通过接受质量圈使用培训的护理教师，提高护理专业学生对患者安全的实施能力。
Improving the implementation of patient safety by nursing students using nursing instructors trained in the use of quality circles.
作者信息
Noviyanti Linda Wieke, Handiyani Hanny, Gayatri Dewi
机构信息
1Nursing Management Department, Brawijaya University, Malang, East Java 65145 Indonesia.
2Basic Nursing Department, University of Indonesia, Depok, West Java 16424 Indonesia.
出版信息
BMC Nurs. 2018 Dec 19;17(Suppl 2):53. doi: 10.1186/s12912-018-0318-7. eCollection 2018.
BACKGROUND
It is recognised worldwide that the skills of nursing students concerning patient safety is still not optimal. The role of clinical instructors is to instil in students the importance of patient safety. Therefore, it is important to have competent clinical instructors. Their experience can be enhanced through the application of quality circles. This study identifies the effect of quality circles on improving the safety of patients of nursing students. Patient safety is inseparable from the quality of nursing education. Existing research shows that patient safety should be emphasised at all levels of the healthcare education system. In hospitals, the ratio between nursing students and clinical instructors is disproportionately low. 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.
METHODS
This study used a quasi-experimental research design with pre-test and post-test non-equivalent control groups. 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. A questionnaire will be conducted to evaluate the implementation of patient safety and the impact of the intervention. The data were statistically analysed using independent tests. 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. 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.
RESULTS
The results showed a significant increase in the behaviour of nursing students towards patient safety issues ( < 0.001; α = 0.05).
CONCLUSIONS
The implementation of quality circles has a significant effect on patient safety. Therefore, it is recommended to implement quality circles as a problem-solving technique to optimize patient safety.
背景
全球范围内都认识到护理专业学生在患者安全方面的技能仍未达到最佳水平。临床带教老师的作用是向学生灌输患者安全的重要性。因此，拥有称职的临床带教老师很重要。通过应用质量圈可以提升他们的经验。本研究确定质量圈对提高护理专业学生患者安全性的影响。患者安全与护理教育质量密不可分。现有研究表明，应在医疗教育系统的各个层面强调患者安全。在医院中，护理专业学生与临床带教老师的比例极低。在印度尼西亚，涉及学生的患者安全事件数据记录不完善，而且这些事件经常在没有临床带教老师在场的情况下发生。
方法
本研究采用带有前测和后测的非等效对照组的准实验研究设计。该项目的目的是通过比较对照组和干预组学生的知识、态度和实践，探讨质量圈对临床带教老师的影响。将通过问卷调查来评估患者安全措施的实施情况以及干预的影响。使用独立检验对数据进行统计分析。干预措施是实施质量圈，重点关注患者安全问题，以便临床带教老师评估和指导实习护士在患者安全方面的行为。本研究的作者对临床带教老师进行了培训，教他们如何使用质量圈方法来解决护理问题，尤其是与学生患者安全问题相关的问题。
结果
结果显示护理专业学生在患者安全问题上的行为有显著改善（<0.001；α = 0.05）。
结论
质量圈的实施对患者安全有显著影响。因此，建议将质量圈作为一种解决问题的技术加以实施，以优化患者安全。
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