Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/54389
Title: Conflict, confusion and inconsistencies: Pre-registration nursing students' perceptions and experiences of speaking up for patient safety
Contributor(s): Fagan, Anthea  (author)orcid ; Lea, Jackie  (supervisor)orcid ; Parker, Vicki  (supervisor)orcid 
Publication Date: 2021-01
Early Online Version: 2020-09-03
DOI: 10.1111/nin.12381
Handle Link: https://hdl.handle.net/1959.11/54389
Abstract: 

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.

Publication Type: Journal Article
Source of Publication: Nursing Inquiry, 28(1), p. 1-11
Publisher: Wiley-Blackwell Publishing Ltd
Place of Publication: United Kingdom
ISSN: 1440-1800
1320-7881
Fields of Research (FoR) 2020: 420599 Nursing not elsewhere classified
Socio-Economic Objective (SEO) 2020: 200307 Nursing
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article
School of Health

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