Impact of Nursing Professionalism, Ethical Sensitivity, and the Clinical Learning Environment on Nursing Students' Intention to Report Near Misses and Adverse Events

Purpose: Medical errors, including near-miss and adverse events, pose significant risks to patient safety. Error reporting is essential for preventing future incidents and promoting a strong patient safety culture. Purpose: This study aimed to examine the impact of professional nursing values, ethical sensitivity, and clinical practice environment on nursing students' intentions to report near-misses and adverse events. Methods: A crosssectional survey was conducted using self-reported questionnaires to measure professional nursing values, ethical sensitivity, clinical practice environment, and intentions to report near-misses and adverse events. Statistical analyses were performed to identify factors influencing reporting intentions. Results: Ethical sensitivity significantly influenced the intentions to report both near-misses and adverse events. However, professional nursing values and the clinical practice environment did not have statistically significant effects. Conclusion: This study emphasizes the need to improve ethical sensitivity among nursing students through targeted education. Additionally, fostering a supportive patient safety culture and establishing clear reporting systems are critical for improving error reporting behaviors.