The role of a clinical instructor is central to the learning process of nursing students. Around 75% of the nursing students experience communication problems during the clinical learning process and 24% of them indicated that they found it difficult to endure these stressful conditions. Students distrust their own ability which then leads to anxiety. Nursing students often experience real or imagined barriers associated with the clinical learning process. In Indonesia, there are limited data on incidents related to patient safety involving students since they are not well documented and often occur without the presence of a clinical instructor. In hospitals, the ratio between nursing students and clinical instructors is disproportionately low. One study stated that the quality of education delivered to nursing students can significantly reduce medical errors and improve the safety culture and quality of service. Existing research shows that the introduction of patient safety should be part of the education at all levels of the healthcare system. Patient safety is inseparable from the quality of nursing education. Another factor is unsafe procedures carried out by health workers, which contributes up to 53.7% of patient safety incidents. The causes of patient safety incidents involve several factors, and organizational factors are the most significant and cause 83.3% of all incidents. As many as 79.7% of the errors occurred at the time of treatment. A previous study from the Institute of Medicine claimed that every year one million people were injured and 98,000 died as a result of medical error in the United States. Patient safety incidents in healthcare facilities worldwide are still quite high. Therefore, it is recommended to implement quality circles as a problem-solving technique to optimize patient safety. The implementation of quality circles has a significant effect on patient safety. The results showed a significant increase in the behaviour of nursing students towards patient safety issues ( p < 0.001 α = 0.05).
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The authors of this study trained the clinical instructors on how to use quality circle methods to solve nursing problems especially with relevance to the patient safety issues of students. The intervention was the implementation of quality circles that focused on patient safety issues for the use of clinical instructors to assess and guide student nurse behaviour in regard to patient safety. The data were statistically analysed using independent t tests. A questionnaire will be conducted to evaluate the implementation of patient safety and the impact of the intervention.
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The aim of the project was to explore the implications of the quality circle on clinical instructors by comparing the students’ knowledge, attitudes, and practices of control and intervention groups. This study used a quasi-experimental research design with pre-test and post-test non-equivalent control groups. In Indonesia, incident data relating to patient safety involving students is not well documented, and the incidents often occur in the absence of a clinical instructor. Existing research shows that patient safety should be emphasised at all levels of the healthcare education system. This study identifies the effect of quality circles on improving the safety of patients of nursing students. Their experience can be enhanced through the application of quality circles.
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Therefore, it is important to have competent clinical instructors. The role of clinical instructors is to instil in students the importance of patient safety. It is recognised worldwide that the skills of nursing students concerning patient safety is still not optimal.