Abstract
The experience of nursing students who make mistakes during clinical practice is poorly understood. The literature identifies clinical practice mistakes as a significant issue in nursing practice and education but there is very little research on the topic. This study used a grounded theory approach to explore the experience of undergraduate nursing students who had made at least one mistake in their clinical practice. What emerged is a theory that illuminates the process of how students move through the positive and negative elements of the mistake experience the core variable that emerged from the study was “living through the mistake experience.” The mistake experience was clearly a traumatic process for nursing students and students reported feeling unprepared and lacking the capability to manage the mistake experience. A number of recommendations for nursing education are proposed.
References
Armitage, G. (2009). Human error theory: Relevance to nurse management. Journal of Nursing Management, 17(2), 193–202. doi: 10.1111/j.1365-2834.2009.00970.xSearch in Google Scholar
Arndt, M. (1994). Nurses’ medication errors. Journal of Advanced Nursing, 19(3), 519–526.10.1111/j.1365-2648.1994.tb01116.xSearch in Google Scholar PubMed
Attree, M., Cooke, H., & Wakefield, A. (2008). Patient safety in an English pre-registration nursing curriculum. Nurse Education in Practice, 8(4), 239–248.10.1016/j.nepr.2007.09.003Search in Google Scholar PubMed
Barnard, D., Dumkee, M., Bains, B., & Gallivan, B. (2006). Implementing a good catch program in an integrated health system. Healthcare Quarterly, 9, 22–27.10.12927/hcq.2006.18373Search in Google Scholar PubMed
Begley, C. M., & White, P. (2003). Irish nursing students’ changing self-esteem and fear of negative evaluation during their preregistration programme. Journal of Advanced Nursing, 42(4), 390–401.10.1046/j.1365-2648.2003.02631.xSearch in Google Scholar PubMed
Belinsky, S. B., & Tataronis, G. R. (2007). Past experiences of the clinical instructor and current attitudes toward evaluation of students. Journal of Allied Health, 36(1), 11–16.Search in Google Scholar
Brown, Y., Neudorf, K., Poitras, C., & Rodger, K. (2007). Unsafe student clinical performance calls for a systematic approach. Canadian Nurse, 103(3), 29–32.Search in Google Scholar
Burke, K. G., Mason, D. J., Alexander, M., Barnsteiner, J. H., & Rich, V. L. (2005). Making medication administration safe. American Journal of Nursing, 105(3), 2–3.10.1097/00000446-200503001-00001Search in Google Scholar PubMed
Charmaz, K. (2006). Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis. London and Thousand Oaks, CA: Sage.Search in Google Scholar
Clancy, T. R., Effken, J. A., & Pesut, D. (2008). Applications of complex systems theory in nursing education, research, and practice. Nursing Outlook, 56(5), 248–256.10.1016/j.outlook.2008.06.010Search in Google Scholar PubMed
Deady, R. (2011). Reading with methodological perspective bias: A journey into classic grounded theory. Grounded Theory Review, 10(1), 41–57.Search in Google Scholar
Dick, D., Weisbrod, L., Gregory, D., Dyck, N., & Neudorf, K. (2006). Case study: On the leading edge of new curricula concepts, systems and safety in nursing education. Canadian Journal of Nursing Leadership, 19(3), 34–42.10.12927/cjnl.2006.18367Search in Google Scholar PubMed
Edwards, K., Welch, A., & Chater, K. (2009). The phenomenon of resilience as described by adults who’ve experienced mental illness. Journal of Advanced Nursing, 65(3), 587–595. doi: 10.1111/j.1365-2648.2008.04912.xSearch in Google Scholar
Glaser, B. (1978). Theoretical sensitivity: Advances in the methodology of grounded theory. Mill Valley, CA: Sociology Press.Search in Google Scholar
Goodstone, L., & Goodstone, M. S. (2013). Use of simulation to develop a medication administration safety assessment tool. Clinical Simulation in Nursing, 9(12), 609–615. doi: 10.1016/j.ecns.2013.04.017Search in Google Scholar
Grant, M. J. C., & Larsen, G. Y. (2007). Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. Journal of Nursing Care Quality, 22(3), 213–221.10.1097/01.NCQ.0000277777.35395.e0Search in Google Scholar
Gregory, D., Guse, L., Dick, D., Davis, P., & Russell, C. (2009). What clinical learning contracts reveal about nursing education and patient safety. Canadian Nurse, 105(8), 20–25.Search in Google Scholar
Gregory, D., Guse, L., Dick, D., & Russell, C. (2007). Patient safety: Where is nursing education?Journal of Nursing Education, 46(2), 79.10.3928/01484834-20070201-08Search in Google Scholar
Iedema, R., Jorm, C., Wakefield, J., Ryan, C., & Dunn, S. (2009). Practising open disclosure: Clinical incident communication and systems improvement. Sociology of Health & Illness, 31(2), 262–277. doi: 10.1111/j.1467-9566.2008.01131.xSearch in Google Scholar
Institute of Medicine. (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press.Search in Google Scholar
Johnson, M., & Young, H. (2011). The application of Aaronson’s taxonomy to medication errors in nursing. Journal of Nursing Care Quality, 26(2), 128–135. doi: 10.1097/NCQ.0b013e3181f54b14Search in Google Scholar
Jones, J., & Treiber, L. (2010). When the five rights go wrong. Journal of Nursing Quality, 25(3), 240–247.10.1097/NCQ.0b013e3181d5b948Search in Google Scholar
Kennedy, D. (2004). Analysis of sharp-end, frontline human error: Beyond throwing out “bad apples”. Journal of Nursing Care Quality, 19(2), 116–122.10.1097/00001786-200404000-00008Search in Google Scholar
Killam, L., Montgomery, P., Luhanga, F., Adamic, P., & Carter, L. (2010). Views on unsafe nursing students in clinical learning. International Journal of Nursing Education Scholarship, 7(1), 1–18.10.2202/1548-923X.2026Search in Google Scholar
Lane, R., Stanton, N. A., & Harrison, D. (2006). Applying hierarchical task analysis to medication administration errors. Applied Ergonomics, 37(5), 669–679. doi: 10.1016/j.apergo.2005.08.001Search in Google Scholar
Lawton, R., & Parker, D. (2002). Barriers to incident reporting in a healthcare system. Quality & Safety in Health Care, 11(1), 15–18.10.1136/qhc.11.1.15Search in Google Scholar
Lehmann, D. F., Page, N., Kirschman, K., Sedore, A., Guharoy, R., Medicis, J., Duggan, D. B. (2007). Every error a treasure: Improving medication use with a nonpunitive reporting system. Joint Commission Journal on Quality & Patient Safety, 33(7), 401–407.10.1016/S1553-7250(07)33046-8Search in Google Scholar
Martinez, W., & Lo, B. (2008). Medical students’ experiences with medical errors: An analysis of medical student essays. Medical Education, 42(7), 733–741. doi: 10.1111/j.1365-2923.2008.03109.xSearch in Google Scholar
Melo, K., Williams, B., & Ross, C. (2010). The impact of nursing curricula on clinical practice anxiety. Nurse Education Today, 30(8), 773–778. doi: 10.1016/j.nedt.2010.02.006Search in Google Scholar
Munro, E. (2004). Mental health tragedies: Investigating beyond human error. Journal of Forensic Psychiatry & Psychology, 15(3), 475–493.10.1080/14789940410001714857Search in Google Scholar
Nunkoosing, K. (2005). The problems with interviews. Qualitative Health Research, 15(5), 698–706.10.1177/1049732304273903Search in Google Scholar
Polifroni, E. C., McNulty, J., & Allchin, L. (2003). Medication errors: More basic than a system issue. Journal of Nursing Education, 42(10), 455–458.10.3928/0148-4834-20031001-08Search in Google Scholar
Reason, J. T. (1990). Human error. New York: Cambridge University.10.1017/CBO9781139062367Search in Google Scholar
Reason, J. T., Carthey, J., & DeLeval, M. R. (2001). Diagnosing “vulnerable system syndrome”: An essential prerequisite to effective risk management. Quality in Health Care, 10(Suppl 2), 21–25.10.1136/qhc.0100021Search in Google Scholar
Rodriguez, L. A. (2007). Confronting life and death responsibility: The lived experience of nursing students and nursing faculty response to practice breakdown and error in nursing school. Doctoral dissertation. University of Southern California, San Francisco. San Francisco.Search in Google Scholar
Sears, K., Goldsworthy, S., & Goodman, W. M. (2010). The relationship between simulation in nursing education and medication safety. Journal of Nursing Education, 49(1), 52–55. doi: 10.3928/01484834-20090918-12Search in Google Scholar
Seiden, S. C., Galvan, C., & Lamm, R. (2006). Role of medical students in preventing harm and enhancing patient safety. Quality and Safety in Health Care, 15, 272–276. doi: 10.1136/qshc.2006.018044Search in Google Scholar
Soleimani, F. (2006). Learning from mistakes in New Zealand hospitals: What else do we need besides “no-fault”?The New Zealand Medical Journal, 119(1239), U2099–U2099.Search in Google Scholar
Wolf, Z. R., Ambrose, M. S., & Dreher, H. M. (1996). Clinical inference by nursing students and experienced nurses concerning harmful outcomes occurring after medication errors: A comparative study. Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing, 12(5), 322–329.10.1016/S8755-7223(96)80012-3Search in Google Scholar
Wolf, Z. R., Serembus, J. F., Smetzer, J., Cohen, H., & Cohen, M. (2000). Responses and concerns of healthcare providers to medication errors. Clinical Nurse Specialist CNS, 14(6), 278–287.10.1097/00002800-200011000-00011Search in Google Scholar PubMed
©2015 by De Gruyter
Articles in the same Issue
- Frontmatter
- Using “Think Aloud” to Capture Clinical Reasoning during Patient Simulation
- Translation and Evaluation of the Cultural Awareness Scale for Korean Nursing Students
- Making the Most of Simulated Learning: Understanding and Managing Perceptions
- Nursing Students’ Experiences with High-Fidelity Simulation
- An Integrative Review: Instructional Strategies to Improve Nurses’ Retention of Cardiopulmonary Resuscitation Priorities
- Effects of Team-Based Learning on Self-Regulated Online Learning
- Teaching Nursing Leadership: Comparison of Simulation versus Traditional Inpatient Clinical
- The Experience of Nursing Students Who Make Mistakes in Clinical
- Identification of the Learning Styles and “On-the-Job” Learning Methods Implemented by Nurses for Promoting Their Professional Knowledge and Skills
- Orientation, Evaluation, and Integration of Part-Time Nursing Faculty
- Perceptions of Clinical Stress in Baccalaureate Nursing Students
- The Flipped Classroom: Fertile Ground for Nursing Education Research
- Student Engagement: A Principle-Based Concept Analysis
- Assessment of High-Stakes Testing, Hopeful Thinking, and Goal Orientation among Baccalaureate Nursing Students
- Partners in Research: Developing a Model for Undergraduate Faculty-Student Collaboration
- Nursing Students Achieving Community Health Competencies through Undergraduate Clinical Experiences: A Gap Analysis
- Student Perceptions of Quality and Safety Competencies
- Integrating a Career Planning and Development Program into the Baccalaureate Nursing Curriculum: Part I. Impact on Students’ Career Resilience
- Integrating a Career Planning and Development Program into the Baccalaureate Nursing Curriculum. Part II. Outcomes for New Graduate Nurses 12 Months Post-Graduation
- Integrating a Career Planning and Development Program into the Baccalaureate Nursing Curriculum: Part III. Impact on Faculty’s Career Satisfaction and Confidence in Providing Student Career Coaching
Articles in the same Issue
- Frontmatter
- Using “Think Aloud” to Capture Clinical Reasoning during Patient Simulation
- Translation and Evaluation of the Cultural Awareness Scale for Korean Nursing Students
- Making the Most of Simulated Learning: Understanding and Managing Perceptions
- Nursing Students’ Experiences with High-Fidelity Simulation
- An Integrative Review: Instructional Strategies to Improve Nurses’ Retention of Cardiopulmonary Resuscitation Priorities
- Effects of Team-Based Learning on Self-Regulated Online Learning
- Teaching Nursing Leadership: Comparison of Simulation versus Traditional Inpatient Clinical
- The Experience of Nursing Students Who Make Mistakes in Clinical
- Identification of the Learning Styles and “On-the-Job” Learning Methods Implemented by Nurses for Promoting Their Professional Knowledge and Skills
- Orientation, Evaluation, and Integration of Part-Time Nursing Faculty
- Perceptions of Clinical Stress in Baccalaureate Nursing Students
- The Flipped Classroom: Fertile Ground for Nursing Education Research
- Student Engagement: A Principle-Based Concept Analysis
- Assessment of High-Stakes Testing, Hopeful Thinking, and Goal Orientation among Baccalaureate Nursing Students
- Partners in Research: Developing a Model for Undergraduate Faculty-Student Collaboration
- Nursing Students Achieving Community Health Competencies through Undergraduate Clinical Experiences: A Gap Analysis
- Student Perceptions of Quality and Safety Competencies
- Integrating a Career Planning and Development Program into the Baccalaureate Nursing Curriculum: Part I. Impact on Students’ Career Resilience
- Integrating a Career Planning and Development Program into the Baccalaureate Nursing Curriculum. Part II. Outcomes for New Graduate Nurses 12 Months Post-Graduation
- Integrating a Career Planning and Development Program into the Baccalaureate Nursing Curriculum: Part III. Impact on Faculty’s Career Satisfaction and Confidence in Providing Student Career Coaching