The study aimed to examine the effect of patient safety education applied to midwifery students on their patient safety competency (PSC).
Method
In this study, a quasi-experimental pre-test–post-test design with an intervention and a non-equivalent comparison group was used. This study was conducted in the Midwifery Department of a university in Turkey in the fall semester of the 2022–2023 academic year to senior students as 45 in the Education + group and 37 in the Education- group. The elective patient safety course was applied face-to-face to the students in the Education + group for 16 h theoretically, 12 h practically for a total of 28 h. Research data were collected from the Education + and Education- group using the PSC Self-Evaluation Tool (PSCSE) immediately before the start of the course period, and 1 week after the end.
Results
The study results showed that there was a significant increase in the PSC overall mean score (p value 0.004), mean scores of the Knowledge (p value 0.001), Skills (p value 0.006) and Attitude (p value 0.02) dimensions in the Education + group.
Conclusion
The patient safety course, which was applied as an elective course for the first time in the midwifery undergraduate program where the study was conducted, was found to be effective in improving the PSC of midwifery students in terms of attitude, skills and knowledge. It is recommended that the patient safety course should be taught in two semesters within the scope of the theoretical and practical compulsory course in midwifery undergraduate programs.
Global patient safety action plan 2021–2030: towards eliminating avoidable harm in health care. Geneva: World Health Organization; 2021a. Licence: CC BY-NC-SA 3.0 IGO.
2.
RodziewiczTLHousemanBVaqarS, et al.Medical error reduction and prevention. In: StatPearls. Treasure Island, FL: StatPearls Publishing, 2024.
3.
Strengthening quality midwifery education for Universal Health Coverage 2030: framework for action. Geneva: World Health Organization, 2019b. Licence: CC BY-NC-SA 3.0 IGO. ISBN 978-92-4-151584-9.
NoveAFribergIKde BernisL, et al.Potential impact of midwives in preventing and reducing maternal and neonatal mortality and stillbirths: a lives saved tool modelling study. Lancet Glob Health2021; 9: e24–e32.
6.
United Nations Population Fund, International Confederation of Midwives, World Health Organization. The state of the word’s midwifery 2021[R]. New York: United Nations Population Fund, 2021.
7.
JamshidiHHemmati MaslakpakMParizadN. Does problem-based learning education improve knowledge, attitude, and perception toward patient safety among nursing students? A randomized controlled trial. BMC Nurs2021; 20: 70.
8.
LeeNJAnJYSongTM, et al.Psychometric evaluation of a patient safety competency self-evaluation tool for nursing students. J Nurs Educ2014; 53: 550–562.
9.
HwangJIYoonTYJinHJ, et al.Patient safety competence for final-year health professional students: perceptions of effectiveness of an interprofessional education course. J Interprof Care2016; 30: 732–738.
10.
KongLNZhuWFHeS, et al.Attitudes towards patient safety culture among postgraduate nursing students in China: A cross-sectional study. Nurse Educ Pract2019; 38: –6.
SvitlicaBBŠajnovićMSiminD, et al.Patient safety: knowledge and attitudes of medical and nursing students: cross-sectional study. Nurse Educ Pract2021; 53: 103089.
AnugrahsariSChaerumanUAAbbasH,et al.Patient safety education for clinical students: a systematic literature review. Open Access Maced J Med Sci2022; 10: 208–214.
22.
KimYMYoonYSHongHC,et al.Effects of a patient safety course using a flipped classroom approach among undergraduate nursing students: a quasi-experimental study. Nurse Educ Today2019; 79: 180–187.
23.
ŞahinEYeşilçınarİGerişR,et al.Ebelik Öğrencilerinin tıbbi hatalar ve hasta güvenliğine yönelik tutumlarının belirlenmesi. Life Sciences (NWSALS)2020; 15: 9–18.
24.
De RezendeHVitorioAMFMoraisAS, et al.Effectiveness of educational interventions to develop patient safety knowledge, skills, behaviours and attitudes in undergraduate nursing students: a systematic review protocol. BMJ Open2022; 12: e058888.
25.
SarıtaşEBaykaraZG. The effect of flipped learning approach on nursing students’ learning of patient safety: a randomized controlled trial. Nurse Educ Pract2023; 72: 103742. Advance online publication..
26.
LendahlsLOscarssonMG. Midwifery students’ experiences of simulation- and skills training. Nurse Educ Today2017; 50: 12–16.
27.
ZouYZhaiJWangX, et al.Effects of obstetric critical care simulation training on core competency and learning experience of midwives: a pilot quasi-experimental study. Nurse Educ Pract2023; 69: 103612.
28.
EskiciGTKanigMUgurE,et al.The turkish version of the patient safety competency self-evaluation tool: a validity and reliability study. Nurse Educ Pract2021; 57: 103229.
29.
NormanG. Likert Scales, levels of measurement and the “laws” of statistics. Adv Health Sci Educ2010; 15(5): 625–632.
30.
GolakiSPKamaliFBagherzadehR, et al.The effect of flipped classroom through near peer education (FC through NPE) on patient safety knowledge retention in nursing and midwifery students: a solomon four-group design. BMC Med Educ2022; 22: 12.
31.
TorkamanMSabziAFarokhzadianJ. The effect of patient safety education on undergraduate nursing Students’ patient safety competencies. Commun Health Equity Res Policy2022; 42: 219–224.
32.
RebeschiLM. Perceived patient safety competence of baccalaureate nursing students: a descriptive comparative study. SAGE Open Nursing2020; 6: 2377960820930134.
33.
HuangFFShenXYChenXL, et al.Self-reported confidence in patient safety competencies among Chinese nursing students: a multi-site cross-sectional survey. BMC Med Educ2020; 20: 32.
34.
AlfaqawiMBöttcherBAbuowdaY, et al.Treating patients in a safe environment: a cross-sectional study of patient safety attitudes among doctors in the gaza strip, palestine. BMC Health Serv Res2020; 20: 88.
35.
DurmazAGün KakaşçıÇ. The effects of simulation-based training on midwifery student malpractice trends and student perceptions of care behaviors: a randomized controlled trial. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi2022; 6: 405–418.
36.
NoviyantiLWHandiyaniHGayatriD. Improving the implementation of patient safety by nursing students using nursing instructors trained in the use of quality circles. BMC Nurs2018; 17: 53.
37.
MyersJSWongBM. Measuring outcomes in quality improvement education: success is in the eye of the beholder. BMJ Qual Saf2019; 28: 345–348.
38.
CooperS. Simulation versus lecture? Measuring educational impact: considerations for best practice. Evid Based Nurs2016; 19: 55.
