A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment

Fagan, A; Parker, V; Jackson, D

A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment

Fagan, A Parker, V Jackson, D

Permalink

Publication Type:: Journal Article
Citation:: Journal of advanced nursing, 2016, 72 (10), pp. 2346 - 2357
Issue Date:: 2016-10-01

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download Published VersionAdobe PDF (169.82 kB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Fagan, A	en_US
dc.contributor.author	Parker, V	en_US
dc.contributor.author	Jackson, D https://orcid.org/0000-0001-5252-5325	en_US
dc.date.available	2016-05-16	en_US
dc.date.issued	2016-10-01	en_US
dc.identifier.citation	Journal of advanced nursing, 2016, 72 (10), pp. 2346 - 2357	en_US
dc.identifier.uri	http://hdl.handle.net/10453/137808
dc.description.abstract	© 2016 John Wiley & Sons Ltd. AIM: An analysis of the concept of nursing students speaking up for patient safety in the workplace.BACKGROUND: 'Speaking up' is assertive communication in clinical situations that requires action through questions or statements of opinion or information with appropriate persistence and is linked to patient safety. Previously, the concept of speaking up has focused on the registered or experienced practitioners, there is minimal discussion relating to student nurses. Analysis of the elements of students speaking up will identify the key elements that will give understanding to their position and experiences.DESIGN: A concept analysis.DATA: Literature included publications between 1970-2015 from, MEDLINE, CINHAL, PUBMED and SCOPUS. Search terms included patient safety AND speaking up; AND pre-registration/undergraduate nursing students, patient advocate, error reporting, organizational silence, whistleblowing and clinical placement/practicum.METHODS: The Walker and Avant concept analysis model was modified and used to examine the literature.RESULTS: Nursing students speaking up behaviour is influenced by individual and contextual factors that differ from those influencing more experienced colleagues. Motivators and barriers to voicing concerns include moral and ethical beliefs, willingness and confidence to speak up in the workplace. Students' subordinate and often vulnerable position creates additional tensions and challenges that impact their decisions and actions.CONCLUSION: This concept analysis provides a clear definition of 'speaking up' in relation to nursing students. The analysis will facilitate understanding and operationalization of the concept applied to learning and teaching, practice and research.	en_US
dc.relation.ispartof	Journal of advanced nursing	en_US
dc.relation.isbasedon	10.1111/jan.13028	en_US
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Patient Care	en_US
dc.subject.mesh	Communication	en_US
dc.subject.mesh	Whistleblowing	en_US
dc.subject.mesh	Students, Nursing	en_US
dc.subject.mesh	Patient Safety	en_US
dc.title	A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment	en_US
dc.type	Journal Article
utslib.citation.volume	10	en_US
utslib.citation.volume	72	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	open_access	*
pubs.issue	10	en_US
pubs.publication-status	Published	en_US
pubs.volume	72	en_US

Abstract:

© 2016 John Wiley & Sons Ltd. AIM: An analysis of the concept of nursing students speaking up for patient safety in the workplace.BACKGROUND: 'Speaking up' is assertive communication in clinical situations that requires action through questions or statements of opinion or information with appropriate persistence and is linked to patient safety. Previously, the concept of speaking up has focused on the registered or experienced practitioners, there is minimal discussion relating to student nurses. Analysis of the elements of students speaking up will identify the key elements that will give understanding to their position and experiences.DESIGN: A concept analysis.DATA: Literature included publications between 1970-2015 from, MEDLINE, CINHAL, PUBMED and SCOPUS. Search terms included patient safety AND speaking up; AND pre-registration/undergraduate nursing students, patient advocate, error reporting, organizational silence, whistleblowing and clinical placement/practicum.METHODS: The Walker and Avant concept analysis model was modified and used to examine the literature.RESULTS: Nursing students speaking up behaviour is influenced by individual and contextual factors that differ from those influencing more experienced colleagues. Motivators and barriers to voicing concerns include moral and ethical beliefs, willingness and confidence to speak up in the workplace. Students' subordinate and often vulnerable position creates additional tensions and challenges that impact their decisions and actions.CONCLUSION: This concept analysis provides a clear definition of 'speaking up' in relation to nursing students. The analysis will facilitate understanding and operationalization of the concept applied to learning and teaching, practice and research.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/137808