Abstract：
AIM:This paper profiles a qualitative study that examined how undergraduate nursing students demonstrate moral courage when confronted with clinical situations that negatively impact the quality of patient care and/or patient experience and the factors that encouraged or inhibited their willingness to speak up when they identified poor practice. BACKGROUND:Clinical placements are an essential component of nursing programmes. However, placements are a reported source of stress for students, with many witnessing, or feeling compelled to participate in, poor practice. In these instances, nursing students require the moral courage to raise concerns in order to protect patient safety and dignity. METHODS:This was a qualitative descriptive study. Nine nursing students and one nursing graduate from one semi-metropolitan university in Australia were interviewed and the data were thematically analysed. FINDINGS:Four key themes emerged: (1) patient advocate identity, which had two sub-themes of knowing one's own moral code and previous life experiences; (2) consequences to the patient and to the participant; (3) the impact of key individuals; and (4) picking your battles. CONCLUSION:This study demonstrates the importance of undergraduate nursing students identifying as patient advocates, the multitude of consequences students face when questioning the practice of a registered nurse, and the influence supervising nurses and clinical facilitators have on a student's decisions to intervene to protect patient safety. Further research is required to examine the factors, both intrinsic and extrinsic, that influence nursing students' moral courage and their decisions to intervene when poor practice is witnessed.
journal_name
Nurse Educ Todayjournal_title
Nurse education todayauthors
Bickhoff L,Levett-Jones T,Sinclair PMdoi
10.1016/j.nedt.2016.03.030subject
Has Abstractpub_date
2016-07-01 00:00:00pages
35-40eissn
0260-6917issn
1532-2793pii
S0260-6917(16)30012-0journal_volume
42pub_type
杂志文章abstract：OBJECTIVES:The practice of nursing is a substantially different undertaking to supervising nursing students. A clear conceptualisation of the preceptor role reveals its scope, expectations and responsibilities. The aim of this scoping review is to investigate what is known in the pertinent literature about preceptors' ...
journal_title：Nurse education today
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pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章,评审
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journal_title：Nurse education today
pub_type： 杂志文章,评审
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