Assessing the feasibility of adapting a nursing questionnaire for evaluating patient safety education in pharmacy

Authors

DOI:

https://doi.org/10.46542/pe.2025.251.450459

Keywords:

Clinical competence, Clinical placement, Experiential learning, Medicine safety, Pharmacy education, Pharmacy student

Abstract

Background: Understanding pharmacy students’ views on patient safety learning during clinical placements is vital for addressing educational gaps and promoting safe practices. The Patient Safety in Nursing Education Questionnaire (PaSNEQ) assesses students’ perceptions of patient safety education.     

Objective: To assess PaSNEQ for evaluating pharmacy students’ perceptions of patient safety education during placements.   

Methods: In a mixed-methods approach, post-clinical placement students adapted PaSNEQ, measuring perceptions of patient safety learning. Focus groups of four participants explored their experiences. Data were analysed for reliability and consistency through thematic analysis.   

Results: The adapted PaSNEQ showed strong internal consistency and was feasible. Participants reported frequent discussions about patient safety with supervisors and a supportive safety environment. However, 55% lacked experience in reporting safety incidents. Focus group revealed perceived gaps in structured patient safety practices and inconsistencies in their inclusion across placements. Students emphasised the importance of hands-on experience and systematic patient safety learning.   

Conclusion: The adapted PaSNEQ is reliable for assessing pharmacy students' perceptions. Students recognised the importance of patient safety education and desire more structured, experiential learning, particularly in incident reporting. Integrating tools like the PaSNEQ into pharmacy education can help educators identify gaps, support curriculum development, and better prepare students for pharmacy practice.

References

Aubin, D., & King, S. (2015). Developing a culture of safety: Exploring students’ perceptions of errors in an interprofessional setting. Journal of Interprofessional Care, 29(6), 646–648. https://doi.org/10.3109/13561820.2015.1045060

Australian Commission on Safety and Quality in Health Care (2011). National safety and quality health service standards. Sydney: Australian Commission on Safety and Quality in Health Care. http://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf

Bader, L., Kusynová, Z., & Duggan, C. (2019). FIP perspectives: Realising global patient safety goals requires an integrated approach with pharmacy at the core. Research in Social and Administrative Pharmacy, 15(7), 815–817. https://doi.org/10.1016/j.sapharm.2019.02.012

Bajis, D., Chaar, B., Basheti, I. A., & Moles, R. (2019). Pharmacy students’ medication history taking competency: Simulation and feedback learning intervention. Currents in Pharmacy Teaching and Learning, 11(10), 1002–1015. https://doi.org/10.1016/j.cptl.2019.06.007

Cervera-Gasch, Á., González-Chordá, V. M., Manrique-Abril, F. G., Andreu-Pejo, L., Valero-Chillerón, M. J., & Mena-Tudela, D. (2021). Validation of the attitudes to patient safety questionnaire for nursing students in the Spanish context. BMC Nursing, 20, 101. https://doi.org/10.1186/s12912-021-00634-y

Coombes, I., Wheeler, A., & Hale, A. (2015). Evaluation of effectiveness and relevance of safe medication practice tutorials as a course for pharmacist prescribers in New Zealand. Pharmacy Education, 11(1), 95–98. https://pharmacyeducation.fip.org/pharmacyeducation/article/view/332

Cooper, S., Can't, R., Waters, D., Luders, E., Henderson, A., Willetts, G., Tower, M., Reid-Searl, K., Ryan, C., & Hood, K. (2020). Measuring the quality of nursing clinical placements and the development of the Placement Evaluation Tool (PET) in a mixed-methods co-design project. BMC Nursing, 19(1). https://doi.org/10.1186/s12912-020-00491-1

Donaldson, L. J., Kelley, E. T., Dhingra-Kumar, N., Kieny, M.-P., & Sheikh, A. (2017). Medication without harm: WHO’s third global patient safety challenge. The Lancet (British Edition), 389(10080), 1680–1681. https://doi.org/10.1016/S0140-6736(17)31047-4

El-Awaisi, A., Koummich, S., Koraysh, S., & El Hajj, M. S. (2022). Patient safety education in entry to practice pharmacy programs: A systematic review. Journal of Patient Safety, 18(2), e373-e386. https://doi.org10.1097/PTS.0000000000000818

Ernawati, D. K., Astuti, I. W., Susilawati, L. K. P. A., & Sumardika, I. W. (2022). The development of a medication safety module for healthcare professionals: Results of a Delphi technique. Pharmacy Education, 22(2), 70–73. https://doi.org/10.46542/pe.2022.222.7073

Frenzel, J. E., Skoy, E. T., & Eukel, H. N. (2018). Use of simulations to improve pharmacy students’ knowledge, skills, and attitudes about medication errors and patient safety. American Journal of Pharmaceutical Education, 82(8), 6644–6644. https://doi.org/10.5688/AJPE6644

Ginsburg, L. R., Tregunno, D., & Norton, P. G. (2013). Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. BMJ Quality & Safety, 22(2), 147–154. https://doi.org/10.1136/bmjqs-2012-001308

Hollamby, J., Taylor, I., Berragan, E., Taylor, D., & Morgan, J. (2018). Preparing students for safe practice using an interprofessional ward simulation. Journal of Interprofessional Education & Practice, 12, 78–82. https://doi.org/10.1016/j.xjep.2018.06.002

International Pharmaceutical Federation (2020). Patient safety: Pharmacists’ role in “Medication without harm”. https://www.fip.org/file/4757

Iverson, L., Bredenkamp, N., Carrico, C., Connelly, S., Hawkins, K., Monaghan, M. S., & Malesker, M. (2018). Development and assessment of an interprofessional education simulation to promote collaborative learning and practice. The Journal of Nursing Education, 57(7), 426–429. https://doi.org/10.3928/01484834-20180618-08

Kearney, A., Adey, T., Bursey, M., Cooze, L., Dillon, C., Barrett, J., ... & McCarthy, P. (2010). Enhancing patient safety through undergraduate inter-professional health education. Healthcare Quarterly, 13, 88–93. https://doi.org/10.12927/hcq.2010.21972

Langari, M. N. M., Tella, S., Smith, N. J., & Turunen, H. (2017). Self-assessment of patient safety competence: A questionnaire survey of final year British and Finnish pre-registration nursing students. International Journal of Caring Sciences, 10(3), 1212–1223. http://search.proquest.com.acs.hcn.com.au/scholarly-journals/self-assessment-patient-safety-competence/docview/1988004119/se-2

Langlois, S. (2016). Developing an appreciation of patient safety: Analysis of interprofessional student experiences with health mentors. Perspectives on Medical Education, 5(2), 88–94. https://doi.org/10.1007/s40037-016-0258-4

Lee, S. E., Morse, B. L., & Kim, N. W. (2021). Patient safety educational interventions: A systematic review with recommendations for nurse educators. Nursing Open, 9(4), 1967–1979. https://doi.org/10.1002/nop2.955

Schaffer, S. D., & Munyer, T. O. (2015). Online learning: Integrating interprofessional and patient safety competencies into Doctor of Nursing practice and Doctor of Pharmacy curricula. Journal for Nurse Practitioners, 11(2), e11–e15. https://doi.org/10.1016/j.nurpra.2014.11.007

Scalese, M. J., Kristeller, J., Hoot, E., & Kong, F. (2015). A case-based approach for teaching medication safety to pharmacy students. Currents in Pharmacy Teaching and Learning, 7(4), 458–464. https://doi.org/10.1016/j.cptl.2015.04.011

Steven, A., Magnusson, C., Smith, P., & Pearson, P. H. (2014). Patient safety in nursing education: Contexts, tensions and feeling safe to learn. Nurse Education Today, 34(2), 277–284. https://doi.org/10.1016/j.nedt.2013.04.025

Tella, S., Smith, N. J., Partanen, P., Jamookeeah, D., Lamidi, M., & Turunen, H. (2015a). Learning to ensure patient safety in clinical settings: comparing Finnish and British nursing students' perceptions. Journal of Clinical Nursing. 24(19-20), 2954–2964. https://doi.org/10.1111/jocn.12914

Tella, S., Smith, N. J., Partanen, P., & Turunen, H. (2015b). Learning patient safety in academic settings: A comparative study of Finnish and British nursing students’ perceptions. Worldviews on Evidence-Based Nursing, 12(3), 154–164. https://doi.org/10.1111/wvn.12088

Vaismoradi, M., Bondas, T., Jasper, M., & Turunen, H. (2014). Nursing students’ perspectives and suggestions on patient safety—Implications for developing the nursing education curriculum in Iran. Nurse Education Today, 34(2), 265–270. https://doi.org/10.1016/j.nedt.2012.10.002

Walpola, R. L., Fois, R. A., McLachlan, A. J., & Chen, T. F. (2015). Evaluating the effectiveness of a peer-led education intervention to improve the patient safety attitudes of junior pharmacy students: A cross-sectional study using a latent growth curve modelling approach. BMJ Open, 5(12). https://doi.org/10.1136/bmjopen-2015-010045

World Health Organisation. (2011). Patient safety curriculum guide: Multi-professional edition. https://www.who.int/publications/i/item/9789241501958

Downloads

Published

22-08-2025

How to Cite

Adams, A., Bushell, M., Kelly , A., Nahon, I., Chau, M., Kavanagh , P., Sabeti, F., Lawlis, T., Bacon, R., Leary, K., & Frost, J. (2025). Assessing the feasibility of adapting a nursing questionnaire for evaluating patient safety education in pharmacy. Pharmacy Education, 25(1), p. 450–459. https://doi.org/10.46542/pe.2025.251.450459

Issue

Section

Research Article