Jang Haena, Lee Nam-Ju
College of Nursing, Seoul National University, Seoul, South Korea.
The Research Institute of Nursing Science of Seoul National University, Seoul, South Korea.
PLoS One. 2017 Sep 5;12(9):e0183536. doi: 10.1371/journal.pone.0183536. eCollection 2017.
Nursing educators must be qualified to teach patient safety to nursing students to ensure patient safety in the clinical field. The purpose of this study was to assess nursing educators' competencies and educational needs for patient safety in hospitals and nursing schools.
A mixed-methods sequential explanatory design employed a survey and focus group interview with nursing educators (school clinical instructors and hospital nurse preceptors). Thirty-eight questionnaires filled out by clinical instructors from six four-year nursing universities and 106 questionnaires from nurse preceptors from three high-level general hospitals in the Seoul metropolitan area were analyzed to obtain quantitative data. Focus group interviews were conducted among six clinical instructors from one nursing school and four nurse preceptors from one high-level general hospital in Seoul.
Nursing educators had higher levels of attitude compared with relatively lower levels of skill and knowledge regarding patient safety. They reported educational needs of "medication" and "infection prevention" as being higher and "human factors" and "complexity of systems" as being lower. Nursing educators desired different types of education for patient safety.
It is necessary to enhance nursing educators' patient safety skills and knowledge by developing and providing an integrated program of patient safety, with various teaching methods to meet their educational needs. The findings of this study provide the basic information needed to reform patient safety education programs appropriately to fit nursing educators' needs and their patient safety competencies in both clinical practice and academia. Furthermore, the findings have revealed the importance of effective communication between clinical and academic settings in making patient safety education seamless.
护理教育工作者必须具备向护理专业学生传授患者安全知识的资质，以确保临床领域的患者安全。本研究旨在评估医院和护理院校中护理教育工作者在患者安全方面的能力及教育需求。
采用混合方法序列解释性设计，对护理教育工作者（学校临床教师和医院护士带教老师）进行调查和焦点小组访谈。分析了来自六所四年制护理大学的临床教师填写的38份问卷以及来自首尔市三个高水平综合医院的护士带教老师填写的106份问卷，以获取定量数据。对来自一所护理学校的六名临床教师和首尔一所高水平综合医院的四名护士带教老师进行了焦点小组访谈。
与患者安全方面相对较低的技能和知识水平相比，护理教育工作者的态度水平较高。他们报告称“用药”和“感染预防”方面的教育需求较高，而“人为因素”和“系统复杂性”方面的需求较低。护理教育工作者希望获得不同类型的患者安全教育。
有必要通过开发和提供一个综合的患者安全计划，并采用各种教学方法来满足他们的教育需求，以提高护理教育工作者的患者安全技能和知识。本研究结果提供了必要的基础信息，以便适当改革患者安全教育计划，以符合护理教育工作者在临床实践和学术界的需求及其患者安全能力。此外，研究结果揭示了临床和学术环境之间有效沟通对于实现无缝患者安全教育的重要性。
