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J Nurs Care Qual. 2012 Apr-Jun;27(2):154-60. doi: 10.1097/NCQ.0b013e318241d9ff.

An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety.

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  • 1School of Nursing, UCLA Health System Patient Safety Institute, University of California-Los Angeles, CA, USA.


"Speaking up" is a critical component in improving patient safety. Studies indicate, though, that most registered nurses prefer using behaviors of avoidance or accommodation in conflict situations. The purpose of this quasi-experimental study was to determine whether an educational intervention using scenarios, personal reflection, and peer support in small groups could improve speaking-up behaviors in registered nurses. Results showed a significant difference in speaking-up behaviors and scores in the intervention group (P < .001).

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