Graduate nurse views on patient safety: Navigating challenging workplace interactions with senior clinical nurses

2021 ◽  
Author(s):  
Ashlyn Sahay ◽  
Eileen Willis
Keyword(s):  
Patient Safety ◽  
Workplace Interactions ◽  
Clinical Nurses ◽  
Graduate Nurse

scholarly journals Patient Safety Culture from Mazandaran Clinical Nurses’ Perspective

2014 ◽  
Vol 27 (88) ◽  
pp. 77-87 ◽  
Author(s):  
S Sharifi ◽  
A Izadi-tame ◽  
KH Hatamipour ◽  
N Sadeghigooghary ◽  
L Safabakhsh ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Clinical Nurses

scholarly journals Usability Evaluation of An Electronic Medication Administration Record (eMAR) Application

2011 ◽  
Vol 02 (02) ◽  
pp. 202-224 ◽  
Author(s):  
S. Iribarren ◽  
S. Kapsandoy ◽  
S. Perri ◽  
N. Staggers ◽  
J. Guo
Keyword(s):  
Patient Safety ◽  
Medication Administration ◽  
Usability Evaluation ◽  
Staff Nurses ◽  
Call To Action ◽  
Clinical Nurses ◽  
Usability Problems ◽  
Evaluation Techniques ◽  
Promote Patient Safety ◽  
Electronic Medication Administration

SummaryBackground: Electronic medication administration records (eMARs) have been widely used in recent years. However, formal usability evaluations are not yet available for these vendor applications, especially from the perspective of nurses, the largest group of eMAR users.Objective: To conduct a formal usability evaluation of an implemented eMAR.Methods: Four evaluators examined a commercial vendor eMAR using heuristic evaluation techniques. The evaluators defined seven tasks typical of eMAR use and independently evaluated the application. Consensus techniques were used to obtain 100% agreement of identified usability problems and severity ratings. Findings were reviewed with 5 clinical staff nurses and the Director of Clinical Informatics who verified findings with a small group of clinical nurses.Results: Evaluators found 60 usability problems categorized into 233 heuristic violations. Match, Error, and Visibility heuristics were the most frequently violated. Administer Medication and Order and Modify Medications tasks had the highest number of heuristic violations and usability problems rated as major or catastrophic.Conclusion: The high number of usability problems could impact the effectiveness, efficiency and satisfaction of nurses’ medication administration activities and may include concerns about patient safety. Usability is a joint responsibility between sites and vendors. We offer a call to action for usability evaluations at all sites and eMAR application redesign as necessary to improve the user experience and promote patient safety.

Dynamic workplace interactions for improving patient safety climate

2017 ◽  
Vol 31 (1) ◽  
pp. 38-53 ◽  
Author(s):  
Susan Brandis ◽  
John Rice ◽  
Stephanie Schleimer
Keyword(s):  
Patient Safety ◽  
Employee Engagement ◽  
Safety Climate ◽  
Interprofessional Collaboration ◽  
Ordinary Least Squares ◽  
Content Type ◽  
Quantitative Evidence ◽  
Workplace Interactions ◽  
Australian Health ◽  
Patient Safety Climate

Purpose Employee engagement (EE), supervisor support (SS) and interprofessional collaboration (IPC) are important contributors to patient safety climate (PSC). The purpose of this paper is to propose and empirically test a model that suggests the presence of a three-way interaction effect between EE, IPC and SS in creating a stronger PSC. Design/methodology/approach Using validated tools to measure EE, SS, IPC and PSC data were collected from a questionnaire of 250 clinical and support staff in an Australian health service. Using a statistical package (SPSS) an exploratory factor analysis was conducted. Bivariate correlations between the derived variables were calculated and a hierarchical ordinary least squares analysis was used to examine the interaction between the variables. Findings This research finds that PSC emerges from synergies between EE, IPC and SS. Modelling demonstrates that the effect of IPC with PSC is the strongest when staff are highly engaged. While the authors expected SS to be an important predictor of PSC; EE has a stronger relationship to PSC. Practical implications These findings have important implications for the development of patient safety programmes that focus on developing excellent supervisors and enabling IPC. Originality/value The authors provide quantitative evidence relating to three of the often mentioned constructs in the typology of patient safety and how they work together to improve PSC. The authors believe this to be the first empirically based study that confirms the importance of IPC as a lead marker for improved patient safety.

scholarly journals Development of a patient safety care activity scale for clinical nurses in Korea

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Ya Ki Yang
Keyword(s):  
Patient Safety ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Invasive Procedure ◽  
Validity And Reliability ◽  
Patient Identification ◽  
Diverse Range ◽  
Clinical Nurses ◽  
Convergent And Discriminant Validity ◽  
Care Activity

Abstract Background The aim of this study was to develop a scale to measure patient safety care activities for clinical nurses and to verify validity and reliability it. Methods Literature review and expert consultation were utilized to develop the scale of the Patient Safety Care Activities. The validity and reliability analyses were conducted with 428 nurses working at 5 general hospitals. Exploratory factor analysis of the scale was performed, and convergent and discriminant validity as well as internal consistency reliability were determined. Results Eight subcategories (security, patient identification, operation (invasive procedure), medication, blood transfusion, management of infection, management of falls & sores, management of firefighting) with 44 items were validated to measure patient safety care activities. Convergent and discriminant validity indicated the applicability of the eight-factor Patient Safety Care Activities scale. The reliability of the Patient Safety Care Activities Scale was acceptable, with Cronbach’s a = .88 ~ .95. Conclusion The developed scale showed content, construct validity, and reliability, as well as convergent validity for each item and discriminant validity between the factors. This makes it suitable for use in a diverse range of future studies on patient safety care activity.

scholarly journals Perspectives on Patient Safety Education in the Kenyan Preregistration Nursing Curriculum

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Nickcy Nyaruai Mbuthia ◽  
Mary M Moleki
Keyword(s):  
Patient Safety ◽  
Content Analysis ◽  
Safety Culture ◽  
Nursing Faculty ◽  
Qualitative Content Analysis ◽  
Patient Safety Culture ◽  
Nursing Curriculum ◽  
Safety Education ◽  
Clinical Nurses ◽  
Patient Safety Education

Patient safety education is recognised as a key ingredient in the development of safety competencies in healthcare professionals. To ensure that patient safety is emphasised in the preregistration education, it is important that it be integrated explicitly in the curriculum. This study aimed at identifying explicit patient safety concepts in the Kenyan nursing curriculum and exploring the perspectives of the nursing faculty members and clinical nurses on the integration of patient safety in the curriculum. A qualitative content analysis was conducted on the relevant curriculum documents from two universities. In-depth, semi-structured interviews were conducted on a purposive sample of 13 staff members of the nursing faculty from the university and 14 clinical nurses from the hospitals where the students undergo clinical instruction. A thematic analysis was carried out on the transcribed interviews from which four themes and subthemes emerged. The curriculum content analysis did not identify any explicit patient safety content but the content was rather implicit within the curriculum as a series of statements and inferences to patient safety. The themes included curriculum issues, student characteristics, a patient safety culture, clinical education issues, and the academic-clinical relationship. To ensure training of a nurse who is competent in patient safety, the concepts must be integrated in the curriculum, the academic and clinical faculties need to be well equipped to teach and assess these concepts, the patient safety culture in clinical placement sites should be conducive to allow for learning about patient safety, and better collaboration between the academic and clinical settings for integration of patient safety in nursing education should be realised.

Ethical issues in patient safety

2013 ◽  
Vol 20 (8) ◽  
pp. 904-916 ◽  
Author(s):  
Mari Kangasniemi ◽  
Mojtaba Vaismoradi ◽  
Melanie Jasper ◽  
Hannele Turunen
Keyword(s):  
Decision Making ◽  
Patient Safety ◽  
Nurse Managers ◽  
Ethical Issues ◽  
Management Practice ◽  
Shared Responsibility ◽  
Nursing Management ◽  
Clinical Nurses ◽  
Future Challenges ◽  
Strategic Role

The purpose of this article is to discuss the ethical issues impacting the phenomenon of patient safety and to present implications for nursing management. Previous knowledge of this perspective is fragmented. In this discussion, the main drivers are identified and formulated in ‘the ethical imperative’ of patient safety. Underlying values and principles are considered, with the aim of increasing their visibility for nurse managers’ decision-making. The contradictory nature of individual and utilitarian safety is identified as a challenge in nurse management practice, together with the context of shared responsibility and identification of future challenges. As a conclusion, nurse managers play a strategic role in patient safety. Their role is to incorporate ethical values of patient safety into decision-making at all levels in an organization, and also to encourage clinical nurses to consider values in the provision of care to patients. Patient safety that is sensitive to ethics provides sustainable practice where the humanity and dignity of all stakeholders are respected.

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