Characterization of adverse events occurring during nursing clinical rotations: A descriptive study.

INTRODUCTION: Patient safety is a pillar of quality health care. Nursing students may commit errors during clinical practice, compromising patient safety. OBJECTIVE: Analyze the adverse events, as well as the factors associated with the errors, reported by students from a private university in Santiago, Chile during nursing clinical rotations. METHODS: Quantitative cross-sectional descriptive study. A total of 68 errors by first- through fifth-year nursing students were reported between 2012 and 2018. The data collection instrument was the Adverse Events Notification Form from the School of Nursing. This form documented information about the study as well as about the event. RESULTS: After this reporting system was established in 2012, the number of events reported increased steadily each year. The greatest numbers of reported errors were committed by fifth-year students (73.5%), and the most common type of error was associated with medication administration (94.2%), including incorrect dose (27.9%) and incorrect medication (17.6%). The major factors contributing to errors were failure to review the "10 rights of medication administration" (85.3%) or lack of critical judgment (7.4%). Most of the errors occurred in public institutions (72.1%). CONCLUSION: The results suggest that it would be beneficial to re-evaluate how safety and quality of care are taught at the school of nursing, with an emphasis on understanding the learning styles of students and teaching strategies of instructors. It is crucial that the academic institution remain actively involved in teaching safety-related skills to future nursing professionals. Furthermore, we suggest modifications to the adverse events reporting system that would avoid the need for personal interpretations of the event by the student.

Secondhand tobacco smoke exposure and pulmonary function: a cross-sectional study among non-smoking employees of bar and restaurants in Santiago, Chile.

INTRODUCTION: The workplace remains a significant source of secondhand smoke (SHS) exposure. This pollutant is known to be associated with respiratory and cardiovascular problems, but its effects on specific pulmonary function parameters remain largely unexplored. The objectives of this study were to measure SHS exposure among non-smoking employees of bar and restaurants in Santiago, Chile and to evaluate the effects of such exposure on pulmonary function. METHODS: Cross-sectional design. The study sample included non-smoking workers from 57 restaurants and bars in Santiago, Chile. The outcome variable was pulmonary function and the exposure variables were urine cotinine concentration, a biomarker for current SHS exposure, and years of SHS exposure in the workplace as proxy of chronic exposure. Personal and occupational variables were also recorded. Data analysis was performed using linear regression models adjusted by confounders. RESULTS: The median age of the workers was 35 years and the median employment duration at the analysed venues was 1 year. Workers in smoking facilities reported greater SHS exposure (36 hours per week) than workers in smoke-free locations (4 hours per week). Urine cotinine levels were inversely correlated with forced vital capacity, but the finding was not statistically significant (ß=-0.0002; 95% CI -0.007 to 0.006). Years of exposure to SHS showed to be significantly associated with forced expiratory flow25/75 (ß=-0.006; 95% CI -0.010 to -0.0004). CONCLUSION: These findings suggest that cumulative exposure to SHS at work may contribute to deterioration of pulmonary function in non-smoking employees.

Occupational exposure to polycyclic aromatic hydrocarbons: A cross-sectional study in bars and restaurants in Santiago, Chile.

OBJECTIVE: To evaluate indoor polycyclic aromatic hydrocarbon (PAH) concentrations in bars and restaurants and identify the main determinants of airborne PAH concentrations. METHODS: This study included 57 bars/restaurants in Santiago, Chile. PAH concentrations (ng/m(3) ) were measured using photoelectric aerosol sensor equipment (PAS 2000CE model). Nicotine concentrations (µg/m(3) ) were measured using active sampling pumps followed by gas-chromatography. Linear regression models were used to identify determinants of PAH concentrations. RESULTS: PAH concentrations were higher in venues that allowed smoking compared to smoke-free venues. After adjusting, the air PAH concentrations were 1.40 (0.64-3.10) and 3.34 (1.43-7.83) ng/m(3) higher for tertiles 2 and 3 of air nicotine compared to the lowest tertile. CONCLUSIONS: In hospitality venues where smoking is allowed, secondhand smoke exposure is a major source of PAHs in the environment. This research further supports the importance of implementing complete smoking bans to protect service industry workers from PAH exposure. Am. J. Ind. Med. 59:887-896, 2016. © 2016 Wiley Periodicals, Inc.

Comparison of the perception of the educational atmosphere by nursing students in a Chilean university.

BACKGROUND: Learning is situated within an environment, cannot be dissociated from the context in which it occurs and impacts upon the results of student learning, obtaining better results in favorably perceived environments. The elements that mostly affect that perception are the curricular contents, teaching methodologies, and the handling of the education atmosphere. These elements, complex and dynamic, are perceived differently according to the level of the career. Some studies establish that the perception improves as the student progresses in the career, while others show the opposite. OBJECTIVES: Measure the perception of nursing students of the education atmosphere and compare the differences among the distinct levels of the career. DESIGN: This was a longitudinal prospective study. Settings and Participants The study was conducted with nursing students from the class of 2011 at Universidad de los Andes, Santiago-Chile. Sixty-one students complied with inclusion criteria and were surveyed in second (n=55), third (n=51), and fourth (n=34) years, during 2012, 2013, and 2014, respectively. METHODS: The Dundee Ready Education Environment Measure questionnaire was applied. The STATA 10 program was used for analysis and the one way ANOVA was use to compare the results. RESULTS: The average perception of the education atmosphere was 133/200, obtaining more positive aspects than negative ones. Students improve their perception as they advance in the career. The three measurements repeat five items as weaknesses and 12 as strengths. CONCLUSIONS: It is convenient to bear in mind the difficulties of students to reconcile the clinical experiences with the theoretical classes on campus by continuous assessing the academic load and the demands made by each professor. Some strategies would include promoting professors' greater closeness with the students, considering travel times in the academic programming, as well as applying the basic theoretical contents in real clinical cases to give them relevance.