探索伊朗护理专业学生为患者安全发声的障碍：一项定性研究。
Exploring the barriers to nursing students' speaking up for patient safety in Iran: a qualitative study.
作者信息
Vahidi Maryam, Rahmani Farnaz, Areshtanab Hossein Namdar, Allahyari Zahra
机构信息
Department of Psychiatric Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
Research Center of Psychiatric and Behavioral Sciences, Razi Hospital, Tabeiz University of Medical Sciences, Tabriz, Iran.
出版信息
BMC Nurs. 2025 May 12;24(1):513. doi: 10.1186/s12912-025-03150-5.
BACKGROUND
Patient safety is a significant concern in healthcare settings, and speaking up for patient safety is essential for promoting the quality of care and preventing harm. However, nurses, including nursing students, often face barriers that hinder their ability to report safety concerns. In this study, we explored the nursing students' experiences of barriers to speaking up for patient safety in clinical practice settings.
METHODS
The study used an exploratory-descriptive qualitative design. Data were collected through semi-structured interviews with 19 final-year nursing students at the Tabriz Nursing and Midwifery Faculty between April and June 2023. The data were analyzed via conventional content analysis until data saturation was achieved.
RESULTS
This study revealed the formation of three distinct categories: lack of communication and collaboration between healthcare professionals and students, inadequate preparation for speaking up for patients' safety, and theory-practice disconnection in nursing education. These categories are composed of eight sub-categories.
CONCLUSION
The study found barriers that prevent nursing students from voicing concerns about patient safety in clinical settings. By understanding these obstacles, healthcare professionals can develop strategies to foster a safety culture and empower nursing students to advocate effectively for patient safety.
CLINICAL TRIAL NUMBER
Not applicable.
背景
患者安全是医疗环境中的一个重大问题，为患者安全发声对于提高护理质量和预防伤害至关重要。然而，护士，包括护理专业学生，常常面临阻碍他们报告安全问题的障碍。在本研究中，我们探讨了护理专业学生在临床实践环境中为患者安全发声时所面临的障碍经历。
方法
本研究采用探索性描述性定性设计。2023年4月至6月期间，通过对大不里士护理与助产学系的19名护理学专业最后一年学生进行半结构化访谈收集数据。通过常规内容分析对数据进行分析，直至达到数据饱和。
结果
本研究揭示了三个不同的类别：医疗专业人员与学生之间缺乏沟通与协作、为患者安全发声的准备不足以及护理教育中的理论与实践脱节。这些类别由八个子类别组成。
结论
该研究发现了阻碍护理专业学生在临床环境中表达对患者安全担忧的障碍。通过了解这些障碍，医疗专业人员可以制定策略来培养安全文化，并使护理专业学生有能力有效地倡导患者安全。
临床试验编号
不适用。
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