Incident Reporting Behaviours and Associated Factors among Nurses Working in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia

Abstract

Background. A comprehensive and systematic approach to incident reporting would help learn from errors and adverse events within a healthcare facility. Objective. The aim of the study was to assess incident reporting behaviours and associated factors among nurses. Methods. An institution-based cross-sectional study was conducted from April 14 to 29, 2015. Simple random sampling technique was used to select the study participants. Data were coded, entered into Epi Info 7, and exported to SPSS version 20 software for analysis. A multivariate logistic regression model was fitted and adjusted odds ratio with 95% confidence interval was used to determine the strength of association. Results. The proportion of nurses who reported incidents was 25.4%. Training on incident reporting (Adjusted Odds Ratio (AOR) [95% CI] 2.96 [1.34–6.26]), reason to report (to help patient) (AOR [95% CI] 3.08 [1.70–5.59]), fear of administrative sanctions (AOR [95% CI] 0.27 [0.12–0.58]), fear of legal penalty (AOR [95% CI] 0.09 [0.03–0.21]), and fear of loss of prestige among colleagues (AOR [95% CI] 0.25 [0.12–0.53]) were significantly associated factors with the incident reporting behaviour of nurses. Conclusion and Recommendation. The proportion of nurses who reported incidents was very low. Establishing a system which promotes incident reporting is vital.

Critical Incident Disclosing Behaviors and Associated Factors among Nurses Working in Amhara Region Referral Hospitals, Northwest Ethiopia: A Cross-Sectional Study

“…Data were collected by using a structured self-administered English version questionnaire which was adapted from a study conducted by Engeda [ 10 ] with the authors' permission. The tool was composed of four parts, such as sociodemographic characteristics of nurses, levels of incident reporting, institutional factors, and perceived barriers of nurses to incident reporting.…”

“… Incident reporting behavior: nurses' action towards the error they encounter during the delivery of care to report or not report (disclose) to their colleague or concerned body [ 10 , 16 ] High incident reporting behavior: nurses who choose the option “always” for each item of outcome measuring questions listed and score greater or equal to the mean [ 5 ] Low incident reporting behavior: nurses who choose one of the options “most of the time,” “sometimes,” “rarely,” or “not reported at all” for each item of outcome measuring questions listed above and score below to the mean [ 10 ] …”

“…Incident reporting behavior: nurses' action towards the error they encounter during the delivery of care to report or not report (disclose) to their colleague or concerned body [ 10 , 16 ]…”

“…To minimize and avoid the repeated occurrence of incidents, healthcare facilities need to change policies and procedures that encourage nurses to report incidents. In addition, the protocol also creates an opportunity to enhance nurses to learn from mistakes, and this will also further enhance patient safety [ 10 , 11 ]. Studies recommend that reoccurrence of errors can be prevented by the incident reporting system.…”

ENN-RICH: (Engaging Novice Nurses Through Reflecting and Interactive Coaching Huddle)

“…The variable with the lowest rating can be related to the negative perception of novice nurses regarding analyzing unsuccessful options. A study by Engeda (2016) identified ninety-six (96) barriers to incident reporting, among which include "fear of legal action and job threats, fear of economic losses, and fear of honor and dignity" [40].…”