The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study

Abstract

Disclosure of patient safety incidents is a healthcare management strategy that primarily involves responding after incidents. We investigated the association between nursing students' moral sensitivity, attitudes about patient safety, and perceptions of open disclosure of patient safety incidents in Korea. Data were collected from 407 nursing students at four nursing universities using self-reported moral sensitivity, attitudes about patient safety, and perceptions about open disclosure of patient safety incidents as measures. The data were analyzed using t-test, one-way analysis of variance, and a multiple regression. As moral sensitivity and attitudes about patient safety improved, nursing students' perceptions regarding the open disclosure of patient safety incidents improved significantly. After controlling for gender, grade, and major satisfaction, the effect of changing attitudes about patient safety was greater than that of moral sensitivity for all perceptions of open disclosure. An education and intervention program is needed to improve nursing students' attitudes about patient safety and promote the open disclosure of patient safety incidents during undergraduate training.

The relationship between the perception of open disclosure of patient safety incidents, perception of patient safety culture, and ethical awareness in nurses

“…Nurses’ perception of open disclosure of PSIs [ 15 ] was assessed using a questionnaire modified and adapted by us based on the study on nurses in nursing homes by Wagner et al [ 16 ]; the study on physicians by Kadjian et al [ 17 ]; and the systematic review on open disclosure of PSIs by Lee et al [ 18 ]. The contents of the survey were assessed by a panel of four experts, including one professor of a patient safety association and three nurses specializing in patient safety with a career of five years or longer.…”

Evaluating the relationship between information literacy and evidence-based nursing and their impact on knowledge and attitude of nurses working in hospitals affiliated to Kerman University of Medical Sciences on medication errors

“…Nowadays, protection of the patient's safety is considered as a basic principle of any healthcare system, so that any harm to his or her safety leads to a loss of trust in the healthcare system. [ 1 2 ] Medication errors are one of the patient safety problems with a high prevalence in several countries, and often involve a lack of collaborative communication between health professionals, including doctors, pharmacists, and nurses. [ 3 ] In global nursing education, patient safety is becoming increasingly integrated into the curricula based on actual healthcare.…”

A Study of How Moral Courage and Moral Sensitivity Correlate with Safe Care in Special Care Nursing

“…All the items are scored on a 5-point Likert scale: never (1 point), seldom (2 points), sometimes (3 points), frequently (4 points), and always (5 points). e questionnaire also shows the loading of each item: the loading of items 14, 18, 19, 20, and 32 equals 1, the loading of items 2, 3,4,5,7,10,11,12,13,15,16,17,21,26, and 30 equals 2, the loading of items 1, 6, 8, 9, 23, 24, 25, 27, 29, and 31 equals 3, and the loading of items 22 and 28 equals 4. us, the respondent's score for each item is multiplied by the loading of that item and the resultant value is considered for evaluation. A score between 73 and 170 indicates poor performance, a score between 171 and 267 indicates average performance, and a score between 268 and 365 indicates satisfactory performance [24].…”

“…As one of the main components of professional competence in nursing, moral sensitivity helps care providers have patience, peace, and a sense of responsibility [ 15 ]. Moral sensitivity is the foundation of ethics in nursing and paves the ground for providing effective and ethical care to patients [ 16 ]. Care providers who have moral sensitivity care for their patients with devotion, they are sensitive to the physical and psychological needs of their patients, and they actively try to find ways of meeting those needs in a safe manner [ 17 ].…”