Senior nurses’ perceptions of junior nurses’ incident reporting: A qualitative study

Abstract

Aim To develop an understanding of senior nurses’ ranking and perceptions of incident reporting by junior nurses. Background Nurses must be encouraged to report incidents to nursing management. It is important to ascertain how senior nurses perceive their concerns, as it is crucial to ensuring that patient safety is managed. Method Qualitative study. Four focus groups explored senior nurses’ perceptions of risks identified by nurses from a live incident reporting database. Data were analysed using framework analysis. Results Five themes emerged demonstrating the differences in opinions in relation to the classification of events by senior and non‐senior nurses. Senior nurses held the view that some junior nurses use incident reporting to ‘vent frustration.’ Conclusion There is a mismatch between senior nurses’ and junior nurses’ perceptions of safety incidents. Nurses need to develop the writing style and use language that red flags incidents when reporting incidents. Senior nurses need to create a positive culture where risk from incident reporting is used to improve patient safety and subsequently a positive work environment. Implications for Nursing Management Our research identified the need for joint training to promote a shared understanding among nurses as to how incident report should be completed to promote patient safety.

Analysis of Factors Influencing Safety Attitudes of Operating Room Nurses and Their Cognition and Attitudes toward Adverse Event Reporting

“…Relevant studies [ 8 , 33 ] also showed a low reporting rate of adverse events by nurses. Atwal et al [ 34 ] recommend that organizations with a strong patient safety culture adopt a positive attitude toward incident reporting. Nurses' indecision in reporting adverse events might be related to a widespread culture of punitive responses and blame for errors.…”

Correlación del grado de percepción y cultura de seguridad del paciente en una Institución de tercer nivel 2015-2019

“…Para la Organización Mundial de la Salud (OMS), la seguridad del paciente es un principio sanitario. Aunque, hay un cierto grado de peligrosidad y dificultad en el proceso de atención de salud; el mejoramiento continuo de la seguridad del paciente requiere un compromiso y esfuerzo complejo que abarca una amplia gama de acciones dirigidas hacia la mejora del desempeño, la gestión de la calidad, seguridad y los riesgos ambientales que intrínsecamente se ven plasmado en cada acción del personal de salud [7][8][9] .…”

Perceptions of U.S. and U.K. Incident Reporting Systems: A Scoping Review

“…In the U.K., 7 out of 8 publications noted that providers believed accessing their hospital's IRS had the potential of damaging the professional culture within their hospital system. [27][28][29][30][31][32][33] Although U.S. providers were also concerned about damaging the professional culture, these concerns were reflected in only 5 of 11 publications. 20,[34][35][36][37] Providers in 3 out of 11 U.S. 34,37,38 and 4 out of 8 U.K. publications 27,30,32,39 perceived little collaboration, with reporting safety concerns not encouraged and respected by leadership.…”

“…20,[34][35][36][37][38][40][41][42][43][44] Six of 8 U.K. publications described similar fears. 29,[31][32][33]37,39 Seven of 11 U.S. 20,33,[35][36][37][38]45 and 3 of 8 U.K. publications 28,33,39 described providers feeling incapable, ashamed, and troubled about litigation (4 of 11 U.S., 20,36,41,42 2 of 8 U.K.) 28,32 following report submissions. Six of 11 U.S. 35,36,38,41,42,45 and 4 of 8 U.K. publications 27,29,30,33 described uncertainty as to what and why incidents should be reported.…”

“…Uncertainty as to the effectiveness of reporting cultures was also described in 2 U.S. 36,41 and 3 U.K. publications. 32,33,39 Finally, 4 of 11 U.S. 20,36,37,45 and 5 of 8 U.K. publications [28][29][30]33,39 described providers' perceptions that using an IRS could damage their professional relationships within and between healthcare teams, and whether personal data linked to reports were secure and confidential (4 of 11 U.S., 35,36,40,42 5 of 8 U.K.). [27][28][29][30][31] DISCUSSION This is the first study examining the perceptions of U.S. and U.K. healthcare providers following the submission of PSIs through their organizations' IRS and what perceptions differed or were similar between these 2 countries.…”