Integrating patient safety in nursing education: An analysis of pre-registration nursing curricula in Kenya
Nickcy Nyaruai Mbuthia, PhD
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The purpose of this research was to investigate the extent to which patient safety concepts were integrated in the Kenyan pre-registration Bachelor of Science in nursing curriculum, and to understand the issues that influence its delivery in the classroom and clinical settings, with the aim of developing strategies that will enhance the integration of patient safety concepts in the curriculum. In the first phase, a qualitative content analysis of the nursing curriculum documents was performed. In addition, semi-structured interviews were conducted with 13 faculty members to explore the extent to which the patient safety concepts are addressed in the nursing curriculum. In the second phase, the researcher assessed the patient safety knowledge and competencies as perceived by the nursing students using a quantitative approach whereby the Health Professional Education in Patient Safety Survey was administered to 178 nursing students in two nursing schools. The third phase, a quantitative approach, was utilised to assess the patient safety culture in the two main hospitals used by the schools for the clinical rotations using the Safety Attitudes Questionnaire – Short Form Questionnaire which was administered to 234 healthcare professionals. Additionally, a qualitative approach was utilised to explore the perceptions of staff on the preparation of the pre-registration nursing students in patient safety by conducting semi-structured interviews with 14 participants. The content analysis showed that patient safety was not an explicit and discrete content in the curriculum documents. The perspectives of the faculty were presented under four main themes that emerged from the thematic analysis. The results of the student survey showed that generally the students were more confident about learning on the clinical aspects of patient safety than the sociocultural aspects and they were more confident in classroom learning than in clinical learning. From the hospital survey, the staff had a positive perception of the overall patient safety culture, but the mean score was below the international benchmark. From the analysis of the semi-structured interviews on the hospital staff five main themes emerged. Based on the findings, strategies for the integration of the patient safety concepts in nursing education were developed.
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|Review Type||None: Degree-based Submission|
|Research Approach||Mixed/Multi Method Research|
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