Impact of Online Nursing Education on Nursing Students' Knowledge, and Attitude Towards Patient Safety in India: An Interventional Study

Authors

  • Jharna Ghosh Faculty of Nursing, Sister Florence College of Nursing, Barisha, Kolkata 700008, India ; Lincoln University College, Wisma Lincoln, 12-18, Jalan SS 6/12, 47301 Petaling Jaya, Selangor, Malaysia
  • Faridah Mohd. Binti Said Lincoln University College, Wisma Lincoln, 12-18, Jalan SS 6/12, 47301 Petaling Jaya, Selangor, Malaysia
  • Santhna Letchmi Panduragan Lincoln University College, Wisma Lincoln, 12-18, Jalan SS 6/12, 47301 Petaling Jaya, Selangor, Malaysia ; Cyberjaya University, 63000 Cyberjaya, Selangor, Malaysia

DOI:

https://doi.org/10.31674/mjn.2024.v16isupp1.014

Abstract

Introduction: Protection of patients from harm and error is a global priority. Delivering safe patient care is an essential component of nursing education. Patient safety education encompasses a successful integration of patient care with adequate knowledge and attitude among nursing students. Objectives: The purpose of this study is to evaluate and establish the effectiveness of patient safety education among nursing students who have received online education. Methods: A descriptive study following one group pre-test and post-test research design was adopted. The nursing students, attending online nursing education, participated in two phases: phase I, 383, and phase II, 38 (1/10th of 383). Data was collected through an online Google form on patient safety. Results: The first phase data showed that, out of 383 students, 223 (58.22%) were participants aged between 18 and 21 years, 151 (39.43%) were from 3rd year Bachelor of Science (B. Sc.) nursing, and 250 (65.27%) had attended more than 6 months of online classes, with 294 (76.76%) reporting a lack of practical confidence. Data also identified that nursing students had only 59.53% and 42.82% good knowledge and attitude scores toward patient safety. As a result, an educational workshop on patient safety was organised in the 2nd phase, and the workshop established an effectiveness by enhancement of knowledge and attitude scores. Before intervention, the pre-test knowledge scores were very good, 3 (7.89%), but after intervention, it improved to 17 (44.74%), and in the same, before intervention the pre-test attitude scores very good were 10 (26.32%), which was improved to 19 (50.00%) after intervention with a significant t-value of 9.23 for knowledge and 3.66 for attitude at a 95% confidence interval. Conclusion: Ensuring patient safety is a fundamental aspect of healthcare practice. Equipping nursing students with sufficient knowledge and fostering positive attitudes toward patient safety is essential. Prolonged reliance on online education has adversely affected nursing students' practical confidence in this area. Consequently, implementing interventional workshops on patient safety has proven to be an effective strategy for improving nursing students' knowledge and attitudes.

Keywords:

Attitude, Knowledge, Online Nursing Education, Patient Safety

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References

Addae, H. Y., Alhassan, A., Issah, S., & Azupogo, F. (2022). Online learning experiences among nursing and midwifery students during the Covid-19 outbreak in Ghana: A cross-sectional study. Heliyon, 8(12). https://doi.org/10.1016/j.heliyon.2022.e12155

Agbar, F., Zhang, S., Wu, Y., & Mustafa, M. (2023). Effect of patient safety education interventions on patient safety culture of health care professionals: Systematic review and meta-analysis. Nurse Education in Practice, 67. https://doi.org/10.1016/j.nepr.2023.103565

Al-Nawafleh, A. H., Musleh, S., & Nawafleh, N. (2024). The patient safety curriculum: An interventional study on the effectiveness of patient safety education for Jordanian nursing students. PloS One, 19(5). https://doi.org/10.1371/journal.pone.0292713

Amaral, C., Sequeira, C., Albacar-Riobóo, N., Coelho, J., Pinho, L. G., & Ferré-Grau, C. (2023). Patient safety training programs for health care professionals: A scoping review. Journal of Patient Safety, 19(1), 48-58. https://doi.org/10.1097/PTS.0000000000001067

Arundell, F., Peters, K., & Sheehan, A. (2024). Professional identity: Students’ learning from the attributes and behaviours of midwives on clinical placement. Women and Birth, 37(5). https://doi.org/10.1016/j.wombi.2024.101657

Ayu Eka, N. G., Rumerung, C. L., & Tahulending, P. S. (2024). Role modeling of professional behavior in nursing education during the COVID-19 pandemic: A mixed method study. Journal of Holistic Nursing, 42(2_suppl), S47-S58. https://doi.org/10.1177/08980101231179300

Ayyad, A., Baker, N. A., Oweidat, I., Al-Mugheed, K., Alsenany, S. A., & Abdelaliem, S. M. F. (2024). Knowledge, attitudes, and practices toward Patient Safety among nurses in health centers. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01831-1

Balatayo, S. M., Almeria, T. J., Alborote, S. J., Nobleza, J., Ebora, M., & Oducado, R. M. (2021). Barriers towards online learning among graduate students in nursing in a Philippine higher education institution during the global COVID-19 outbreak. Retrieved from: SSRN: https://ssrn.com/abstract=3927626. Accessed on 25th August, 2024.

Bassiouni, N. A., Fadl, N.M., & Hussien, R. G. (2023). Barriers to e-learning during the COVID-19 outbreak as perceived by nursing students at the Faculty of Nursing, Alexandria University. Alexandria Scientific Nursing Journal, 25(2), 13–23. https://doi.org/10.21608/asalexu.2023.318211

Benchadlia, F., Rabia, Q., & Abderrahim, K. (2023). Simulation in Basic Nursing Student Education: Uses and Barriers. The Open Nursing Journal, 17(1). http://dx.doi.org/10.2174/18744346-v17-230717-2023-198

Chaokromthong, K., & Sintao, N. (2021). Sample size estimation using Yamane and Cochran and Krejcie and Morgan and green formulas and Cohen statistical power analysis by G* Power and comparisions. Apheit International Journal, 10(2), 76-86. Retrieved from: https://so04.tci-thaijo.org/index.php/ATI/article/view/254253/173847. Accessed on 6th July, 2024.

Cho, D. B., Lee, W., Kim, S. Y., & Choi, S. (2022). Effect of online education on the knowledge on, attitudes towards, and skills in patient safety for nursing students in Korea: a mixed-methods study. Journal of Educational Evaluation for Health Professions, 19. https://doi.org/10.3352/jeehp.2022.19.14

Dhawan, S., Kumar, M., Joshi, B., & Singh, A. (2022). Perception of Indian nursing students about e-learning during COVID-19 pandemic: A cross-sectional study. Indian Journal of Continuing Nursing Education, 23(1), 67-75. https://10.4103/ijcn.ijcn_71_21

Dissanayake, D. A. P., Dharmasena, K. P., & Warnakulasuriya, S. S. P. (2024). Challenges of integrating patient safety into nursing curricula: An integrative literature review. Journal of Patient Safety and Risk Management, 29(1), 8-35. https://doi.org/10.1177/25160435231222808

Hamid, S.B.S.A, Ismail, A., & Sulong, S. (2024). Assessment of Patient Safety Attitude Among Doctors and Nurses at Public Specialist Hospitals in Malaysia. medRxiv. https://doi.org/10.1101/2024.08.17.24311962

Kılıç, H. F., & Cevheroğlu, S. (2023). Patient safety competencies of nursing students. Nurse Education Today, 121. https://doi.org/10.1016/j.nedt.2022.105666

Lee, H., & Yoo, H. J. (2024). Expectations and concerns about transitioning to face-to-face learning among Korean nursing students: A mixed methods study. PloS One, 19(1). https://doi.org/10.1371/journal.pone.0296914

Lee, S. E., & Dahinten, V. S. (2023). Evaluating a patient safety course for undergraduate nursing students: A quasi-experimental study. Collegian, 30(1), 75-83. https://doi.org/10.1016/j.colegn.2022.06.001

Li, H., Zhao, W., Li, B., & Li, Y. (2023). Effects of the small private online course combined with simulation-based training in a patient safety education program among nursing students: A quasi-experimental study. International Journal of Nursing Sciences, 10(4), 555-561. https://doi.org/10.1016/j.ijnss.2023.09.014

Li, W., Gillies, R., He, M., Wu, C., Liu, S., Gong, Z., & Sun, H. (2021). Barriers and facilitators to online medical and nursing education during the COVID-19 pandemic: Perspectives from international students from low-and middle-income countries and their teaching staff. Human Resources for Health, 19. https://doi.org/10.1186/s12960-021-00609-9

Mbandlwa, Z. (2021). The impact of the quality of education was caused by the changes from face-to-face to Remote Learning as a result of the Covid-19 pandemic. Ilkogretim Online, 20(4). https://doi.org/10.17051/ilkonline.2021.04.179

Mohammed, T., Woldearegay, E., Kedir, S., Ahmed, K., Getnet, M., & Gudina, E. K. (2023). Patient safety knowledge, attitude and practice among undergraduate health science students in SouthWest Ethiopia. Frontiers in Public Health, 10, https://doi.org/10.3389/fpubh.2022.1064896

Moreno-Sánchez, E., Merino-Godoy, M. D. L. Á., Piñero-Claros, S., Santiago-Sánchez, A., Del-Campo-Jiménez, Á., Mariscal-Pérez, L., ... & Gago-Valiente, F. J. (2022). Nursing education during the SARS-CoV-2 pandemic: Assessment of students’ satisfaction with e-learning environment. International Journal of Environmental Research and Public Health, 19(4), 2023. https://doi.org/10.3390/ijerph19042023

Samarasekara, K. (2022). e-Learning in medical education in Sri Lanka: Survey of medical undergraduates and new graduates. JMIR Medical Education, 8(1). https://doi.org/10.2196/22096

Staines, A., Amalberti, R., Berwick, D. M., Braithwaite, J., Lachman, P., & Vincent, C. A. (2021). COVID-19: Patient safety and quality improvement skills to deploy during the surge. International Journal for Quality in Health Care, 33(1), 1-3. https://doi.org/10.1093/intqhc/mzaa050

Svitlica, B. B., Šajnović, M., Simin, D., Ivetić, J., & Milutinović, D. (2021). Patient safety: Knowledge and attitudes of medical and nursing students: Cross-sectional study. Nurse Education in Practice, 53. https://doi.org/10.1016/j.nepr.2021.103089

Tamim, A. H. A. (2022). Patient Safety in Healthcare: Definition, Evolution and Impact. Unified Nursing Research, Midwifery & Women’s Health Journal, 1(2), 11-18. https://doi.org/10.52402/Nursing203

Tekian, A., Infante, A. F., & Valenta, A. L. (2021). Master’s programs in patient safety and Health Care Quality Worldwide. Journal of Patient Safety, 17(1), 63-67. https://doi.org/10.1097/PTS.0000000000000762

Torkaman, M., Sabzi, A., & Farokhzadian, J. (2022). The effect of patient safety education on undergraduate nursing students’ patient safety competencies. Community Health Equity Research & Policy, 42(2), 219-224. https://doi.org/10.1177/0272684X20974214

Ulenaers, D., Grosemans, J., Schrooten, W., & Bergs, J. (2021). Clinical placement experience of nursing students during the COVID-19 pandemic: A cross-sectional study. Nurse Education Today, 99. https://doi.org/10.1016/j.nedt.2021.104746

Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6). https://doi.org/10.3390/ijerph17062028

Valença, F. R. T., dos Santos Neto, M. F., Sacardo, Y., Oliani, D. C. M. V., Santos, E. R. D., Brienze, V. M. S., ... & Paschoal, V. D. A. (2024). A Scoping Review Protocol to Map Knowledge and Attitudes about Patient Safety among Students in Healthcare Undergraduate Courses. Nursing Reports, 14(3), 2014-2019. https://doi.org/10.3390/nursrep14030150

Wake, A. D., Tuji, T. S., Gonfa, B. K., Waldekidan, E. T., Beshaw, E. D., Mohamed, M. A., & Geressu, S. T. (2021). Knowledge, attitude, practice and associated factors towards patient safety among nurses working at Asella Referral and Teaching Hospital, Ethiopia: A cross-sectional study. PLoS One, 16(7). https://doi.org/10.1371/journal.pone.0254122

Wallace, S., & Wallace, C. (2022). Nurses as leaders and managers for safe, high-quality patient care. In P. K. Vana, B. A. Vottero, & G. Altmiller (3rd Eds.), Quality and Safety Education for Nurses (pp. 41–78). Springer Publishing Company, New York. https://doi.org/10.1891/9780826161451.0002

World Health Organization. (2021). Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. World Health Organization. Geneva,

Switzerland. Retrieved from: https://shorturl.at/PxmR8 . Accessed on 18th August, 2024.

Yılmaz, A., & Erdem, Ö. (2024). Patient safety competence of nursing students and affecting factors. Journal of Patient Safety and Risk Management, 29(1), 54-62. https://doi.org/10.1177/25160435231213302

Zhao, B., Wang, W., Yi, M., Lv, H., Zhang, X., Liu, Y., & Song, X. (2023). Nurses' perceptions of engaging in internet‐based nursing services: A qualitative study based on three hospitals in China. Nursing Open, 10(10), 6856-6865. https://doi.org/10.1002/nop2.1934

Zulkifli, N. F. M., Ahmad, AMusa, S., Sinniah, J., & Kunjukunju, A. (2021). Perception, knowledge and attitude towards patient safety among nursing students in private college. The Malaysian Journal of Nursing (MJN), 13(1), 68-76. https://doi.org/10.31674/mjn.2021.v13i01.010

Published

13-01-2025

How to Cite

Ghosh, J. ., Binti Said, F. M., & Letchmi Panduragan, S. (2025). Impact of Online Nursing Education on Nursing Students’ Knowledge, and Attitude Towards Patient Safety in India: An Interventional Study. The Malaysian Journal of Nursing (MJN), 16(Supplementary 1), 141-149. https://doi.org/10.31674/mjn.2024.v16isupp1.014

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