–95. This is important because, after all, the ultimate goal of nursing research is to generate findings that are of clinical or real life value to nursing theory and practice. Swiss Med Wkly. If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box. Skills increased significantly in the intervention group but declined insignificantly in the control group. Proceedings of the 3rd International Conference on Nursing (ICON) 2017,,,, Subscribe today! Existing research shows that patient safety should be emphasised at all levels of the healthcare education system. Google Scholar. Once a QC has been established, it uses the following criteria in problem solving and QC development: The problem has to be identified, analysed, and solved, The solutions have to be implemented within a designated time frame, Monitoring of performance has to be carried out, Better all-round management of QCs to encourage innovation of problem-solving methods [14]. J Prof Nurs. Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. The clinical instructors, despite having completed a QC training session, were still not able to incorporate their findings from the Fishbone Analysis into their POAs. A quasi-experimental study on a quality circle program in a Taiwanese hospital. Journal of Clinical Nursing is now considering submissions of Registered Reports. volume 17, Article number: 53 (2018) The advantage of using QCs compared with other problem-solving methods, which utilize team co-operation, is that QCs are oriented to member performance and co-operation within the circle [17]. CRNs are often the only members of a research team with in-depth knowledge of both patient care and the research process, along with training in problem solving. A 2007 study by Woodward and colleagues in the Journal of Research in Nursing found that nurse clinicians engaged in research often perceive a lack of support from nurse managers and resentment from colleagues who see the research as taking them away from clinical practice. QCs have never been used to guide clinical nursing students with regard to patient safety. Keers RN, Williams SD, Cooke J, Ashcroft DM. It is therefore important to increase the expertise of the clinical instructor conducting the quality circle (QC). This research was conducted with an equality test in the intervention group and control group before the intervention was performed. CiteScore values are based on citation counts in a range of four years (e.g. As many as 79.7% of the errors occurred at the time of treatment [2]. One study stated that the quality of education delivered to nursing students can significantly reduce medical errors and improve the safety culture and quality of service [6, 7]. There was no significant difference in sociodemographic characteristics between the location of the two hospitals in terms of similarity of languages, tribes, and income. Nurse Educ Pract. J Nurs Educ. They had to give a self-evaluation of their attitude and skills in order to assess their knowledge of patient safety. In both groups, 29 students (85.3%) had previous exposure to patient safety information, while five (14.7%) in both groups reported never having received information about patient safety. Linda Wieke Noviyanti. Article  2013;28(1):60–7. The control group only used the conventional model of clinical learning. If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box. Harding L, Teresa P. Nursing student medication errors: a retrospective review. Contact us if you experience any difficulty logging in. In hospitals, the ratio between nursing students and clinical instructors is disproportionately low. This resulted in an organized programme of measures to be taken to achieve a goal, called a plan of action (POA). “Knowledge” increased in both groups but with large SDs. 4th ed. To avoid a testing effect, the selected hospitals were approximately 123 km (3 h by car) apart, thereby decreasing the likelihood that students at both hospitals would communicate with each other. However, the authors communicated that QCs are a problem-solving technique that integrates the functions of management and their responsibilities. This special issue aims to explore how nurses and people with dementia and their family members can work together to enable the development of appropriate and robust research and the implementation of evidence-based interventions, policies and guidelines, across all stages of dementia and all health, social care, … Syla S, Rexhepi G. Quality circles: what do they mean and how to implement them? Other research findings on medication errors and associated system factors have not significantly informed nursing practice. A follow up study should be performed by controlling characteristics of the students such as the length of professional service, hospital orientation, and type of institution the students studied at, whether private or government, especially if using undergraduate nursing students as samples. The study protocol was reviewed and approved by the Ethics Committee of the Nursing Science Faculty Universitas Indonesia, no. The aim of the project was to explore the implications of the quality circle on clinical instructors by comparing the students’ knowledge, attitudes, and practices of control and intervention groups. Access to society journal content varies across our titles. A QC was applied to clinical instructors in the experiment group. Nursing Articles and Publications Nursing articles and publications are a main focus of Lippincott Lee LC, Yang KP, Chen TY. This was measured by the difference between pre-test and post-test results. The causes of patient safety incidents involve several factors, and organizational factors are the most significant and cause 83.3% of all incidents [3]. Relevance to clinical practice. This is in line with other research that shows QC programmes focussing on improving psychomotor skills have an impact, but do not improve peoples’ attitude [10]. J Nurs Educ. Akturk Z, Dagdeviren N, Sahin EM, Ozer C. Use of quality circles among first year medical students and impact on student satisfaction. Clinical Journal of Oncology Nursing. 2017;33(3):250–7. statement and The authors’ institutions and all participating bodies gave permission by a signed letter of informed consent. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. This study used a quasi-experimental approach, comparing the pre-test cohort of student nurses with a post-test cohort. Clinical Nursing Research is a refereed journal publishing research articles that focus on nursing practice.It disseminates research findings of particular interest to practicing nurses, provides an international forum for discussion among clinical nurse researchers and by identifying practical applications of research, enhances practice., DOI: You can still view the shared article with access restrictions. This can result in difficulties when recruiting study participants. Nephrol Nurs J. Research carried out by nurses in the clinical setting and designed to provide information that will help … Disseminating research in journals t … Effects of participation in decision making on performance and employee attitudes: a quality circles meta-analysis. Frequency and descriptive statistics were generated for each of the variables contained in the questionnaire. Our investigation yielde… Beyer M, Gerlach FM, Flies U, Grol R, Król Z, Munck A, et al. The role of clinical instructors is to instil in students the importance of patient safety. Cookies policy. The effectiveness of the intervention was measured through a pre-test and a questionnaire issued to participants approximately 4 weeks after the implementation of the intervention. Cooper E. From the school of nursing quality and safety officer: nursing students’ use of safety reporting tools and their perception of safety issues in clinical settings. CiteScore values are based on citation counts in a range of four years (e.g. 2015;5(6):87. Hand picked by Medscape editors. Therefore, this work aimed to study how the implementation of QCs under the control of clinical nursing instructors affected the attitude of nursing students towards patient safety. Clinical research nurses experience isolation, and contributing to this is their perception of nonresearch nurses’ lack of understanding for their role. BMC Nurs 17, 53 (2018). This site uses cookies. Browse all issues of Clinical Nursing Research. Nurse Educ Pract. The bivariate analysis was performed to: 1) compare mean scores between pre- and post-tests in the intervention and control groups using dependent sample t tests (a p value < 0.05 from the t test would imply that there is significant difference between the pre-test and post-test both in the control and intervention group); and 2) compare the mean difference between scores of pre- and post-test in the intervention and control groups using independent sample t tests (with a significant mean difference between control and intervention group described by a p value < 0.05). CiteScore: 3.0 ℹ CiteScore: 2019: 3.0 CiteScore measures the average citations received per peer-reviewed document published in this title. Clinical learning is a main part of nursing education. Scheduling an evaluation which should be done twice, could only be done once at the end of the session. In hospitals, the ratio between nursing students and clinical instructors is disproportionately low. Appl Ergon. The subjects for this study were all final-year nursing students: 34 students from hospital who attended a month-long clinical placement using the QC method and 34 students from the other hospital as the control group who underwent clinical experience as usual. We found that management did not supervise the QCs well. Correspondence to Implementation of a QC programme ideally requires 6 months from the planning stage up to the evaluation, but in this study it was implemented in just a month. Login failed. The improvement in patient safety resulted from the clinical instructors’ POA which focussed on the students’ safety skills. Healthy work environments and staff nurse retention. the site you are agreeing to our use of cookies. Discussions were held with nursing management to obtain their perspective and to develop their understanding of, and involvement with, QCs. Categorical data such as sex, educational level, exposure about patient safety, hospital orientation, and the status of the institution from which the student comes were presented as a frequency distribution and proportion. California Privacy Statement, Hu Y, Chen S, Chen I, Shen H-C, Lin Y-K, Chang W-Y. Table 4 compares the “Knowledge”, “Attitude” and “Skill” parameters between the intervention and control groups with regard to patient safety. Find out about Lean Library here, If you have access to journal via a society or associations, read the instructions below. The importance of robust scholarly research for quality, safe, effective and efficient care of patients and their families is well established (Australian Commission on Safety and Quality in Health Care 2009).Although research evidence is being produced at an increasing rate, change in clinical practice to reflect this evidence has lagged behind (Kitson 2008, Benner et al. The effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. 2016;17:36–42. Students’ exposure to clinical learning environment is one of the most important factors affecting the teaching-learning process in clinical settings. We believe that this results from the implementation of QCs which create a positive work environment and a sense of belonging to the organization [25]. Google Scholar. This is in line with the results of a study that supervision can improve the professional values associated with patient safety [23]. All authors read and approved the final manuscript. Amsrud KE, Lyberg A, Severinsson E. The influence of clinical supervision and its potential for enhancing patient safety—undergraduate nursing students’ views. Reid-Searl K, Moxham L, Happell B. CriticalCareNurse is a bimonthly publication from the American Association of Critical-Care Nurses … Our analysis from a management function perspective is that the change of “knowledge” in the control group and the intervention group is not separate from the management function provided by clinical instructors [10]. Dissemination of research findings in the clinical nursing literature occurred at two levels: through articles that reported studies of potential value to the nurse's practice and citations to research publications within articles. Tokyo: Development Bank of Japan (DBJ) and Japan Economic Research Institute (JERI; 2003. This study used a quasi-experimental research design with pre-test and post-test non-equivalent control groups. 2007;22(2):145–53. A previous study found that inexperience and distraction were the leading factors contributing to student errors [19]. One study showed that a climate of teamwork was associated with an improved attitude among nurses towards patient safety [15]. Another factor is unsafe procedures carried out by health workers, which contributes up to 53.7% of patient safety incidents [3, 4]. Henderson A, Eaton E. Assisting nurses to facilitate student and new graduate learning in practice settings: what “support” do nurses at the bedside need? 2013;36:1045–67. The unique combination of applied research knowledge and expert clinical skills sets the specialty of clinical research nursingapart. The groups agreed to apply one problem according to the safety standard of patients and they selected problems regarding patient identification. Furthermore, we were also not yet supposed to be getting QC managerial support from the hospital. Journal of Clinical Nursing Researchpresents original, peer-reviewed research findings obviously and directly for clinical discovery in all nursing specialties. 2010;16(3):225–32. Part of Suggestions and recommendations from this study are that the hospital should use the results of this research to formulate policies and procedures for coaching clinics to improve patient safety by nursing students. Publons is a third party service that seeks to track, verify and give credit for peer review. Patient outcomes in this study were associated with the implementation of patient safety procedures. Clinical instructors were first trained by the authors in QC procedures and how to produce a plan of action. We brainstormed on patient safety issues faced by hospitals, especially from nursing students. 2015;46(6):261–72. The application of QCs for clinical nursing instructors significantly improved the patient safety implementation of nursing students, especially skills. The purpose of this study was to try out two different learning sessions related to the bed bath procedure. By continuing to browse Clinical instructors who are able to provide motivation and supervise the students contribute to the optimal implementation of patient safety [10]. This is important so that the implementation of patient safety is initiated properly. Therefore, it is important to have competent clinical instructors. Rafati F, Nouhi E, Sabzehvari S, Dehghan-Nayyeri N. Iranian nursing students’ experience of stressors in their first clinical experience. Publication of this article was funded by the International Scientific Publication Office of the University of Brawijaya. Int J Nurs Pract. BMC Nursing Over 5000 peer-reviewed articles on clinical research, trials, nurse CPD, nursing ideas, and all other aspects of nursing. Management staff involvement impacts job satisfaction and helps assign staff with optimal capabilities to the organization. The answers were evaluated according to the three criteria: 1) “Knowledge” refers to the students’ knowledge about patient safety standards; 2) “Attitude” refers to the inward response, perception, and opinion on the implementation of patient safety standards; and 3) “Skill” refers to how skilfully patient safety standards were undertaken. View or download all the content the society has access to. Regarding our analysis, the cause of a significant increase in the intervention group was due to the application of QC clinical instructors. One of the activities of a directive function is supervision activities [19]. Kathryn Waldegrave recaps the findings of two studies: one that explores the experience of people living with multiple chronic conditions; the other examines intellectual disabilities While multiple chronic conditions (MCCs) such as hypertension, type 2 … Registered Reports are a new form of empirical article in which the methods and proposed analyses are pre-registered and reviewed prior to research being conducted. The authors declare that they have no competing interests. We observed that technical factors led to the non-optimum implementation of QCs, the main factor one being the inadequate preparation of the QCs. The intervention was the implementation of quality circles that focused on patient safety issues for the use of clinical instructors to assess and guide student nurse behaviour in regard to patient safety. Springer Nature. 2013;21(4):264–70. Clinical practice settings can positively contribute to patient safety, as shown by a study that found good clinical practice environments affected patient outcomes [7, 26]. This finding justifies the implementation of QCs because they can significantly affect the patient safety skills of nursing students. The control hospital has better clinical counselling arrangements than the intervention group hospital. A QC is a method of problem solving in a workplace environment using groups [13]. Marquis BL, Huston CJ. In addition, we feel that the type of institution where students were trained may also affect the performance and the application of the results of these QCs. The full contents of the supplement are available online at The significant increase in “Knowledge” in the control group from our analysis is dominated by certain factors, among them the process of clinical guidance. Article  However, in the main, the mean scores of the parameters measured increased in the intervention group. Clinical Nursing Research adheres to a rigorous double-blind reviewing policy in which the identity of both the reviewer and author are always concealed from both parties. The effect of quality circles on job satisfaction and quality of work-life of staff in emergency medical services. Death can even occur in rare instances. Evaluation of work stress, turnover intention, work experience, and satisfaction with preceptors of new graduate nurses using a 10-minute preceptor model. Results of a survey in 26 European countries. The clinical nursing instructors were first trained in the QC process to facilitate and empower them to implement and arrange a QC programme. Ideally, QC intervention should have been performed for a period of at least 3 months [30] to obtain the full support of management. This may help explain why the POAs were not implemented properly and why there was no significant increase in the knowledge and attitudes of patient safety. You can be signed in via any or all of the methods shown below at the same time. Patient safety incidents in healthcare facilities worldwide are still quite high. QC implementation for clinical nursing instructors positively affected the patient safety skills of students, but did not show significant improvements in their knowledge or attitude. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The main focus of the programme was to bring about a re-socialization in the standard operating procedures such as proper patient identification, a paper-based examination to evaluate nursing student skills, and to implement a reward and punishment scheme with regard to the responses and awareness of patient safety of nursing students. J Bus Psychol. Implementation of QCs can create a positive environment for nursing students to gain confidence and develop a positive attitude to patient safety procedures. Variables that use categorical data were tested using Chi Square test analysis. Ishikawa K. Introduction to quality control. 2012;49(12):1047–53. However, it was felt that the time allocated for the implementation of the QCs was too short and that programme supervision was not performed adequately. A total of 68 students were attending first-year clinical education, and the length of clinical education undertaken by students in the intervention group was 9.53 ± 0.50 months (mean ± SD 0.50) compared with 4.97 ± 1.29 months for the control group. Molecular Biomarkers: A Review of Multiple Applications in Clinical Care of Colorectal Cancer. Patient safety is inseparable from the quality of nursing education. Breast Cancer Research, November 27, ... Clinical Journal of Oncology Nursing. Students distrust their own ability which then leads to anxiety. The study also has limitations related to technical research and the length of intervention. This quality circle model was delivered to the clinical instructor in the experiment group using the QC module.