After the Medication Error: Recent Nursing Graduates' Reflections on Adequacy of Education

Treiber, Linda A; Jones, Jackie

doi:10.3928/01484834-20180420-04

Cited by 45 publications

(36 citation statements)

References 22 publications

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“…All four of the mixed‐methods studies used descriptive methods for at least one of their main study designs, with two studies using mixed descriptive methods (Treiber & Jones, 2018a, 2018b). One also applied interpretive phenomenology (Jones & Treiber, 2010), whereas Maiden and colleagues (2011) applied correlational statistical methods.…”

Section: Resultsmentioning

confidence: 99%

“…All four studies explicity used medication errors as the type of nursing error (Jones & Treiber, 2010; Maiden et al, 2011; Treiber & Jones, 2018a, 2018b).…”

Section: Resultsmentioning

confidence: 99%

“…Critically analyzing the four mixed‐methods studies, shame was identified in 75% of the evidence (Jones & Treiber, 2010; Maiden et al, 2011; Treiber & Jones, 2018b), while guilt (Jones & Treiber, 2010), loss of trust (Jones & Treiber, 2010), and spiritual‐existential crisis (Maiden et al, 2011) were present in 25% of studies. Depression (Jones & Treiber, 2010) and re‐experiencing (Treiber & Jones, 2018a) were found in 25% of the evidence. Anxiety (Maiden et al, 2011; Treiber & Jones, 2018a, 2018b) and anger (Jones & Treiber, 2010; Treiber & Jones, 2018a, 2018b) were also common secondary moral injury symptoms in the mixed‐methods studies, present in 75% of the evidence.…”

Section: Resultsmentioning

confidence: 99%

“…Depression (Jones & Treiber, 2010) and re‐experiencing (Treiber & Jones, 2018a) were found in 25% of the evidence. Anxiety (Maiden et al, 2011; Treiber & Jones, 2018a, 2018b) and anger (Jones & Treiber, 2010; Treiber & Jones, 2018a, 2018b) were also common secondary moral injury symptoms in the mixed‐methods studies, present in 75% of the evidence. Intention to leave (Maiden et al, 2011) was captured in 25% of these studies, and physical symptoms (Treiber & Jones, 2018a, 2018b) were in 50% of the mixed‐methods studies (Table S4).…”

Section: Resultsmentioning

confidence: 99%

“…Next, we read entire articles to further rule out evidence that, when further scrutinized, had not met earlier inclusion or exclusion criteria. Limiting studies to those with nurse‐only samples, 21 articles were identified (Arndt, 1994; Chard, 2010; Coli et al, 2010; Crigger & Meek, 2007; de Freitas et al, 2011; Delacroix, 2017; Jones & Treiber, 2010; Kable, Kelly, & Adams, 2018; Kao et al, 2015; Karga, Kiekkas, Aretha, & Lemonidou, 2011; Lewis, Baernholdt, Guofen, & Guterbock, 2015; Maiden, Georges, & Connelly, 2011; Meurier, Vincent, & Parmar, 1997; Quillivan, Burlison, Browne, Scott, & Hoffman, 2016; Rassin et al, 2005; Santos et al, 2007; Schelbred & Nord, 2007; Taifoori & Valiee, 2015; Treiber & Jones, 2010, 2018a, 2018b).…”

Section: Methodsmentioning

confidence: 99%

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A Critical Review: Moral Injury in Nurses in the Aftermath of a Patient Safety Incident

Stovall

Hansen

Ryn

2020

J of Nursing Scholarship

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Background To date, there has been no published work towards understanding or classifying patient safety incidents (PSIs) or their aftermath as potential morally injurious experiences (pMIEs). A morally injurious experience is one that violates deeply held moral values and beliefs, and can put an individual at risk for burnout, post‐traumatic stress disorder, and other trauma‐related problems. This can also set the stage for moral injury, which can occur when there has been a betrayal of what is right by someone in a position of legitimate authority, or by one’s self, in a high‐stakes situation. Objective The objective of this review of nurse second victim literature is to describe symptoms of moral injury empirically observed in nurses in the aftermath of a PSI. Methods A critical review using a SALSA (search, appraisal, synthesis, analysis) method commenced with a search of electronic data base–indexed original evidence between 1980 and December 2018, focusing on registered nurses involved with a PSI. Results The nurse empirical literature reviewed included qualitative (n = 10), quantitative (n = 7), and mixed‐methods (n = 4) studies (total n = 21). Core moral injury symptoms included guilt (67%), shame (71%), spiritual‐existential crisis (9%), and loss of trust (52%). Secondary symptoms of moral injury included depression (33%), anxiety (57%), anger (71%), self‐harm, (19%), and social problems (48%). Implications Moral injury better describes what historically has been called the nurse second victim phenomenon. Through identification of pMIEs and symptoms of moral injury, nurses and organizations can be empowered to advance training and intervention programs addressing pMIEs that affect nurses’ safety and retention in the aftermath of a PSI. Clinical Relevance By describing the experiences associated with a PSI as potentially morally injurious, we set the stage to describe the potential consequences associated with the aftermath of the PSI. Furthermore, this language avoids victimizing those involved by more accurately reflecting the pMIEs of the aftermath.

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Section: Resultsmentioning

confidence: 99%

“…All four studies explicity used medication errors as the type of nursing error (Jones & Treiber, 2010; Maiden et al, 2011; Treiber & Jones, 2018a, 2018b).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

A Critical Review: Moral Injury in Nurses in the Aftermath of a Patient Safety Incident

Stovall

Hansen

Ryn

2020

J of Nursing Scholarship

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The relationships between clinical teaching behaviour and transition shock in newly graduated nurses

Yun

Qian

et al. 2022

Nursing Open

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Aim To explore the relationships between clinical teaching behaviour and transition shock in newly graduated nurses and significant differences in the northwest and northeast China. Design A cross‐sectional design. Methods A total of 211 (nurses) and 925 (preceptors) were recruited in six Third‐class different hospitals from July to August 2019. Results The transition shock is negatively correlated with the clinical teaching behaviour in northwest and northeast China, while the transition shock in the northwest is higher than that in the northeast for the behindhand economy and natural limit. Conclusion The transition process of newly graduated nurses in northeast China with ethnic minorities and the behindhand economy is more difficult. For newly graduated nurses, personal health and a supportive environment need further improvement. Teaching strategies for preceptors need to be enhanced. Two‐way feedback is more useful for both the newly graduated nurses and preceptors to improve quality care, and holistic care.

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Newly graduated registered nurses' self‐assessed clinical competence and their need for further training

2020

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Aim To explore and describe changes in self‐assessed clinical competence and the need for further training among newly graduated Registered Nurses during their first 15 months of professional work in acute care hospital settings. Design Quantitative longitudinal design. Methods The 50‐item Professional Nurse Self‐Assessment Scale of clinical core competencies II was used. A total of 45 newly graduated Registered Nurses answered the questionnaire at four different occasions. Data were collected after 2, 5, 9 and 15 months of working experience. Result The components “ethical decision‐making,” “cooperation and consultation” and “clinical leadership” were rated highest in clinical competence and lowest in need for further training. The components “professional development” and “critical thinking” were rated lowest in clinical competence and “direct clinical practice” rated highest in need for further training. The clinical competence increased significant between 9–15 months, with the exception of “critical thinking” and need for further training decreased significantly between 9–15 months, with the exception of “critical thinking.”

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After the Medication Error: Recent Nursing Graduates' Reflections on Adequacy of Education

Cited by 45 publications

References 22 publications

A Critical Review: Moral Injury in Nurses in the Aftermath of a Patient Safety Incident

A Critical Review: Moral Injury in Nurses in the Aftermath of a Patient Safety Incident

The relationships between clinical teaching behaviour and transition shock in newly graduated nurses

Newly graduated registered nurses' self‐assessed clinical competence and their need for further training

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