Varaei Shokoh, Nayeri Nahid Dehghan, Sayadi Leila, Shahmari Mehraban, Ghobadi Akram
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
BMC Nurs. 2024 Mar 25;23(1):200. doi: 10.1186/s12912-024-01859-3.
Professional misconduct by nurses is a critical challenge in providing safe quality care, which can lead to devastating and extensive outcomes. Explaining the experiences of clinical nurses and nursing managers in this regard using an in-depth qualitative method can be beneficial. This study was conducted with the aim of explaining the experiences of nurses regarding the outcomes of professional misconduct.
The present study used a qualitative descriptive with a conventional content analysis approach. A total of 22 clinical nurses and nursing managers were selected through purposive sampling until data saturation was reached. Data were collected using semi-structured in-depth interviews and analyzed using Graneheim and Lundman's approach.
Analyzed data were categorized into four main themes and 11 subthemes: (1) Physical outcomes: critical threat and weakening patients' safety; (2) Psychological outcomes: psycho-emotional responses of patients and their families, moral distress, and cautionary tale of nurses; (3) Financial outcomes: imposing costs on the patient and financial loss of the nurse; (4) Organizational outcomes: the normalization of misconduct, chaos in the organization, waste of the organization's resources, and reputational damage to the organization.
Professional misconduct by nurses can have adverse outcomes for patients in physical, mental, and financial dimensions, their families, nurses, and healthcare organizations. Therefore, it is indispensable to adopt management strategies to reduce the rate of professional misconduct.
护士的职业不当行为是提供安全优质护理服务的一项严峻挑战，可能导致毁灭性的广泛后果。采用深入的定性方法来阐释临床护士和护理管理者在这方面的经历可能会有所助益。本研究旨在阐释护士对于职业不当行为后果的经历。
本研究采用常规内容分析法进行定性描述。通过目的抽样选取了22名临床护士和护理管理者，直至达到数据饱和。使用半结构化深入访谈收集数据，并采用格兰海姆和伦德曼的方法进行分析。
分析得到的数据被归纳为四个主要主题和11个子主题：（1）身体方面的后果：对患者安全构成严重威胁并使其削弱；（2）心理方面的后果：患者及其家属的心理情绪反应、道德困扰以及护士的警示故事；（3）财务方面的后果：给患者带来费用负担以及护士的经济损失；（4）组织方面的后果：不当行为常态化、组织混乱、组织资源浪费以及组织声誉受损。
护士的职业不当行为会在身体、心理和财务层面给患者及其家属、护士以及医疗保健机构带来不良后果。因此，采取管理策略以降低职业不当行为的发生率是必不可少的。
