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A cross-sectional survey of nursing students' patient safety knowledge


Levett-Jones, T and Andersen, P and Bogossian, F and Cooper, S and Guinea, S and Hopmans, R and McKenna, L and Pich, J and Reid-Searl, K and Seaton, P, A cross-sectional survey of nursing students' patient safety knowledge, Nurse Education Today, 88 Article 104372. ISSN 0260-6917 (2020) [Refereed Article]

Copyright Statement

© 2020 Elsevier Ltd. All rights reserved.

DOI: doi:10.1016/j.nedt.2020.104372


Background: Knowledge provides a foundation for safe and effective nursing practice. However, most previous studies have focused on exploring nursing students' self-reported perceptions of, or confidence in, their level of patient safety knowledge, rather than examining their actual levels of knowledge.

Objective: The overarching objective of this study was to examine final year nursing students' levels of knowledge about key patient safety concepts.

Design: A cross-sectional design was used for this study. Data collection was undertaken during 2018 using a web-based patient safety quiz with 45 multiple choice questions informed by the Patient Safety Competency Framework for Nursing Students. A Modified Angoff approach was used to establish a pass mark or ‘cut score’ for the quiz.

Setting and participants: Nursing students enrolled in the final year of a pre-registration nursing program in Australia or New Zealand were invited to participate in the study.

Results: In total, 2011 final year nursing students from 23 educational institutions completed the quiz. Mean quiz scores were 29.35/45 or 65.23% (SD 5.63). Participants achieved highest scores in the domains of person-centred care and therapeutic communication, and lowest scores for infection prevention and control and medication safety.

Based on the pass mark of 67.3% determined by the Modified Angoff procedure, 44.7% of students (n = 899) demonstrated passing performance on the quiz. For eight of the institutions, less than half of their students achieved a passing mark.

Conclusions: Given the pivotal role that nurses play in maintaining patient safety, the results from this quiz raise important questions about the preparation of nursing students for safe and effective clinical practice. The institutional results also suggest the need for increased curricula attention to patient safety.

Item Details

Item Type:Refereed Article
Keywords:nursing student, patient safety, quiz, cross-sectional survey, Modified Angoff
Research Division:Education
Research Group:Curriculum and pedagogy
Research Field:Medicine, nursing and health curriculum and pedagogy
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Reid-Searl, K (Professor Kerry Reid-Searl)
ID Code:153666
Year Published:2020
Web of Science® Times Cited:16
Deposited By:Nursing
Deposited On:2022-09-30
Last Modified:2022-11-17

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