Nurses' perspectives and experiences on medical errors: A qualitative study

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Journal of evaluation in clinical practice Pub Date : 2024-08-13 DOI:10.1111/jep.14125

Ayşegül Yılmaz PhD, BSN, Betül Sönmez PhD, BSN

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Abstract

Introduction

Medical errors are among the most important factors that threaten patient safety. Therefore, nurses' perspectives and experiences about medical errors are important for this manner.

Aims

The aim of this study was to determine in depth the perspectives and experiences of nurses related to how they define medical error, as well as its causes, management and reporting.

Design

This descriptive, exploratory study involved a qualitative design.

Methods

A total of 15 clinical nurses from eleven provinces were reached by snowball sampling method. In the study, nurses' perspectives on medical errors were obtained through semistructured in-depth online interviews conducted based on phenomenological methods. Descriptive analysis was used in the analysis of the data obtained from the interviews. The research was conducted following the COnsolidated criteria for REporting Qualitative checklist.

Results

The resulting 26 codes were categorized under seven themes: “Definition of medical error”, “Experience of medical errors”, “Frequency of medical errors”, “Causes of medical errors”, “Reporting of medical errors”, “Medical error approach” and “Prevention of medical errors”.

Conclusions

The results show that it is still necessary to increase the awareness of nurses about medical errors and the importance of error reporting. In addition, it reveals the need for leadership to eliminate the negative approach to medical errors and shows that nurse managers should be empowered accordingly.

Implications for Nursing Practice and Policy

It is the first step of quality and safe care to reveal nurses' perspectives on medical errors, their thoughts about medical errors and their experiences about errors in their institutions. In this study, nurses' knowledge, opinions and experiences regarding medical errors were revealed in this qualitative study. Therefore, this study offers important clues to nursing services, hospital managers and policy makers for clinical and institutional arrangements.

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护士对医疗事故的看法和经验：定性研究。

导言：医疗事故是威胁患者安全的最重要因素之一。因此，护士对医疗差错的看法和经验非常重要。研究目的：本研究旨在深入了解护士对医疗差错的定义、原因、管理和报告的看法和经验：这项描述性、探索性研究采用定性设计：方法：采用滚雪球式抽样方法，共访问了来自 11 个省的 15 名临床护士。在研究中，通过基于现象学方法的半结构式深度在线访谈，了解护士对医疗事故的看法。在分析访谈数据时采用了描述性分析法。研究按照定性报告核对表综合标准进行：结果：所得到的 26 个代码被归类为七个主题："医疗事故的定义"、"医疗事故的经历"、"医疗事故的频率"、"医疗事故的原因"、"医疗事故的报告"、"医疗事故的处理方法 "和 "医疗事故的预防"：结果表明，仍有必要提高护士对医疗差错的认识和报告差错的重要性。此外，它还揭示了领导层消除消极对待医疗差错的必要性，并表明应赋予护士管理者相应的权力：揭示护士对医疗差错的看法、她们对医疗差错的想法以及她们在所在机构中对差错的经历，是优质安全护理的第一步。本研究通过定性研究揭示了护士对医疗差错的认识、看法和经验。因此，本研究为护理服务、医院管理者和政策制定者的临床和制度安排提供了重要线索。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.