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International Journal of Nursing Education Scholarship

Ed. by Andrusyszyn, Mary-Anne / Cragg, Catherine Elizabeth / Goldenberg, Dolly / Maltby, Hendrika J. / McWilliam, Carol

SCImago Journal Rank (SJR) 2014: 0.363
Source Normalized Impact per Paper (SNIP) 2014: 0.937
Impact per Publication (IPP) 2014: 0.816

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Views on Unsafe Nursing Students in Clinical Learning

Laura A Killam1 / Phyllis Montgomery2 / Florence Loyce Luhanga3 / Peter Adamic4 / Lorraine M Carter5

1Laurentian University,

2Laurentian University,

3Laurentian University,

4Laurentian University,

5Laurentian University,

Citation Information: International Journal of Nursing Education Scholarship. Volume 7, Issue 1, ISSN (Online) 1548-923X, DOI: 10.2202/1548-923X.2026, October 2010

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Clinical education is a cornerstone of undergraduate nursing education programs. Although protecting patient safety in clinical learning experiences is a standard of practice, no standard definition of the “unsafe” student exists. The purpose of this study was to describe the viewpoints of undergraduate student nurses and their clinical educators about unsafe clinical student practices. Using Q methodology, 57 students and 14 clinical educators sorted 39 unsafe student practice statements. These statements were generated from an integrated review of nursing and related literature and two undergraduate student focus groups. The use of centroid factor analysis with varimax rotation produced three dimensions of unsafe student practices. An unsafe student was characterized by his/her Compromised Professional Accountability, Incomplete Praxis, and Clinical Disengagement. A shared attribute among these three features was violated professional integrity. While students’ affective, cognitive, and praxis competencies were priority elements in the conceptualization of unsafe student practice, this study also identified the salient role of educators as active participants in preparation of safe practitioners.

Keywords: unsafe student; clinical education; undergraduate nursing education; Q methodology

Citing Articles

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Jane B. Paige
Clinical Simulation in Nursing, 2014, Volume 10, Number 12, Page 639
Steven R. Brown, Stentor Danielson, and Job van Exel
Quality & Quantity, 2015, Volume 49, Number 2, Page 523
Lorretta C. Krautscheid
Journal of Professional Nursing, 2014, Volume 30, Number 1, Page 43
Jarl K. Kampen and Peter Tamás
Quality & Quantity, 2014, Volume 48, Number 6, Page 3109
Amy J. Chaffin and Cathy Adams
Clinical Simulation in Nursing, 2013, Volume 9, Number 8, Page e293
Laura A. Killam, Sharolyn Mossey, Phyllis Montgomery, and Katherine E. Timmermans
Nurse Education Today, 2013, Volume 33, Number 5, Page 475
Sharolyn Mossey, Phyllis Montgomery, June M. Raymond, and Laura A. Killam
Journal of Nursing Education, 2012, Volume 51, Number 5, Page 245
Laura A. Killam, Florence Luhanga, and Debra Bakker
Journal of Nursing Education, 2011, Volume 50, Number 8, Page 437
Nursing Education Perspectives, 2011, Volume 32, Number 3, Page 155

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