AIM:To assess perceived patient safety competencies among nursing students and to examine their associations with their perceptions regarding clinical learning environment and unfinished nursing care. DESIGN:An international comparative cross-sectional study. METHODS:A total of 1442 nursing students from the Czech Republic, Italy, Slovakia, and Türkiye participated between February and December 2025. Data were collected using the Health Professional Education in Patient Safety Survey, the Clinical Learning Environment, Supervision and Nurse Teacher scale, and the Unfinished Nursing Care Survey for Students. Descriptive statistics, non-parametric tests, Spearman correlations, and multivariate general linear modelling were applied. RESULTS:Students reported significantly higher patient safety competencies in clinical compared with academic settings (p ≤ 0.001). Significant cross-country differences were observed across all competency domains (p ≤ 0.001). Perceived patient safety competencies were positively correlated with the overall quality of the clinical learning environment (r = 0.356-0.420; p < 0.001) and negatively correlated with unfinished nursing care (r = -0.107 to -0.171; p < 0.001). Multivariate analysis demonstrated that pedagogical atmosphere, premises of nursing care, supervisory relationship, and particularly the role of the nurse teacher were significant predictors of patient safety competencies. CONCLUSION:The development of nursing students' patient safety competencies is closely linked to the quality of clinical learning environments. Strengthening educational and organisational conditions within clinical placements may play an important role in preparing future nurses for safe clinical practice. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE:Improving the quality of clinical learning environments, strengthening supervision, and addressing unfinished nursing care may support the development of nursing students' patient safety competencies and contribute to safer patient care. REPORTING METHOD:The study was carried out according to the STROBE checklist. PATIENT OR PUBLIC CONTRIBUTION:No Patient or Public Contribution.

AIM:To synthesize empirical evidence on the effectiveness of supervision on patient safety of nursing students during clinical practice, students' perceptions and the influencing factors. BACKGROUND:Patient safety is a key component of nursing education, yet its integration into clinical practice remains inconsistent internationally, with supervision serving as an important determinant of students' safety learning. DESIGN:A systematic-narrative hybrid review (registered on PROSPERO: CRD42025636289), combining the methodological rigor of systematic reviews with interpretive depth of narrative synthesis. METHODS:Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses, ten databases were searched (January-August 2025) using SPIDER tool. Thirty-four empirical studies met the inclusion criteria and were critically appraised using the Mixed Methods Appraisal Tool. Qualitative and mixed-method evidence underwent inductive coding; quantitative findings were analyzed using correlation-based effect sizes. Finally, evidence was analyzed through convergent synthesis. RESULTS:Three overarching themes emerged: (1) scope and models of safety supervision; (2) supervision as a determinant of patient safety; and (3) factors influencing safety supervision. Structured and supportive supervision models demonstrated moderate to strong associations with patient safety (r ≈ .30-.60). Key supervisory attributes included competence, authority, continuity and professional coherence in cooperation settings. The emotional aspects experienced by students during supervision are pivotal for their confidence in speaking up and acting safely. Supervisor- and student-related factors, as well as workplace determinants, further shaped the effectiveness of supervision. CONCLUSION:Supervision has a positive effect on nursing students' patient safety during clinical practice. Structured, supportive and psychologically safe supervision enhances students' competence, confidence and safety-oriented behaviors.

Aim This review aims to analyse trends in burnout prevalence among healthcare professionals in the European Union (EU) from 2013 to 2023 and to identify key contributing factors, with a focus on implications for future research and policy. Background/introduction Burnout, characterized by emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA), has become a critical concern among healthcare professionals. Its pervasive impact undermines individual well-being and healthcare service quality. Methods A systematic review was conducted following PRISMA guidelines. Quantitative studies that used the Maslach Burnout Inventory were included. Eligible studies focused on healthcare professionals working within EU member states, including nurses, midwives, and allied health professionals. Results In total 59 studies were included. Burnout prevalence amongst healthcare professionals in EU over past decade varied significantly, with EE ranging from 2.9 % to 52.7 %, DP from 2.2 % to 35.7 %, and PA from 2.1 % to 88.0 %. Associated factors included high workload and emotional demands, while protective factors such as resilience and professional support were associated with lower levels of burnout. Regional and professional differences were evident, with countries like France and Italy reporting higher burnout rates, particularly in acute care settings, and with nurses experiencing the higher levels of EE than other healthcare professions. Conclusion Burnout remains an important issue among EU healthcare professionals, exacerbated by systemic challenges and the pandemic. The findings highlight the need for future research evaluating targeted interventions and organizational reforms to mitigate burnout and enhance healthcare quality.

OBJECTIVES:Limited evidence exists on how working-age adults perceive the impact of ischaemic stroke (IS) during the first months post-event, and longitudinal data on health-related quality of life (HRQoL) are scarce. The aim of the study was to examine 12-month changes in HRQoL, functional outcomes, cognitive function, and psychosocial sequelae in working-age adults after IS, and to explore age-related differences (< 50 vs. ≥ 50 years). METHODS:In this prospective cohort study, 220 patients aged 18-65 years with first-ever IS were assessed before hospital discharge, 3-, 6-, and 12-month post-discharge. Measures included the Stroke Impact Scale (SIS 3.0), Neuro-QoL, Fatigue Severity Scale (FSS), Montreal Cognitive Assessment (MoCA), Hospital Anxiety and Depression Scale (HADS), Brief Pain Inventory, and Multidimensional Scale of Perceived Social Support (MSPSS). Longitudinal changes were analysed using the Wilcoxon signed-rank, Bowker's test, and the Mann-Whitney U test with Bonferroni correction. RESULTS:Significant improvements in HRQoL, cognitive function, and psychosocial outcomes occurred mainly within the first three months. FSS scores indicated clinically relevant fatigue. SIS domains - strength, emotion, communication, activities of daily living (ADL), mobility, hand function, and social participation - improved, while memory remained unchanged. Neuro-QoL T-scores increased for satisfaction with social roles, positive affect, and physical function. Changes after three months were generally not statistically significant. Post-stroke pain and perceived social support remained stable. Age subgroup analysis revealed no significant differences. CONCLUSION:Recovery in HRQoL, cognitive function, and psychosocial outcomes typically occurs within the first three months post-IS, with a subsequent plateau. Younger and older working-age adults exhibit similar trajectories, underscoring the importance of early comprehensive rehabilitation interventions adapted to the patient's condition and deficit.

Introduction: Despite increasing emphasis on patient safety in nursing education, valid culturally adapted instruments in Central Europe remain scarce. Nursing students' perceptions of safety competencies is essential for enhancing patient-centred care. Aim: The study aimed to evaluate the psychometric properties of the Czech version of the Health Professional Education in Patient Safety Survey (H-PEPSS) and to assess nursing students' self-reported competencies in patient safety. Methods: A purposive sample of 496 nursing students participated. Psychometric properties included face and content validity, confirmatory factor analysis, and internal consistency. Descriptive and inferential statistical methods were applied to examine differences across settings and sociodemographic variables. Results: After ensuring face and content validity, the six-factor structure of H-PEPSS demonstrated good model fit (CMIN/df < 2.0; CFI, TLI, NFI > 0.90; RMSEA < 0.10). Internal consistency was high (alpha = 0.939 academic; alpha = 0.935 clinical). The highest-rated competencies were in "Effective Communication" (>= 80%), while the lowest-rated were in "Safety Risk Management" (70.9%) in the academic setting and in "Teamwork" (72.67%) in the clinical setting. Significant differences between individual settings were mainly associated with variables related to education (p <= 0.01). Conclusion: The Czech version of the H-PEPSS is a valid and reliable instrument for assessing patient safety competencies in nursing education. The results highlight persistent challenges in sociocultural safety domains and call for stronger support for students' learning in both academic and clinical settings. These findings contribute to the ongoing international challenges on fostering a culture of safety and accountability in patient-centred nursing care.

OBJECTIVES:To assess early PSP in IS patients of working age and evaluate the possible impact of PSP on HRQoL at three months after IS. METHODS:Consecutive IS patients of working age (18-65 years) enrolled in the prospective FRAILTY (ClinicalTrials.gov: NCT04839887) were analysed. PSP was assessed using the Brief Pain Inventory (BPI) at three months after IS. QoL was assessed using the Stroke Impact Scale (SIS) version 3.0 and Quality of Life in Neurological Disorders (NeuroQoL). Linear regression analysis was used to test PSP and other variables as possible predictors for perceived overall recovery after IS. RESULTS:In total, 138 (52.9 % males, mean age: 51.9 ± 8.4 years) were analysed. PSP was present in 34 (24.6 %) patients. Presence of PSP was associated with lower scores in all SIS domains except "communication" and "participation", and with lower scores in all NeuroQoL domains except "social roles" and "emotions". Linear regression analysis showed BPI interference as the only negative predictor of perceived overall HRQoL and recovery after IS (β=-0.824, p=0.000). CONCLUSIONS:PSP was present in 24.6 % of patients of working age at three months after IS. The presence of PSP significantly affected HRQoL and had a negative impact on perceived overall recovery after IS. Early assessment of PSP and its management may contribute to better HRQoL and recovery after IS.

BACKGROUND:Patient safety in undergraduate nursing studies is an indispensable component of the curriculum. The process of experiential learning from practice is of high value not only in terms of personal development but also enables students to identify and address critical areas of patient safety that require improvement. AIM:To explore Czech undergraduate nursing students' perceptions of patient safety culture during clinical practice through a mixed-method sequential study. METHODS:Data were collected between 2021 and 2024 using a mixed-method approach. The quantitative phase utilised the hospital survey on patient safety culture for nursing students. Four hundred and eighty-two undergraduate nursing students from 16 faculties across the Czech Republic participated. The subsequent qualitative phase employed semi-structured interviews with 12 undergraduate nursing students from one faculty in the Czech Republic. Descriptive and inferential statistical methods were used to analyse quantitative results, complemented by a reflective thematic analysis of qualitative data. RESULTS:The most negatively rated survey dimensions were 'Frequency of events reported' (37.0%) and 'Nonpunitive responses to errors' (42.4%). Predictors for reporting adverse events in clinical practice were 'Indicators of good practice' (p ≤ 0.05). Based on the quantitative phase, the interpretive journey of nursing students' experiences from Exposure to adverse events, through Feeling disconnected and Cognitive dissonance, to the necessity of Speaking up for patient safety culture was captured in the qualitative phase. CONCLUSIONS:Nursing students struggle to engage in a patient safety culture, particularly in reporting adverse events during clinical practice. Strengthening education on reporting and standards is essential for students, along with professional development for clinical staff to align practices and cultures.

Introduction:Post-stroke fatigue (PSF) is a known sequel after ischemic stroke (IS), which affects quality of life (QoL), however its incidence and contributing factors remain controversial or not enough established, especially in younger population in working age. Objectives:To assess PSF in patients in working age (18-65 years) at 3 months after IS and evaluate its possible association to other factors. Methods:Consecutive patients with IS in working age enrolled in the prospective FRAILTY (Factors Affecting the Quality of Life After Ischemic Stroke in Young Adults; ClinicalTrials.gov: NCT04839887) were analyzed. PSF was assessed using Fatigue Severity Scale (FSS) and Neuro_QoL_Fatigue scale, post-stroke depression (PSD) and anxiety (PSA) using Hospital Anxiety and Depression Scale at 3 months after IS. QoL was evaluate using Stroke Impact Scale (SIS), version 3.0. Logistic regression analysis (LRA) was performed to identify possible predictors of PSF. Results:In total, 150 (54.0% males, mean age 51.2 ± 8.9 years) were analyzed and 132 (88%) had excellent clinical outcome after 3 months. PSF, based on the FSS, was present in 55.3% of patients and severe PSF in 41.3% of them. LRA showed the significant association between SIS domains memory, emotions, communication, mobility and participation and the presence of severe PSF (FSS score > 5). PSD and PSA were found as other predictors of severe PSF. No association was found between PSF and age, sex, and clinical outcome. Conclusions:Despite overall excellent clinical outcome, severe PSF occurred in 41.3% of patients in working age after 3 months post-stroke. PSF affected strongly QoL and may have close relationship to psychosocial factors and cognition. Routine screening for PSF should be incorporated into post-stroke follow up, especially for working-age patients.

BACKGROUND:While teamwork is widely recognized as essential to safe and high-quality nursing care, its evaluation has been underexplored in Central and Eastern Europe. This study offers original insights by systematically assessing nursing teamwork in Slovak public hospitals. By identifying strengths and weaknesses in team dynamics through structured evaluation, it becomes possible to implement targeted, context-specific improvements that reflect the realities of the local healthcare system. OBJECTIVES:This study aimed to explore how registered nurses (RNs) perceive the level of teamwork in selected public hospitals in Slovakia and to identify key factors that influence these perceptions, addressing a significant gap in research within the Central and Eastern European healthcare context. DESIGN:The cross-sectional study. METHODS:The study included 346 RNs from four selected hospitals in the Slovak Republic. Data were collected using the Nursing Teamwork Survey (NTS) instrument between April 2022 and February 2023 and analyzed using descriptive and inferential statistics. RESULTS:Registered nurses perceived moderate teamwork during their last working shift. Perceived level of teamwork was significantly influenced by the unit type, the number of overtime hours in the past month, and the intention to leave the position. The results show significant associations between the perceived level of teamwork and overall job satisfaction, job satisfaction in the current position, satisfaction with teamwork, and overall patient safety level. Several variables were found to be significant predictors of teamwork among RNs (p ≤ 0.05). CONCLUSIONS:Effective teamwork among nurses is crucial for optimal patient outcomes. The study highlights the importance of enhancing teamwork in the Slovak healthcare setting and identifies factors influencing nurses' perceptions of teamwork. Addressing these factors can lead to a more positive teamwork environment and improved work satisfaction among nursing professionals. Targeted interventions based on identified predictors could be beneficial in achieving this goal.

Abstract Background The relationship between social support and functional outcomes and health-related quality of life (HRQoL) after ischemic stroke (IS) remains unclear, especially in working-aged patients. Aim To assess the relationship between perceived social support, functional outcomes, post-stroke psychosocial symptoms, and HRQoL in working-aged adults three months after IS. Methods A prospective and correlational design was used. Patients of working age (18–65 years) admitted for first-ever IS were enrolled in the prospective FRAILTY (Factors Affecting the Quality of Life After Ischemic Stroke in Young Adults) study (NCT04839887). HRQoL (using the Stroke Impact Scale, Quality of Life in Neurological Disorders), social support (using the Multidimensional Scale of Perceived Social Support), functional outcomes (using a modified Rankin Scale—mRS), and post-stroke psychosocial symptoms were assessed three months after IS. Descriptive statistics, Wilcoxon signed-rank test, Spearman’s correlations and multiple linear regression were used for analysis. Results A total of 121 (54.5% males, mean age 51.7 ± 8.4 years) IS patients were analyzed. Of those, 87.7% had excellent clinical outcomes (mRS 0–1) after three months. Patients reported significant improvement in all domains of self-reported HRQoL except memory and communication after three months. The overall perceived social support was not associated with HRQoL domains. Post-stroke depression was negatively associated with all domains of HRQoL. Living arrangements (living alone) and post-stroke depression were negatively associated with perceived social support after IS. Conclusions More insight into the relationship between variables of HRQoL in working-aged adults might increase their social participation, strengthen supportive relationships, and promote their recovery and rehabilitation process. Focusing on the management of emotional problems and supporting functional outcomes may be modifiable factors that may represent targets for strategies to improve the HRQoL. Further research is needed to clarify the relationship between pre-stroke perceived social support and its types and post-stroke psychosocial symptoms in the long term.

This chapter examines how patient safety is integrated into nursing education by synthesizing international competency frameworks and their corresponding measurement instruments. It reviews general frameworks—the National Patient Safety Education Framework (NPSEF), the World Health Organization's Patient Safety Curriculum Guide, the Canadian Safety Competencies Framework, and EUNetPaS—and nursing-specific models including Quality and Safety Education for Nurses (QSEN) and the Patient Safety Competency Frameworks (PSCFa, PSCFb). The chapter maps core domains (teamwork, communication, human and system factors, risk management, and safety culture) to curricular design and clinical learning, and evaluates widely used tools (e.g., H-PEPSS, PaSNEQ, SAQ, HSOPS-NS, JCAT-NE) for their structure, validity, and applicability across various settings. The synthesis demonstrates how structured frameworks and validated instruments enable benchmarking, identify gaps, and advance a sustained culture of safety in nursing education and practice.

Background: Patient safety culture is critical for ensuring quality nursing care, yet its role is not fully understood in various health care settings. Purpose: To explore the association between patient safety culture and nurses’ perceptions of the quality of nursing care provided in hospitals in the Czech Republic. Methods: A correlation study was conducted with 535 nurses from 6 hospitals using the questionnaires Hospital Survey on Patient Safety Culture 2.0 and Scale of Perception of Nursing Activities that Contribute to Nursing Care Quality. Results: Significant associations were found between nursing care quality and dimensions of patient safety culture. Supervisor, manager, or clinical leader support; reporting patient safety events; and handoffs and information exchange were important predictors for improving nursing care quality ( P < .05). Conclusions: Management support, adverse events, effective communication, and teamwork are essential for improving patient safety and have a significant impact on the quality of nursing care provided and must be properly supported.

What Is Known on the Subject Missed, rationed or unfinished nursing care represents a global problem that jeopardizes the provision of quality and safe care. This phenomenon is frequently observed in adult, paediatric and child healthcare facilities and various care units.What the Paper Adds to Existing Knowledge The findings of this review contribute valuable information to inform evidence-based practices, foster organizational improvements and ultimately optimize the overall quality of care in psychiatric healthcare settings. In addition, the review illuminates the far-reaching consequences of care on both patient and nurse outcomes, emphasizing the urgent need for tailored strategies to mitigate these effects.What Are the Implications for Practice Based on the synthesis of the literature, a thorough and continuous assessment of patient care needs in the physical, psychological and social domains is needed, primarily utilizing standardized instruments designed for psychiatric settings to ensure a comprehensive understanding of unmet needs. Based on identified unmet needs, nurses should develop individualized care plans and tailor interventions to address them. In addition, nurse managers must adopt and implement regular monitoring mechanisms to track the prevalence of unmet care needs and at the same time establish reporting systems that capture the proportion of unmet needs, allowing timely interventions and adjustments to care delivery. Lastly, nurse managers must not only emphasize the importance of ethical care practices and dignity-focused interventions but also educate healthcare providers, especially nurses, on the potential threats to patient dignity arising from unmet care needs.IntroductionDespite frequent observations of unmet care needs in acute care adult settings, there are a limited number of studies that focus on investigating this phenomenon in the psychiatric setting.AimTo synthesize the existing empirical research on unmet care needs in psychiatric healthcare settings.MethodsThe search was carried out in August 2023 in four scientific databases, PubMed, ProQuest, Web of Science and OVID Nursing, based on their institutional availability. The search produced 1129 studies. The search and retrieval process reflected the recommendations of the Preferred Reporting Items for systematic reviews and meta-analyses.ResultsThis review included 14 studies investigating unmet care needs in the psychiatric healthcare setting. Unmet care needs included three domains: physical, psychological and social. The analysis of the factors revealed factors related to the characteristics of the organization, nurse and patient.DiscussionThe classification of unmet needs provides a comprehensive understanding of the various challenges facing people in psychiatric healthcare settings.Implication for PracticeIdentified factors that influence the occurrence of unmet care needs will help prevent the occurrence of unmet care needs and timely assessment. The resolution of needs helps to achieve patient and nurse outcomes, increase the quality of care provided and patient satisfaction in a psychiatric healthcare setting.

Aim: To assess the perceived health-related quality of life (HRQoL) in hospitalized patients with rheumatic diseases and to determine whether selected characteristics can affect their perceived quality of life. Design: A cross-sectional study. Methods: Data were collected between September 2022 and March 2023 using the standardized instrument to measure HRQoL, namely the RAND 36-Item Health Survey (SF-36). The sample consisted of 170 patients with rheumatic diseases hospitalized in a teaching hospital in the Czech Republic. Results: The average perceived HRQoL was 34.94 (SD = 17.06), indicating poor quality of life. The most highly rated subscale was 'emotional well-being' (56.02 ± 15.71), and the lowest rated subscale was 'role limitations due to physical health' (11.76 ± 28.54). The HRQoL subscales were significantly correlated with Mini-Mental State Examination (MMSE) score, self-care activities, pain severity, age of the patients, and length of hospitalization. Differences in HRQoL were identified based on education, social status, use of compensatory aids, attendance at social events, and history of falls in the past year (p < 0.05). Conclusion: The study contributes to the existing body of knowledge on the subject, but also underscores the importance of considering holistic factors when evaluating HRQoL in individuals with rheumatic diseases.

Background: The phenomenon of rationed nursing care represents a global problem that jeopardizes the provision of quality and safe care. To date, there are a limited number of studies that focus on the occurrence of this phenomenon in the private care setting. Objectives: To explore the frequency and patterns of rationed nursing care and the factors that contribute to its frequency in selected private hospitals in Slovakia. Methods: This descriptive cross-sectional study was conducted between November 2022 and January 2023. Data collection was carried out using the Basel Extent Rationing of Nursing Care – Revised. The study sample consisted of 174 nurses working in three selected Slovak private hospitals. In data analysis, we used descriptive statistics for the evaluation of the instrument and the sample characteristics. Additionally, differences in the frequency of rationed nursing care based on selected variables were analyzed using nonparametric tests (Mann-Whitney U test; Kruskal-Wallis test). For numerical variables the Spearman correlation coefficient (r) was used. The results were tested at a significance level of p <0.05. Results: The frequency of rationed nursing care was 49.3%. The most frequently withheld nursing care activity was increased supervision of confused patients and the need for their restraint (69.8%; 2.26 ± 1.09). Differences in the evaluation of rationed nursing care were identified based on the type of unit and the position of the job. The occurrence of rationed nursing care was influenced by nurse experience in the current position, evaluation of quality care, overall patient safety degree, number of patients/shifts, number of admitted ad discharged patients/shifts, job satisfaction, satisfaction with the current position, and satisfaction with teamwork in our study (p <0.05). Conclusion: This study serves as a catalyst for nurse managers to take proactive steps in addressing rationed nursing care, fostering a culture of safety, and promoting excellence in patient-centered care delivery within private hospital settings in Slovakia. By embracing innovation, collaboration, and a commitment to continuous improvement, we can overcome the challenges posed by rationed care and uphold the principles of quality, safety, and compassion in nursing practice.

Objectives: This cross-sectional study aimed to investigate and compare the perceptions of nursing students regarding patient safety culture (PSC) during the COVID-19 pandemic in three Central European countries. Methods: Data were collected from 624 nursing students between April and September 2021 using the Hospital Survey on Patient Safety Culture. Results: The evaluation of the PSC dimensions did not reach the expected level of 75 %. Significant associations were found between the perception of the dimensions of the individual PSC and age, student status, study year, and clinical placement. The overall patient safety grade, the number of events reported, and the number of events reported by nursing students were significantly predicted by several dimensions of the PSC (p<0.05). Conclusions: The evaluation of patient safety culture by nursing students offers a unique perspective. Students come with 'fresh eyes' and provide different perspectives that can provide healthcare leaders with a practical opportunity to identify blind spots, review and improve safety protocols, and foster a more inclusive culture that prioritizes patient safety.

IntroductionNurses represent the largest group of healthcare professionals and are responsible for improving patient safety, including reporting adverse events. However, adverse events are underreported due to the many barriers that compromise patient safety in the hospital setting.AimThe study aimed to investigate the barriers to reporting adverse events as perceived by nurses working in intensive care units (ICUs).MethodsThe exploratory sequential mixed-method study design was used. Data were collected between January 2022 and March 2023 in intensive care units of one selected university hospital in the Slovak Republic. The quantitative phase was carried out using a specific instrument to explore barriers to reporting adverse events and included 111 nurses from the ICU. The qualitative phase was conducted using semi-structured face-to-face interviews and consisted of 10 nurses from the ICU.ResultsIn terms of quantitative aspect, fear of liability, lawsuits, or sanctions was the most significant barrier to reporting adverse events among ICU nurses. As a result of qualitative thematic analysis, four significant barriers to reporting adverse events were identified: negative attitude toward reporting adverse events; lack of knowledge and experience in reporting adverse events; time scarcity; fear.ConclusionBased on the results of the study, it is evident that only effective and regular reporting of adverse events leads to the minimization of adverse events. To improve patient safety in hospitals, education and management practices must be implemented to overcome barriers to reporting adverse events. The most important approach to overcoming barriers to reporting adverse events is to implement a culture of no blame and a positive culture of patient safety.

Aim: To investigate how nursing students assess their competencies in patient safety in the Czech Republic. Design: A pilot study. Methods: Data collection was carried out from January to April 2023 using the Health Professional Education in Patient Safety Survey instrument through the Google Forms® platform. The sample consisted of nursing students from seven faculties in the Czech Republic (n = 145). Descriptive and inductive statistics in the statistical program SPSS 25.0 were used in data analysis. Results: Nursing students were more confident in both academic and clinical settings in the subscale of Managing safety risks (M = 3.85), and less confident in the subscale of Culture of safety (M = 3.54). Significant differences in assessment of competencies were found in three dimensions when academic and clinical settings were compared. Numerous associations were also demonstrated between patient safety dimensions and sociodemographic data, with the greatest impact on clinical factors. Conclusion: Evaluation of patient safety competencies is a key element in increasing quality and safe care in general. Integrating sociocultural aspects of patient safety into the nursing curriculum is crucial. The main focus should be on patient safety culture education.