Incorporating Patient Safety and Quality Course Into the Nursing Curriculum: An Assessment of Student Gains

Fasih Ali Ahmed, Roha Ahmad Choudhary, Hamza Khan, Farwa Ayub, Syed Sabih Ul Hassan, Tahir Munir, Fozia Asif, Khairulnissa Ajani, Mehtab Jaffer, Zahra Tharani, Hanan J. Aboumatar, Adil Haider, Asad Latif

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Background Training nursing students on quality and patient safety (PS) is crucial to ensuring safe healthcare practices given the key role nurses play on the healthcare team. The aim of this study was to evaluate the impact of quality and PS course on the knowledge, and system thinking of students at different stages of the undergraduate nursing course. Methods A 4.5-day quality improvement and PS course was conducted at the Aga Khan University School of Nursing and Midwifery for 146 second- and 139 fourth-year students. Students' knowledge, self-assessment of knowledge and skills, and system thinking were assessed using pretest and posttest. Results Of the total of 20 points, the course significantly improved students' knowledge by a mean of 4.91 points for second-year students (95% confidence interval [CI], 4.32-5.51) and 3.46 points for fourth-year students (95% CI, 2.90-4.02) between pretest and posttest. For systems thinking, the Systems Thinking Scale scores increased by 0.41 points (95% CI, 0.29-0.52) for second-year students and 0.33 points (95% CI, 0.22-0.44) for fourth-year students out of the total of 5 points. The self-assessment scores significantly increased on postcourse assessment for second (P < 0.05) and fourth-year students (P < 0.001). Positive experience reported by students in the narrative reflections complemented these results. Conclusions There was a significant increase in nursing students' knowledge, self-efficacy, and system thinking after participating in this short PS course. Replication at a national level may improve safety knowledge and skills among nursing students with subsequent gains in the safety of healthcare delivery in Pakistan.

Original languageEnglish
Pages (from-to)408-414
Number of pages7
JournalJournal of Patient Safety
Issue number6
Publication statusPublished - 1 Oct 2023


  • healthcare education
  • low- and middle-income country
  • nursing school curriculum
  • patient safety
  • quality improvement
  • student assessment


Dive into the research topics of 'Incorporating Patient Safety and Quality Course Into the Nursing Curriculum: An Assessment of Student Gains'. Together they form a unique fingerprint.

Cite this