护士对报告流程及不良事件报告障碍的认知。
Awareness of reporting practices and barriers to incident reporting among nurses.
作者信息
Oweidat Islam, Al-Mugheed Khalid, Alsenany Samira Ahmed, Abdelaliem Sally Mohammed Farghaly, Alzoubi Majdi M
机构信息
Nursing Administration at Zarqa University, Zarqa, Jordan.
College of Nursing, Riyadh Elm University, Riyadh, Saudi Arabia.
出版信息
BMC Nurs. 2023 Jul 3;22(1):231. doi: 10.1186/s12912-023-01376-9.
BACKGROUND
Adequate incident reporting practices for clinical incident among nurses and even all healthcare providers in clinical practice settings is crucial to enhance patient safety and improve the quality of care delivery. This study aimed to investigate the level of awareness of incident reporting practices and identify the barriers that impact incident reporting among Jordanian nurses.
METHODS
A descriptive design using a cross-sectional survey was employed among 308 nurses in 15 different hospitals in Jordan. Data collection was conducted between November 2019 and July 2020 using an Incident Reporting Scale.
RESULTS
The participants showed a high level of awareness of the incident reporting with a mean score of 7.3 (SD = 2.5), representing 94.8% of the highest score. Nurses perceived their reporting practices at the medium level, with a mean score of 2.23 out of 4. The main reporting barriers included worrying about disciplinary actions, fearing being blamed, and forgetting to make a report. In regard to awareness of incident reporting, there were statistically significant differences in the mean for total awareness of the incident reporting system scores according to the type of hospital (p < .005*). In regard to self-perceived reporting practices, nurses working in accredited hospitals demonstrated statistically significant differences in self-perceived reporting practices (t = 0.62, p < .005).
CONCLUSIONS
The current results provide empirical results about perceived incident reporting practices and perceived barriers to reporting frequently. Recommendations are made to urge nursing policymakers and legislators to provide solutions for those barriers, such as managing staffing issues, nursing shortage, nurses' empowerment, and fear of disciplinary actions by front-line nurse managers.
背景
在临床实践环境中，护士乃至所有医疗服务提供者对临床事件进行充分的事件报告，对于提高患者安全和改善护理服务质量至关重要。本研究旨在调查约旦护士对事件报告的认知水平，并确定影响事件报告的障碍。
方法
采用描述性设计，对约旦15家不同医院的308名护士进行横断面调查。2019年11月至2020年7月期间，使用事件报告量表进行数据收集。
结果
参与者对事件报告的认知水平较高，平均得分为7.3（标准差=2.5），占最高分的94.8%。护士认为自己的报告实践处于中等水平，平均得分为2.23（满分4分）。主要报告障碍包括担心纪律处分、害怕被指责以及忘记报告。在事件报告认知方面，根据医院类型，事件报告系统总分的平均认知得分存在统计学显著差异（p<0.005*）。在自我感知的报告实践方面，在经认可医院工作的护士在自我感知的报告实践方面存在统计学显著差异（t=0.62，p<0.005）。
结论
目前的结果提供了关于感知到的事件报告实践和频繁报告障碍的实证结果。建议敦促护理政策制定者和立法者为这些障碍提供解决方案，如解决人员配置问题、护理短缺、护士赋权以及一线护士长对纪律处分的担忧。
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