Exploring whether student nurses report poor practice they have witnessed on placements

An investigation into whether student nurses report poor practice they have witnessed on clinical placements, and the factors that influence their decisions

Bellefontaine, Nerys MSc, PGDip, PGCert (Ed), RGN

Nerys Bellefontaine, MSc, Pgdip, Pgcert (ed), rgn, is professional development nurse for clinical practice, Outer North East London Community Services. At the time of carrying out the research, she was a practice experience facilitator for a London PCT.

Nursing Times 105(35):p 28-31, September 8, 2009.

ABSTRACT

Bellefontaine, N. (2009) Exploring whether student nurses report poor practice they have witnessed on placements. Nursing Times; 105:35,28-31.

Background

while literature suggests that nurses report incidents or potentially unsafe care delivery, there is little evidence on student nurses' practice in this area.

Aim

To explore the factors that influence student nurses in reporting concerns about practice.

Method

A qualitative study was carried out using a phenomenological approach, based on semi-structured interviews with six student nurses.

Results and discussion

Student nurses said they do not always report potentially unsafe practice they have witnessed. Four main themes were identified: the student-mentor relationship in clinical placement; actual or potential support provided by both the practice area and university; students' own personal confidence and professional knowledge base; and fear of failing clinical placements.

Conclusion

The nursing profession needs to take stock of current organisational culture and practice, and address issues around reporting in practice. Recommendations are made to improve mentorship, nurse training and for further research.