Abstract
To identify patient safety competencies, and determine the clinical learning environments that facilitate the development of patient safety competencies in nursing students. Patient safety in nursing education is of key importance for health professional environments, settings and care systems. To be effective, safe nursing practice requires a good integration between increasing knowledge and the different clinical practice settings. Nurse educators have the responsibility to develop effective learning processes and ensure patient safety. Rapid Evidence Assessment. MEDLINE, CINAHL, SCOPUS and ERIC were searched, yielding 500 citations published between 1 January 2004-30 September 2014. Following the Rapid Evidence Assessment process, 17 studies were included in this review. Hawker's (2002) quality assessment tool was used to assess the quality of the selected studies. Undergraduate nursing students need to develop competencies to ensure patient safety. The quality of the pedagogical atmosphere in the clinical setting has an important impact on the students' overall level of competence. Active student engagement in clinical processes stimulates their critical reasoning, improves interpersonal communication and facilitates adequate supervision and feedback. Few studies describe the nursing students' patient safety competencies and exactly what they need to learn. In addition, studies describe only briefly which clinical learning environments facilitate the development of patient safety competencies in nursing students. Further research is needed to identify additional pedagogical strategies and the specific characteristics of the clinical learning environments that encourage the development of nursing students' patient safety competencies.
Highlights
This paper is a rapid synthesis of the literature on undergraduate nursing students’ competencies regarding patient safety and the characteristics of the clinical settings, used as learning environments
The purpose of this review was to analyse studies focusing on the characteristics of the clinical learning environments that facilitate the development of patient safety competencies in nursing students and to synthesize the findings
These studies show that nursing students need to develop complex skills to ensure patient safety
Summary
This paper is a rapid synthesis of the literature on undergraduate nursing students’ competencies regarding patient safety and the characteristics of the clinical settings, used as learning environments. According to Mansour (2015), Schools of nursing and health education organizations are in the position to deliver the required patient safety education For this reason, patient safety in nursing education is of key importance in all professional environments, settings and care systems (Canadian Nurses Association 2009, Groves et al 2011). According to Benner et al (2010) it is necessary to use clinical reasoning, skilled expertise and ethical integrity to improve practice, such as developing patient safety consciousness in nursing students. When students start their experience in clinical environments, they understand what clinical safety is (Killam et al 2012). As underlined by Killam et al (2012), there is a lack of knowledge into the kind of clinical situations that influence the development of a safety consciousness from a student perspective
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