A qualitative study of the reasons for low patient safety incident reporting among Indonesian nurses

Abstract

Objectives: to investigate the reasons for low patient safety incident reporting among Indonesian nurses. Methods: this qualitative case study was conducted among 15 clinical nurses selected purposively from a public hospital in Lampung, Indonesia. Interview guidelines were used for data collection through face-to-face in-depth interviews in July 2022. The thematic approach was used to analyze the data. Results: in this present study, seven themes emerged (1) Understanding incident reporting; (2) The culture; (3) Consequences of reporting; (4) Socialization and training; (5) Facilities; (6) Feedback; and (7) Rewards and punishments. Final Considerations: these findings should be considered challenges for the patient safety committee and hospital management to increase patient safety incident reporting, particularly among nurses in the hospital.

Work Stress, Fatigue, Shift Work, Workload Intensity, and Patient Safety Incidents Among Nurses

“…Reporting of PSIs in Indonesia remains low due to challenging data acquisition. Lack of understanding of incident reporting, blaming culture, fear of lawsuits, lack of socialization and training, inadequate facilities, no feedback, and no rewards and punishments system to report the incidents were identified as reasons for low patient safety incident reporting among nurses (Pramesona et al, 2023). This difficulty arises from issues within the reporting system, where, ideally, all healthcare facilities should report every incident to the patient safety committee.…”

Perceived implementation of patient safety compliance among nursing supervisors in military hospitals: a descriptive qualitative study

“…One of the primary causes of the high incidence of patient safety incidents is the lack of awareness among nursing supervisors regarding Standard Operating Procedures (SOPs) for patient safety. This issue is compounded by their motivation (both internal and external) and the lack of adequate rewards or recognition by nursing supervisors (Pramesona et al, 2023). Implementing the nursing services of SOP is essentially part of individual performance and workplace behavior.…”