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A framework for the integration of patient safety education into the basic nursing curricula at a public college in South Africa
Thesis (PhD)--Stellenbosch University, 2025.
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| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2025
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| _version_ | 1867614021465669632 |
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| access_status_str | Open Access |
| author | Mugerwa, Pumla Princess |
| author2 | Jordan, Portia Janine |
| author_browse | Jordan, Portia Janine Mugerwa, Pumla Princess |
| author_facet | Jordan, Portia Janine Mugerwa, Pumla Princess |
| author_sort | Mugerwa, Pumla Princess |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description |
Thesis (PhD)--Stellenbosch University, 2025. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/132574 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:45:24.995Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/132574 A framework for the integration of patient safety education into the basic nursing curricula at a public college in South Africa Mugerwa, Pumla Princess Jordan, Portia Janine Van der Heever, Mariana Stellenbosch University. Faculty ofMedicine and Health Sciences. Dept. of Nursing and Midwifery. Nursing errors -- Prevention -- South Africa Nursing -- Safety measures -- South Africa Hospital patients -- Safety measures -- South Africa Nursing -- Study and teaching -- South Africa Nurse and patient -- South Africa UCTD Thesis (PhD)--Stellenbosch University, 2025. Mugerwa, P. P. 2025. A framework for the integration of patient safety education into the basic nursing curricula at a public college in South Africa. Unpublished doctoral dissertation. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/b6b53b79-49f3-477f-ba7c-5bf219134fc9 ENGLISH SUMMARY: Introduction: Unsafe patient care leads to a loss of trust and a decrease in the perceived reputation and credibility of the healthcare service. Educating nurses on patient safety is thus essential, as they are at the forefront of patient care. Preparing nursing students with the necessary patient safety competencies requires nurse educators who are knowledgeable about patient safety and teaching and learning strategies to deliver patient safety education effectively. The study aimed to develop a framework for integrating patient safety education into the basic nursing curriculum. The study was conducted in three phases and sought to: 1. Explore and describe the understanding of patient safety and patient safety education among nursing students, nurse educators, and newly qualified registered nurses. A qualitative, explorative, descriptive, and contextual research design was used. 2. Use a scoping review to map and describe evidence of the most appropriate patient safety education content and teaching and learning strategies to include in the basic nursing curricula; 3. Develop a framework for integrating patient safety into basic nursing curricula, using a framework methodology and a self-developed tool for validating the framework. Results: The qualitative studies revealed that although patient safety is taught in basic nursing curricula, the content is scanty across modules and is taught more often during first and second years of study. Participants showed understanding of clinical components of patient safety education such as managing medical and medication errors. They seemed to understand non-technical patient safety skill such as communicating effectively within a team to ensure patient safety. A need was expressed to integrate patient safety education into the nursing curricula. Nurse educators showed limited knowledge about patient safety frameworks. The scoping review findings suggest that patient safety competencies such as quality improvement, informatics, and evidence-based practice are not adequately taught in the basic nursing curricula. The use of multiple teaching and learning strategies in academic and clinical settings need to be considered in teaching patient safety education. Data from the qualitative studies and the scoping review were used in developing the framework. The framework addressed essential steps for the successful integration of patient safety education into basic nursing curricula, namely: review of current curricula, developing learning areas, topics and domains, and identifying effective teaching and learning strategies. Following these steps, nurse educators must implement the content and the relevant teaching and learning strategies related to patient safety education. Nurse educators should be aware of factors that influence the integration of patient safety education into the curriculum, namely: curriculum issues, academic-clinical partnerships, environmental and human factors, and patient safety competencies. Conclusion: This study findings revealed that patient safety education is not fully integrated well in basic nursing curricula. The need for the developed framework that will guide nurse educators to successfully integrate patient safety education into basic nursing curricula is thus emphasised. AFRIKAANSE OPSOMMING: Inleiding: Onveilige pasient sorg lei tot ’n verlies aan vertroue in die gesondheidsorg stelsel en ’n afname in die waargenome reputasie en geloofwaardigheid van die gesondheidsorgdienste. Dit is dus belangrik om verpleegkundiges op te lei oor pasient veiligheid, aangesien hulle die ruggraat van die gesondheidsorgstelsel is en aan die voorpunt van pasient sorg staan. Om egter verpleegstudente voldoende voor te berei met die nodige pasientveiligheidsvaardighede, vereis bekwame verpleegopvoeders in pasientveiligheid en veelvuldige onderwys- en leerstrategiee. Die studie het ten doel gehad om 'n raamwerk vir die integrasie van pasientveiligheidsopvoeding in die basiese verpleegkunde kurrikulum te ontwikkel. Metodes: Die studie was in drie fases uitgevoer en het die volgende ondersoek: 1. Om die begrip van verpleegstudente, verpleegopvoeders en nuutgekwalifiseerde geregistreerde verpleegkundiges oor pasientveiligheid en pasientveiligheidsopvoeding te verken en beskryf. 'n Kwalitatiewe, verkennende, beskrywende en kontekstuele navorsingsontwerp is gebruik. Fokusgroeponderhoude is gevoer met verpleegstudente en nuutgekwalifiseerde verpleegkundiges, terwyl deels gestruktureerde onderhoude met verpleegopvoeders gevoer is. 2. 'n Omvangsoorsig is uitgevoer om die literatuur oor pasientveiligheid in voorgraadse verpleegkurrikulums en die onderwys- en leerstrategiee wat nodig is om verpleegstudente te help om pasientveiligheidsvaardighede te ontwikkel, te ondersoek. 3. Die data van die eerste twee fases is geintegreer om 'n konsep raamwerk te ontwikkel, wat deur 'n paneel van deskundiges vir bekragtiging hersien is. Opmerkings en aanbevelings van die paneel is oorweeg om die finale raamwerk vir die integrasie van pasientveiligheidsopvoeding in voorgraadse verpleegkurrikulums te voltooi. Resultate: Die kwalitatiewe studies het aan die lig gebring dat hoewel pasientveiligheid in basiese verpleegkurrikulums onderrig word, die inhoud skraal is oor modules wat aangebied word en meer dikwels gedurende die eerste en tweede studiejaar. Deelnemers het begrip getoon van kliniese komponente van pasientveiligheidsopvoeding, soos die bestuur van mediese en medikasiefoute. Dit lyk asof hulle nie-tegniese pasientveiligheidsvaardigheid verstaan, soos om effektief binne 'n span te kommunikeer om pasientveiligheid te verseker. 'n Behoefte is uitgespreek om pasientveiligheidsopvoeding in die verpleegkurrikulums te integreer. Verpleegopvoeders het beperkte kennis oor pasientveiligheidsraamwerke getoon. Die bevindinge van die omvangsoorsig dui daarop dat pasientveiligheidsvaardighede soos gehalteverbetering, informatika en bewysgebaseerde praktyk nie voldoende in die basiese verpleegkurrikulums onderrig word nie. Die gebruik van veelvuldige onderrig- en leerstrategiee in akademiese en kliniese omgewings moet in ag geneem word in die onderrig van pasientveiligheidsopvoeding. Data van die kwalitatiewe studies en die omvangsoorsig is gebruik in die ontwikkeling van die raamwerk. Die raamwerk het noodsaaklike stappe aangespreek vir die suksesvolle integrasie van pasientveiligheidsonderrig in basiese verpleegkurrikulums, naamlik: hersiening van huidige kurrikulums, die ontwikkeling van leerareas, onderwerpe en domeine, en die identifisering van effektiewe onderrig- en leerstrategiee. Na aanleiding van hierdie stappe moet verpleegopvoeders die inhoud en die relevante onderrig- en leerstrategiee wat verband hou met pasientveiligheidsopvoeding implementeer. Verpleegopvoeders moet bewus wees van faktore wat die integrasie van pasientveiligheidsopvoeding in die kurrikulum beinvloed, naamlik: kurrikulumkwessies, akademies-kliniese vennootskappe, omgewings- en menslike faktore, en pasientveiligheidsvaardighede. Gevolgtrekking: Hierdie studiebevindinge het aan die lig gebring dat pasientveiligheidsopvoeding nie ten volle goed geintegreer is in basiese verpleegkurrikulums nie. Die behoefte aan die ontwikkelde raamwerk wat verpleegopvoeders sal lei om pasientveiligheidsonderrig suksesvol in basiese verpleegkurrikulums te integreer, word dus beklemtoon. Doctoral 2025-06-11T09:21:34Z 2025-06-11T09:21:34Z 2025-03 Thesis https://scholar.sun.ac.za/handle/10019.1/132574 en_ZA Stellenbosch University xxiv, 320 pages : illustrations, maps, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Nursing errors -- Prevention -- South Africa Nursing -- Safety measures -- South Africa Hospital patients -- Safety measures -- South Africa Nursing -- Study and teaching -- South Africa Nurse and patient -- South Africa UCTD Mugerwa, Pumla Princess A framework for the integration of patient safety education into the basic nursing curricula at a public college in South Africa |
| title | A framework for the integration of patient safety education into the basic nursing curricula at a public college in South Africa |
| title_full | A framework for the integration of patient safety education into the basic nursing curricula at a public college in South Africa |
| title_fullStr | A framework for the integration of patient safety education into the basic nursing curricula at a public college in South Africa |
| title_full_unstemmed | A framework for the integration of patient safety education into the basic nursing curricula at a public college in South Africa |
| title_short | A framework for the integration of patient safety education into the basic nursing curricula at a public college in South Africa |
| title_sort | framework for the integration of patient safety education into the basic nursing curricula at a public college in south africa |
| topic | Nursing errors -- Prevention -- South Africa Nursing -- Safety measures -- South Africa Hospital patients -- Safety measures -- South Africa Nursing -- Study and teaching -- South Africa Nurse and patient -- South Africa UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/132574 |
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