Regulation and current status of patient safety content in pre-registration nurse education in 27 countries: Findings from the Rationing - Missed nursing care (RANCARE) COST Action project

• Published in: Nurse education in practice 2019-05, Vol.37, p.132-140
• Main Authors: Kirwan, Marcia, Riklikiene, Olga, Gotlib, Joanna, Fuster, Pilar, Borta, Margareta
• Format: Article
• Language: English
• Subjects: Australia; Clinical Competence - standards; Clinical training; Consortia; Curricula; Curriculum; Education, Nursing, Baccalaureate - methods; Europe; Faculty, Nursing; Health care; Health care policy; Humans; National guidelines; Nurse education; Nurse regulation; Nurse tutors; Nursing; Nursing care; Nursing Education; Nursing Students; Patient safety; Patient Safety - standards; Patient safety teaching; Preregistration training; Professionalization; Quality of care; Rationing; Regulatory agencies; Safety regulations; Students, Nursing; Teaching; Workloads
• ISSN: 1471-5953; 1873-5223
• DOI: 10.1016/j.nepr.2019.04.013

Patient safety, as a contemporary health care concern, must remain a priority for nurse educators. This on-line consultation, carried out within the RANCARE COST Action project, determined to establish how patient safety teaching is incorporated into pre-registration education of nurses across 27 countries. How nursing is regulated within countries was examined, along with national guidelines related to nurse education. HEIs were asked to provide details of pre-registration nurse training and how patient safety is taught within programmes. The results confirm that the topic of patient safety is generally not explicitly taught, rather it remains a hidden element within the curriculum, taught across many subjects. Variation in how nursing is regulated exists across the countries also, with the professionalization of nursing remaining a challenge in some states. No guidelines exist at EU level which address how patient safety should be taught to nursing students, and as yet regulatory bodies have not put forward criteria on the subject. As a result individual HEIs determine how patient safety should be taught. The WHO guidelines for teaching patient safety are currently underutilized in nurse education, but could offer a structure and standard which would address the deficits identified in this work. •Approaches to regulation of nursing across European countries remains inconsistent.•Decisions around patient safety teaching to student nurses are taken at HEI level.•Patient safety content is rarely taught as an entity in itself but is integrated across subjects.•EU and national guidelines for teaching patient safety to nurses are needed.