The Situation of Risk Management for Patient Safety and Patients’ Risk Prevention Guidelines for Practicing on the Wards among Nursing Students, Boromarajonani College of Nursing, Chakriraj

Abstract

The objectives of research were: 1) to examine the relationships between perceptions and awareness towards capabilities of risk management for patient safety, 2) to compare the capabilities of risk management for patient safety among nursing students practicing on the wards, and 3) to study causes and patients’ risk prevention guidelines for clinical practice among nursing students practicing on the wards. The mixed-methods explanatory sequential design was used in this study. There were two phases: the quantitative phase and the qualitative phase. In the quantitative phase, the samples were 120 samples were obtained from the 3^rd - 4^th year nursing students in the academic year 2020 using simple random sampling. The data were collected from the questionnaires on the perceptions, awareness and capabilities of risk management for patient safety among nursing students practicing on wards with Cronbach’s alpha reliability at .85. The descriptive statistics, Pearson product-moment correlation coefficient. and paired t-test were used for data analysis. 2) The qualitative data were collected by purposive sampling from 15 nursing instructors, 28 mentors, and 3 students who had experienced in nursing procedures errors. The content analysis was used to determine causes and patients’ risk prevention guidelines for clinical practice among nursing students practicing on the wards. The results of the study were:

1. The majority of incidence which was reported were medication administration (33.33%). Average scores on all perceptions, awareness and capabilities of risk management for patient safety among nursing students practicing on wards were reported at the highest level (M = 4.93, 4.95, 4.91; SD = .25,.21, .29 respectively)

2. There was a positive relationship between nursing students’ perception, awareness of nursing students practicing on wards and the capabilities of risk management for patient safety were statistically significant at level p < .01.

3. Based on their focus group of nursing instructors, mentors, and nursing students, the result revealed the reasons of the incidence during training were a lack of knowledge, skills, experiences and a lack of discretion. Therefore, practice guidelines to prevent the incidences of nursing procedures should be paid attention on preparation and close supervision of nursing students.