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International Journal of Nursing Education Scholarship

Editor-in-Chief: Andrusyszyn, Mary-Anne

Ed. by Goldenberg, Dolly / Cragg, Betty / Maltby, Hendrika J. / McWilliam, Carol / Babenko-Mould, Yolanda

1 Issue per year

CiteScore 2017: 1.13

SCImago Journal Rank (SJR) 2017: 0.503
Source Normalized Impact per Paper (SNIP) 2017: 0.929

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Views on Unsafe Nursing Students in Clinical Learning

Laura A Killam / Phyllis Montgomery / Florence Loyce Luhanga / Peter Adamic / Lorraine M Carter
Published Online: 2010-10-13 | DOI: https://doi.org/10.2202/1548-923X.2026

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

About the article

Published Online: 2010-10-13

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

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