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护理专业学生在临床学习经历中目睹的不良事件:一项纵向研究的结果

Adverse events witnessed by nursing students during clinical learning experiences: Findings from a longitudinal study.

作者信息

Stevanin Simone, Causero Giulia, Zanini Antonietta, Bulfone Giampiera, Bressan Valentina, Palese Alvisa

机构信息

Department of Medical Science, Udine University, Udine, Italy.

出版信息

Nurs Health Sci. 2018 Dec;20(4):438-444. doi: 10.1111/nhs.12430. Epub 2018 May 17.

Abstract

No evidence from any longitudinal study design has been reported to date with regard to patient safety (PS) incidents witnessed by nursing students during their training. Therefore, with the aim of closing this gap in available knowledge, a longitudinal study was performed from 2012 to 2015 by involving all nursing students (n = 145) enrolled in two Italian nursing programs. At the end of each academic year, students were invited to report in writing all PS incidents witnessed during their clinical learning experience; the number of days each student spent in their clinical setting was also collected from administrative records. Ninety students were included and 94 incidents were reported: 17 (18.1%) by first year students, 27 (28.7%) by second year students, and 50 (53.2%) by third year students. One third of students did not report any PS incident at the end of each academic year, while only a few reported more than one. The incidence density was 3.8/1000 days of clinical training without statistical differences across academic years. Supporting nursing students by encouraging them to share, discuss, and reflect on their clinical learning experience might increase their confidence in reporting safety incidents.

摘要

迄今为止,尚无关于护生在培训期间目睹的患者安全(PS)事件的任何纵向研究设计的证据报告。因此,为了填补现有知识的这一空白,2012年至2015年进行了一项纵向研究,纳入了意大利两个护理项目中的所有护生(n = 145)。在每个学年结束时,邀请学生书面报告他们在临床学习经历中目睹的所有PS事件;每个学生在临床环境中花费的天数也从行政记录中收集。纳入了90名学生,报告了94起事件:一年级学生报告了17起(18.1%),二年级学生报告了27起(28.7%),三年级学生报告了50起(53.2%)。三分之一的学生在每个学年结束时未报告任何PS事件,而只有少数学生报告了不止一起。发病率密度为每1000天临床培训3.8起,各学年之间无统计学差异。鼓励护生分享、讨论和反思他们的临床学习经历可能会增强他们报告安全事件的信心。

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