• Quality & Safety Education for Nurses includes 6 competencies:
  • Patient-centered care
  • Teamwork and collaboration
  • Evidence-based practice
  • Quality improvement
  • Safety (culture of safety)
  • Informatics
• Implicit→Explicit QSEN
  • Simulated learning
  • Clinical experiences
• Research findings
  • Student awareness and understanding→ decrease in preventable errors
  • Students focus on the bedside. What about systems level quality/safety?
    • Students need to know Q/S implications at different systems levels
  • The World Health Organization (WHO) multi-professional patient safety guide
    • Interprofessional education
      • 11 patient safety topics
      • Human factors*, systems thinking

*Human factors=designing structures and processes to decrease human error

• Pre/post-test non-experimental design with UK pre-registration nursing students
  • Curriculum=50% theory, 50% practice
  • Students must pass 12 modules, 11 have practice elements
  • Last module: Professional Management module
    • Patient safety educational intervention=2 lectures, 1 facilitated group work (FGW)
    • WHO materials: a) What is patient safety? b) How we understand and learn from errors to prevent harm.
      • 5 lecture hours at 2^nd, 8^th week, 1 3-hour FG on 9^th week
    • 181 baseline questionnaires, 141 questionnaires at the 10^th, last week
      • WHO pre-test 28 item questionnaire on attitudes and knowledge
      • WHO post-test: same questions + 16 questions on perceptions of teaching effectiveness and merit of content in the curriculum
    • Significant differences in attitudes after intervention for:
      • Error and patient safety
      • Personal influence over safety
    • No significant differences after the intervention for 5 knowledge questions
    • Positive feedback: “Should have been taught earlier.”
  • Rationale for non-significant findings:
    • Classroom content needs to be reinforced in simulations, practice

Mansour, Mansour, Alice Skull, and Michael Parker. “Evaluation of World Health Organization Multi-Professional Patient Safety Curriculum Topics in Nursing Education: Pre-test, post-test, none-experimental study.” Journal of Professional Nursing 31.5 (2015): 432-439.