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New graduate medication safety preparedness: an Australian cross-sectional and longitudinal qualitative research study

Ella Ottrey, Charlotte Rees, Kayley M. Lyons, Tina P. Brock, Lynn V. Monrouxe, Claire Harrison, Julia Morphet

Frontiers in Medicine, Volume: 13

Swansea University Author: Charlotte Rees

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DOI (Published version): 10.3389/fmed.2026.1704787

Abstract

Introduction: Patient safety is paramount, yet medication management errors are common, including amongst new graduates. Ongoing need exists to examine new graduates’ medication safety preparedness, to better improve preparedness and help them manage medication errors. This cross-sectional and longi...

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Published in: Frontiers in Medicine
ISSN: 2296-858X
Published: Frontiers Media SA 2026
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URI: https://cronfa.swan.ac.uk/Record/cronfa71482
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This cross-sectional and longitudinal qualitative research (LQR) explores new graduates&#x2019; medication safety preparedness in nursing, pharmacy and medicine.Methods: Underpinned by social constructionism, 26 final-year healthcare students at an Australian university participated in three study phases between July 2019 and April 2020: entrance interviews (around degree completion), longitudinal audio-diaries (through approximately the first 12 weeks of work), and exit interviews (after approximately 12 weeks of work). We analyzed interview and audio-diary transcripts, and audio-diary email correspondence using team-based framework analysis, cross-sectionally and longitudinally.Results: Participants&#x2019; medication safety stories demonstrated mostly unpreparedness, often about developing and implementing medication therapy plans. Medication error narratives revealed errors (of commission or omission) made by new graduates or others. They were rich in emotional talk (mostly negative such as anxiety, anger and sadness talk), illustrating psychosocial impacts on new graduates. However, positive emotional talk was also present in preparedness stories. While the proportion of preparedness stories increased across time at the cohort level, we found more nuanced/complex patterning in participants&#x2019; narratives at the individual level including evidence of stability, and positive or negative changes in medication safety preparedness.Discussion: We offer evidence-based recommendations for student/new graduate learning to help educators better prepare them for medication safety and enable them to cope with the emotional work of safe medication management. 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spelling 2026-02-23T14:27:38.7031448 v2 71482 2026-02-23 New graduate medication safety preparedness: an Australian cross-sectional and longitudinal qualitative research study 909ecb28ae90d6946e0efb7cffa10dee Charlotte Rees Charlotte Rees true false 2026-02-23 MEDS Introduction: Patient safety is paramount, yet medication management errors are common, including amongst new graduates. Ongoing need exists to examine new graduates’ medication safety preparedness, to better improve preparedness and help them manage medication errors. This cross-sectional and longitudinal qualitative research (LQR) explores new graduates’ medication safety preparedness in nursing, pharmacy and medicine.Methods: Underpinned by social constructionism, 26 final-year healthcare students at an Australian university participated in three study phases between July 2019 and April 2020: entrance interviews (around degree completion), longitudinal audio-diaries (through approximately the first 12 weeks of work), and exit interviews (after approximately 12 weeks of work). We analyzed interview and audio-diary transcripts, and audio-diary email correspondence using team-based framework analysis, cross-sectionally and longitudinally.Results: Participants’ medication safety stories demonstrated mostly unpreparedness, often about developing and implementing medication therapy plans. Medication error narratives revealed errors (of commission or omission) made by new graduates or others. They were rich in emotional talk (mostly negative such as anxiety, anger and sadness talk), illustrating psychosocial impacts on new graduates. However, positive emotional talk was also present in preparedness stories. While the proportion of preparedness stories increased across time at the cohort level, we found more nuanced/complex patterning in participants’ narratives at the individual level including evidence of stability, and positive or negative changes in medication safety preparedness.Discussion: We offer evidence-based recommendations for student/new graduate learning to help educators better prepare them for medication safety and enable them to cope with the emotional work of safe medication management. Further LQR with longer study durations is now needed on medication safety preparedness. Journal Article Frontiers in Medicine 13 Frontiers Media SA 2296-858X longitudinal qualitative research (LQR), medication administration, medication error, medication safety, new graduates, preparedness 13 2 2026 2026-02-13 10.3389/fmed.2026.1704787 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee This study was funded by the Monash University Faculty of Medicine, Nursing and Health Sciences 2019 Teaching & Learning Research Grant. 2026-02-23T14:27:38.7031448 2026-02-23T14:00:20.6720888 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Healthcare Science Ella Ottrey 1 Charlotte Rees 2 Kayley M. Lyons 3 Tina P. Brock 4 Lynn V. Monrouxe 5 Claire Harrison 6 Julia Morphet 7 71482__36283__3ece3f12c80540da86630b3d9d321b9a.pdf 71482.VoR.pdf 2026-02-23T14:06:41.2479731 Output 1043384 application/pdf Version of Record true © 2026 Ottrey, Rees, Lyons, Brock, Monrouxe, Harrison and Morphet. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). true Eng http://creativecommons.org/licenses/by/4.0/
title New graduate medication safety preparedness: an Australian cross-sectional and longitudinal qualitative research study
spellingShingle New graduate medication safety preparedness: an Australian cross-sectional and longitudinal qualitative research study
Charlotte Rees
title_short New graduate medication safety preparedness: an Australian cross-sectional and longitudinal qualitative research study
title_full New graduate medication safety preparedness: an Australian cross-sectional and longitudinal qualitative research study
title_fullStr New graduate medication safety preparedness: an Australian cross-sectional and longitudinal qualitative research study
title_full_unstemmed New graduate medication safety preparedness: an Australian cross-sectional and longitudinal qualitative research study
title_sort New graduate medication safety preparedness: an Australian cross-sectional and longitudinal qualitative research study
author_id_str_mv 909ecb28ae90d6946e0efb7cffa10dee
author_id_fullname_str_mv 909ecb28ae90d6946e0efb7cffa10dee_***_Charlotte Rees
author Charlotte Rees
author2 Ella Ottrey
Charlotte Rees
Kayley M. Lyons
Tina P. Brock
Lynn V. Monrouxe
Claire Harrison
Julia Morphet
format Journal article
container_title Frontiers in Medicine
container_volume 13
publishDate 2026
institution Swansea University
issn 2296-858X
doi_str_mv 10.3389/fmed.2026.1704787
publisher Frontiers Media SA
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Healthcare Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Healthcare Science
document_store_str 1
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description Introduction: Patient safety is paramount, yet medication management errors are common, including amongst new graduates. Ongoing need exists to examine new graduates’ medication safety preparedness, to better improve preparedness and help them manage medication errors. This cross-sectional and longitudinal qualitative research (LQR) explores new graduates’ medication safety preparedness in nursing, pharmacy and medicine.Methods: Underpinned by social constructionism, 26 final-year healthcare students at an Australian university participated in three study phases between July 2019 and April 2020: entrance interviews (around degree completion), longitudinal audio-diaries (through approximately the first 12 weeks of work), and exit interviews (after approximately 12 weeks of work). We analyzed interview and audio-diary transcripts, and audio-diary email correspondence using team-based framework analysis, cross-sectionally and longitudinally.Results: Participants’ medication safety stories demonstrated mostly unpreparedness, often about developing and implementing medication therapy plans. Medication error narratives revealed errors (of commission or omission) made by new graduates or others. They were rich in emotional talk (mostly negative such as anxiety, anger and sadness talk), illustrating psychosocial impacts on new graduates. However, positive emotional talk was also present in preparedness stories. While the proportion of preparedness stories increased across time at the cohort level, we found more nuanced/complex patterning in participants’ narratives at the individual level including evidence of stability, and positive or negative changes in medication safety preparedness.Discussion: We offer evidence-based recommendations for student/new graduate learning to help educators better prepare them for medication safety and enable them to cope with the emotional work of safe medication management. Further LQR with longer study durations is now needed on medication safety preparedness.
published_date 2026-02-13T05:29:52Z
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