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探索实习护士在患者安全事件、报告及患者参与实践中的经历。

Exploration of student nurses' experiences in practice of patient safety events, reporting and patient involvement.

作者信息

Morey Sarah, Magnusson Carin, Steven Alison

机构信息

Northumbria University, Coach Lane Campus, Coach Lane, Newcastle-Upon-Tyne NE77TR, United Kingdom.

University of Surrey, Stag Hill University Campus, Guildford. GU27XH, United Kingdom.

出版信息

Nurse Educ Today. 2021 May;100:104831. doi: 10.1016/j.nedt.2021.104831. Epub 2021 Mar 3.

Abstract

BACKGROUND/INTRODUCTION: Qualified and student nurses remain at the forefront of dealing with, and reporting, patient safety events or incidents. There has been limited exploration of whether and how the patient's perspective is represented by staff or student nurses using formal reporting systems.

OBJECTIVES

The overall aim of the study was to explore the student nurses' experiences in practice of patient safety events they were themselves directly or indirectly involved in. This specifically explored the subsequent reporting and inclusion of the patient perspectives that may or may not have taken place.

DESIGN

A qualitative approach to this research was selected using the principles of thematic analysis to analyse data gathered from focus groups of student nurses across all year groups.

SETTING

Three universities participated in the study located in the north east, south east and east of England.

PARTICIPANTS

Student nurses from across the year groups attended focus groups.

METHODS

Following ethical approval and informed consent, participants took part in focus groups within each university setting. Data were transcribed verbatim and analysed using thematic analysis.

RESULTS

Three themes were identified: the benefit of reporting and patient involvement, the barriers experienced by the students in reporting and the support needed to ensure they do the right thing in practice.

CONCLUSION

Learning for students from patient safety incidents is important and seeking patients' views and perceptions adds to the learning experience. There are however challenges for the student in practice in both reporting and patient involvement. Resources are needed that follow and feed into the student learning alongside a workforce that see the benefit of learning from those we care for.

摘要

背景/引言:注册护士和实习护士始终处于应对和报告患者安全事件的前沿。对于工作人员或实习护士通过正式报告系统呈现患者观点的情况,以及如何呈现,目前的探讨还很有限。

目的

本研究的总体目标是探究实习护士在实践中对自身直接或间接涉及的患者安全事件的经历。具体而言,就是探究后续报告以及患者观点是否被纳入报告的情况。

设计

本研究采用定性研究方法,运用主题分析原则对从各年级实习护士焦点小组收集的数据进行分析。

地点

三所位于英格兰东北部、东南部和东部的大学参与了该研究。

参与者

各年级的实习护士参加了焦点小组。

方法

在获得伦理批准并取得知情同意后,参与者在每所大学的环境中参加焦点小组。数据逐字转录,并使用主题分析进行分析。

结果

确定了三个主题:报告和患者参与的益处、学生在报告过程中遇到的障碍以及确保他们在实践中做出正确行为所需的支持。

结论

从患者安全事件中学习对学生很重要,征求患者的意见和看法能丰富学习体验。然而,实习学生在报告和患者参与方面都面临挑战。需要有相应资源来跟进并促进学生学习,同时需要有这样一支工作人员队伍,他们能认识到从我们所护理的人身上学习的益处。

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