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International Journal of Nursing Education and Research
Year : 2019, Volume : 7, Issue : 3
First page : ( 435) Last page : ( 452)
Print ISSN : 2347-8640. Online ISSN : 2454-2660.
Article DOI : 10.5958/2454-2660.2019.00100.5

Saudi Nursing Students Attitudes towards Patient Safety and the Influencing Factors. A Quantitative and Qualitative Study at the College of Nursing-Jeddah

Hashish Ebtsam Aly Abou1,2,*, Aljuaid Wa'ad3, Almuzaini Ohud3

1Assistant Professor. Faculty of Nursing, Alexandria University, Egypt

2College of Nursing, King Saud bin Abdul-Aziz University for Health Sciences, Saudi Arabia

3Nursing Student, College of Nursing, King Saud bin Abdul-Aziz University for Health Sciences, Saudi Arabia

*Corresponding Author E-mail: ebtsam_ss@hotmail.com

Online published on 6 February, 2020.



Patient safety becomes a challenging discipline in educational institutions and hospitals. As future nurses, it is expected from nursing students to have sufficient knowledge and inspirational attitude towards promoting patient safety.


The aim of this study was to assess the attitudes of Saudi nursing students towards patient safety at the College of Nursing-Jeddah. Further, to identify factors influence their attitude towards patient safety.


Mixed method research was conducted using a concurrent triangulation design. Attitude Towards Patient Safety Questionnaire was developed by the researchers and given to all nursing students (N=296) who enrolled in the academic year 2017–2018 to collect the quantitative data, while a qualitative investigation guided by in-depth interview was conducted with a purposive sample of 14 nursing students to identify factors influencing their attitude towards patient safety. Appropriate statistical analysis was applied while Qualitative data were analyzed by content analysis.


The present study concluded that Saudi Nursing students manifested high and positive attitude towards patient safety and indicated that their attitude not affected by the academic level or learning experience. “Teaching patient safety issues” scored as the highest dimension compared to "error disclosure and management dimensions" which rated as the lowest dimensions of students’ attitude. Many factors extracted from qualitative content analysis seem to influence students’ attitude towards patient safety identified as facilitators or barriers and thematically categorized as; "patient factors”, “staff factors", and “work environment factors” with 25 sub-factors under these themes.

Conclusions and Recommendation

Nursing students should be supported by adequate training about safety measures to enhance their safety attitude, knowledge and practice. Error reporting and disclosure culture should be a norm in nursing education and health care environment. Therefore, students should participate in the process of error analysis and management with the provision of adequate clinical supervision. Various teaching-learning strategies including traditional teaching and Problem Based Learning (PBL) should be integrated as instructional strategies by nurse educators for enhancing nursing students’ problem solving and critical thinking and to bridge the identified theory-practice gap.



Patient Safety, Nursing Students, Saudi Arabia, Attitude, Qualitative content analysis, In-depth Interview.


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