A study of error reporting by nurses: the significant impact of nursing team dynamics.

IF 1.6 Q2 NURSING Journal of Research in Nursing Pub Date : 2023-08-01 Epub Date: 2023-10-25 DOI:10.1177/17449871231194180
Lindsay Thompson Munn, Mary R Lynn, George J Knafl, Tina Schade Willis, Cheryl B Jones
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Abstract

Background: Error reporting is crucial for organisational learning and improving patient safety in hospitals, yet errors are significantly underreported.

Aims: The aim of this study was to understand how the nursing team dynamics of leader inclusiveness, safety climate and psychological safety affected the willingness of hospital nurses to report errors.

Methods: The study was a cross-sectional design. Self-administered surveys were used to collect data from nurses and nurse managers. Data were analysed using linear mixed models. Bootstrap confidence intervals with bias correction were used for mediation analysis.

Results: Leader inclusiveness, safety climate and psychological safety significantly affected willingness to report errors. Psychological safety mediated the relationship between safety climate and error reporting as well as the relationship between leader inclusiveness and error reporting.

Conclusion: The findings of the study emphasise the importance of nursing team dynamics to error reporting and suggest that psychological safety is especially important to error reporting.

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护士错误报告的研究:护理团队动态的显著影响。
背景:错误报告对于组织学习和提高医院患者安全至关重要,但错误报告严重不足。目的:本研究旨在了解领导包容性、安全氛围和心理安全的护理团队动态如何影响医院护士报告错误的意愿。方法:本研究采用横断面设计。自我管理调查用于收集护士和护士管理人员的数据。使用线性混合模型对数据进行分析。采用带偏差校正的Bootstrap置信区间进行中介分析。结果:领导者包容性、安全氛围和心理安全显著影响报告错误的意愿。心理安全调节了安全氛围与错误报告之间的关系,以及领导者包容性与错误报告的关系。结论:研究结果强调了护理团队动态对错误报告的重要性,并表明心理安全对错误报告尤为重要。
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来源期刊
CiteScore
5.30
自引率
3.20%
发文量
82
期刊介绍: The Journal of Research in Nursing is a leading peer reviewed journal that blends good research with contemporary debates about policy and practice. The Journal of Research in Nursing contributes knowledge to nursing practice, research and local, national and international health and social care policy. Each issue contains a variety of papers and review commentaries within a specific theme. The editors are advised and supported by a board of key academics, practitioners and policy makers of international standing. The Journal of Research in Nursing will: • Ensure an evidence base to your practice and policy development • Inform your research work at an advanced level • Challenge you to critically reflect on the interface between practice, policy and research
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