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

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


"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).

Publication types

  • Evaluation Study

MeSH terms

  • Choice Behavior*
  • Communication*
  • Humans
  • Interprofessional Relations
  • Nursing Education Research
  • Nursing Evaluation Research
  • Nursing Staff / education*
  • Nursing Staff / psychology
  • Patient Safety*
  • Quality Assurance, Health Care / methods*