Peyrovi Hamid, Nikbakht Nasrabadi Alireza, Valiee Sina
Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
J Intensive Care Soc. 2016 Aug;17(3):215-221. doi: 10.1177/1751143716638370. Epub 2016 Mar 15.
The aim of this study was to explore the barriers to reporting nursing errors in intensive care units in Iranian hospitals.
A descriptive qualitative analysis design was used. The data were collected through in-depth semi-structured interviews with a purposive sample of 16 nurses working in four general intensive care units in Kurdistan province, Iran. Interviews were transcribed and finally analysed through conventional content analysis.
There are four major barriers to the reporting of errors by nurses working in Iranian critical care units: (a) saving professional reputation and preventing stigma; (b) fear of consequences - punishment, legal problems and organisational misconduct; (c) feelings of insecurity - pointing a finger at nurses and lack of managerial support and (d) not investigating the root cause of error.
The findings revealed the need to support and provide security to nurses and to consider and find the cause of error occurrence. Managers must provide the required personal, professional and legal support for nurses to encourage them to effectively report errors, discover the root cause of errors and take measures to prevent them.
本研究旨在探讨伊朗医院重症监护病房中护理差错报告的障碍。
采用描述性定性分析设计。通过对伊朗库尔德斯坦省四个普通重症监护病房的16名护士进行有目的抽样的深入半结构式访谈收集数据。访谈内容进行了转录，最后通过常规内容分析法进行分析。
伊朗重症监护病房护士报告差错存在四大主要障碍：（a）维护职业声誉并避免污名化；（b）对后果的恐惧——惩罚、法律问题和组织不当行为；（c）不安全感——指责护士以及缺乏管理支持；（d）不调查差错的根本原因。
研究结果表明需要为护士提供支持和保障，并考虑和找出差错发生的原因。管理人员必须为护士提供所需的个人、专业和法律支持，以鼓励他们有效报告差错、发现差错的根本原因并采取措施预防差错。
