Identification of barriers and enablers to speaking up among nursing students: A qualitative study of debriefings after simulation sessions

and team familiarity were the most frequently reported enablers, echoing studies who highlighted the need of psychological safety to voice concerns Regarding strategies, nursing students reported using naïve questions and putting off the discussion, at the expense of their efficiency to ensure the patient’s safety. Those results should be mitigated by some limitations, especially regarding the small sample size and the one site focus. Nevertheless, we think our study offers an important insight to design future simulation-based training targeting nursing students’ communication skills.

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