New Zealand Nurses Organisation, University of Newcastle, Australia.
University of Tasmania, Australia.
Nurse Educ Pract. 2022 Aug;63:103387. doi: 10.1016/j.nepr.2022.103387. Epub 2022 Jun 24.
Unsafe practice is an important issue for the nursing profession however few studies have sought to identify how nurses recognise and respond to unsafe practice.
To identify the behaviours and cues that registered nurses recognise as indications of unsafe practice, perceived factors that contribute to unsafe practice and action nurses take in response.
Qualitative descriptive study.
New Zealand health care settings.
New Zealand registered Nurses (n = 13).
Data were collected via semi-structured interviews and analysis was conducted using constant-comparative and thematic analysis.
Nurses identified a range of behaviours, cues, contributing factors and responses to unsafe practice. Three themes emerged from the data: Uncertainty, 'sensing' unsafe practice and disrupted professionalism.
Understanding the challenges nurses face every day in recognising and responding to unsafe practice in increasingly complex nursing contexts is key to understanding how unsafe practice may be further addressed in clinical practice. Nurses in this study recognised overtly unsafe behaviour and subtle cues as indications of unsafe practice. Participants also identified factors which they perceived contributed to the occurrence of unsafe practice including high workloads and poor skill mix as well as organisational cultures that failed to support safe practice.
不安全的实践是护理行业的一个重要问题，但很少有研究试图确定护士如何识别和应对不安全的实践。
确定注册护士识别为不安全实践迹象的行为和线索、导致不安全实践的感知因素以及护士采取的应对行动。
定性描述性研究。
新西兰医疗保健环境。
新西兰注册护士（n=13）。
通过半结构化访谈收集数据，并使用恒比比较和主题分析进行分析。
护士确定了一系列不安全实践的行为、线索、促成因素和应对措施。从数据中出现了三个主题：不确定性、“感知”不安全实践和专业精神受损。
了解护士在日益复杂的护理环境中每天在识别和应对不安全实践时面临的挑战是理解如何在临床实践中进一步解决不安全实践的关键。本研究中的护士将明显的不安全行为和微妙的线索识别为不安全实践的迹象。参与者还确定了他们认为导致不安全实践发生的因素，包括工作量大、技能组合不佳以及未能支持安全实践的组织文化。
