A Qualitative Study on Nurses’ Experiences of Reporting Patient Safety Incidents in East Nusa Tenggara, Indonesia

Abstract

Background: Reporting patient safety incidents is important to improve patient safety and quality of care. Barriers to report patient safety incidents in nursing may occur due to lack of knowledge and unscheduled as well as low reporting rates. Unfortunately, nurses’ experiences in reporting patient safety incidents have not been comprehensively reviewed.Purpose: The purpose of this study was to explore nurses’ experiences of reporting patient safety incidents in East Nusa Tenggara, Indonesia.Methods: A descriptive phenomenological approach was used to identify, analyze and describe the experiences of 15 nurses in reporting patient safety incidents. Nurses having worked for more than two years, not on leave, not being infected with COVID-19 in the last 14 days, and not having a structural position were purposively recruited. Data were collected using in-depth interviews and voice recordings. The collected data were then transcribed verbatim, and thematic analysis was applied for data analysis.Results: Four main themes were found in this study, which included: (1) Priority and responsibility for services, (2) Barriers to incident reporting, (3) Learning for nurses, and (4) Support for nurses.Conclusion: The nurses experience of in reporting safety incidents is still constrained by several obstacles. It is hoped that health care organizations need to provide appropriate strategies to enhance the safety incident reporting efforts made by nurses. Based on the research findings, it is recommended that health service organizations disseminate the use of safety incident reporting forms and assist nursing managers to their subordinates by conducting supervision and motivation related to incident reporting on a scheduled and continuous basis.

Analysis Dimension of Healty Work Environment for Successful Patient Safety Incident Reporting: A Cross Sectional Study

“…On the other hand, Tage et al (2021) mentioned that the obstacles in incident reporting are due to the lack of leadership's ability to provide appropriate strategies to improve patient safety incident reporting on a scheduled and continuous basis. From the results of this multiple linear analysis, the most influential factor on patient safety culture is the meaningful recognition factor with the highest Standardized Coefficient Beta value of 0.392 with a sig value <0,001…”

Analisis Determinan Pelaporan Insiden Keselamatan Pasien Oleh Perawat Di Rumah Sakit: Tinjauan Sistimatik

“…Karakteristik studi dilakukan pencarian dengan rentan waktu lima tahun ( 2018-2022) secara kebetulan ke enam penelitian dilakukan di Indonesia (Tage et al, 2021;Wanda et al, 2020;Lutfi et al, 2022;Krissadi et al, 2021;Nashifah & Adriansyah, 2019;Dhamanti et al, 2022) , satu dari korea Selatan (Yoon & Lee, 2022), enam dilakukan RS pemerintah baik tipe a maupun B, Indonesia (Tage et al, 2021;Wanda et al, 2020;Lutfi et al, 2022;Krissadi et al, 2021;Nashifah & Adriansyah, 2019;Dhamanti et al, 2022) dan satu dilakukan di RS militer di korea selatan (Yoon & Lee, 2022).…”

“…Temuan 1: persepsi perawat; adanya rasa takut, malu, tidak nyaman, keadilan, kerahasiaan dan konsekuensi pelapor, yang mungkin akan diterima pelapor. Enam dari tujuh yang diidentifikasi (Tage et al, 2021;Wanda et al, 2020;Lutfi et al, 2022;Krissadi et al, 2021;Nashifah & Adriansyah, 2019;Dhamanti et al, 2022) mengidentifikasikan persepsi akan dampak bagi pelapor insiden ; malu, takut, tidak nyaman, kerahasiaan, konsekuensi, sebagai faktor utama karena perawat biasanya menyebutkan sebagai hambatan utama , apakah persepsi tersebut adalah rasa yang akan diterima / dialami respon/ stigma teman sejawat juga atasan, respon yang tidak nyaman dari manajemen seperti indisipliner, hukuman administrasi atau bahkan finansial.…”

“…Open Access: http://ejournal.poltekkesjakarta1.ac.id/index.php/adm Email: jurnalquality@poltekkesjakarta1.ac.id Salah satu alasan utama perawat tidak merasa terdorong untuk melaporkan tiap insiden keselamatan pasien adalah karena kekhawatiran akan hukuman atau tuntutan (Wanda et al, 2020) , juga keprihatian perawat terhadap reaksi dari manajemen; reaksi negatif terhadap pelaporan insiden dari penyelia adalah hal biasa, karena penyelia cenderung menyalahkan ) dan menghukum (Wanda , 2020;Yoon & Lee, 2022;Dhamanti et al, 2022), ada juga perawat mengharapkan membuat pelaporan insiden dapat meningkatkan insentif (Tage et al, 2021) Temuan sintesis 2: kurang dukungan organisasi yang diperlukan untuk mendorong lingkungan pelaporan IKP bagi perawat. Organisasi atau manajemen RS harus berkomitmen untuk mendukung perawat dengan berbagai cara termasuk mengembangkan sistem pelaporan yang efektif (kerahasiaan/ jaminan anonym, simple) (Wanda, 2020;Yoon & Lee, 2022;Dhamanti et al, 2022), .Lima dari tujuh penelitian menunjukkan bahwa sistem insiden pelaporan tidak mendorong pelaporan IKP oleh perawat (Tage et 2021;Wanda et al, 2020;Lutfi et al, 2022;Nashifah & Adriansyah, 2019;Yoon & Lee, 2022) , mereka membahas tentang kerahasiaan, anonym dan umpan balik / respon manajemen sebagai faktor pelaporan IKP, serta dalam kaitan sistem pelaporan perawat dari lebih satu penelitian menyebutkan kurang waktu dan tambahan beban pekerjaan sebagai alasan untuk melapor IKP (Tage et al, 2021;Wanda et al, 2020;Lutfi et al, 2022;Krissadi et al, 2021;Dhamanti et al, 2022) Temuan sintesis 3: beberapa perawat kurang terlatih dengan baik untuk pelaporan IKP. Empat dari tujuh penelitian membuktikan kurang pengetahuan, ketrampilan, dan sosialisasi atau pelatihan insiden keselamatan pasien dan sistem pelaporannya yang efektif dan terstruktur ( Nashifah & Adriansyah, 2019;Yoon & Lee, 2022;Krissadi et al, 2021;Dhamanti et al, 2022).…”

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

“…Some previous quantitative studies have primarily provided information based on statistical findings ( 13 , 21 - 22 ) . Additionally, the studies that are currently available are limited to examining the effects of the workplace environment and cultural and practical barriers among healthcare workers (HCWs) ( 23 - 24 ) , nurses’ attitude towards reporting safety incidents ( 25 ) , and nurses’ experience in reporting safety incidents ( 26 ) .…”