School of Health and Social Care, London South Bank University, London, UK.
Imperial College HealthCare NHS Trust, St Marys Hospital, London, UK.
J Nurs Manag. 2020 Sep;28(6):1215-1222. doi: 10.1111/jonm.13063. Epub 2020 Jul 3.
To develop an understanding of senior nurses' ranking and perceptions of incident reporting by junior nurses.
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.
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.
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.'
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.
了解资深护士对初级护士上报事件的看法和评价。
必须鼓励护士向护理管理层报告事件。了解资深护士如何看待他们的担忧非常重要，因为这对于确保患者安全管理至关重要。
定性研究。四个焦点小组探讨了资深护士对从实时事件报告数据库中识别出的护士风险的看法。使用框架分析对数据进行分析。
出现了五个主题，表明资深护士和非资深护士在事件分类方面存在意见分歧。资深护士认为，一些初级护士使用事件报告来“发泄不满”。
资深护士和初级护士对安全事件的看法存在差异。护士在报告事件时需要提高写作技巧和语言表达能力，以突出事件的风险。资深护士需要营造一种积极的文化氛围，将事件报告带来的风险用于提高患者安全性，并进一步营造积极的工作环境。
我们的研究表明，需要进行联合培训，以促进护士之间对如何完成事件报告以促进患者安全的共同理解。
