University of New England, Armidale, NSW, Australia.
University of Southern Queensland, Toowoomba, QLD, Australia.
Nurs Inq. 2021 Jan;28(1):e12381. doi: 10.1111/nin.12381. Epub 2020 Sep 3.
There is growing evidence demonstrating that nursing students encounter unsafe and poor clinical practice when on clinical placement. The impact on nursing students remains relatively under-explored, especially in the Australian context. This two-phased qualitative study used Interpretive Description to explore 53 pre-registration nursing students' perceptions and experiences of speaking up for patient safety. Results of the study identified students believe speaking up is the right thing to do, and their professional responsibility. The study results add to previous research by describing the dissonance students experience due to the inconsistencies between what is taught at university and performed in practice. Student's distress arises when observing nurses taking short cuts, justifying such actions and making excuses about poor practice. Students report experiencing dissonance, bewilderment and confusion and at times, anger when observing poor practice. The clinical environment culture influences students' decisions to speak up or remain silent. Understanding students' perceptions and responses will promote awareness and discussion essential to the future development of curricula and clinical support strategies that will enable students to speak up.
越来越多的证据表明，护理学生在临床实习期间会遇到不安全和不良的临床实践。然而，这对护理学生的影响在很大程度上仍未得到充分探索，特别是在澳大利亚的背景下。本研究采用解释性描述方法，分两个阶段探索了 53 名注册前护理学生对患者安全直言不讳的看法和经历。研究结果表明，学生们认为直言不讳是正确的做法，也是他们的职业责任。该研究结果补充了之前的研究，描述了学生们在大学所教授的内容和实践中所表现出来的不一致性所带来的不和谐。当学生观察到护士走捷径、为不良行为找借口时，他们会感到痛苦。学生们报告说，当他们观察到不良做法时，他们会感到不和谐、困惑和困惑，有时甚至会感到愤怒。临床环境文化会影响学生是否直言不讳的决定。了解学生的看法和反应将有助于提高认识，并进行必要的讨论，这对于未来课程和临床支持策略的发展至关重要，这些策略将使学生能够直言不讳。
