Department of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Department of Palliative Care Nursing, Division of Health Science and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
J Nurs Manag. 2020 Apr;28(3):690-698. doi: 10.1111/jonm.12985. Epub 2020 Apr 20.
To elicit intensive care unit (ICU) nurses' recommendations to prevent nursing errors.
Errors are usually induced by faulty systems, and managers play a key role in building a safe health care system.
A qualitative research design was used. Semi-structured interviews with 112 Egyptian ICU nurses were conducted, and responses were analysed using qualitative content analysis.
Responses from 108 nurses were analysed. Six themes of recommendations were identified: improvement and better organisation of resources, policy modification, education and training, likeness minimization, use of technology and work environment changes.
Nurses' recommendations reflect the poor-resource context in developing countries. Several recommendations, however, are relatively cheap to implement strategies.
All reported recommendations are organisational issues. Improvement and better organisation of human and non-human resources is a priority issue to prevent or minimize nursing errors. Policy modification, education and training, and likeness minimization are relatively cheap, easy-to-implement strategies to tackle the occurrence of nursing errors in developing countries. Staff nurses should be actively involved in policy reform. Patient safety education should be supported by adopting modern technology and work environment reform.
征求重症监护病房（ICU）护士的建议，以预防护理差错。
差错通常是由错误的系统引起的，而管理者在建立安全的医疗保健系统方面起着关键作用。
采用定性研究设计。对 112 名埃及 ICU 护士进行了半结构化访谈，并使用定性内容分析法对回复进行了分析。
对 108 名护士的回复进行了分析。确定了 6 个建议主题：改善和更好地组织资源、修改政策、教育和培训、减少相似性、使用技术和改变工作环境。
护士的建议反映了发展中国家资源匮乏的情况。然而，一些建议是相对廉价的实施策略。
所有报告的建议都是组织问题。改善和更好地组织人力和非人力资源是预防或最小化护理差错的优先事项。政策修改、教育和培训以及减少相似性是发展中国家处理护理差错发生的相对廉价、易于实施的策略。应鼓励临床护士积极参与政策改革。应通过采用现代技术和工作环境改革来支持患者安全教育。
