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护士对医疗差错的看法和经验:一项定性研究。

Nurses' perspectives and experiences on medical errors: A qualitative study.

机构信息

Department of Midwifery, Faculty of Health Sciences, Selçuk University, Konya, Türkiye.

Department of Nursing Management, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpaşa, Istanbul, Türkiye.

出版信息

J Eval Clin Pract. 2024 Sep;30(6):1153-1164. doi: 10.1111/jep.14125. Epub 2024 Aug 13.

DOI:10.1111/jep.14125
PMID:39138859
Abstract

INTRODUCTION

Medical errors are among the most important factors that threaten patient safety. Therefore, nurses' perspectives and experiences about medical errors are important for this manner.

AIMS

The aim of this study was to determine in depth the perspectives and experiences of nurses related to how they define medical error, as well as its causes, management and reporting.

DESIGN

This descriptive, exploratory study involved a qualitative design.

METHODS

A total of 15 clinical nurses from eleven provinces were reached by snowball sampling method. In the study, nurses' perspectives on medical errors were obtained through semistructured in-depth online interviews conducted based on phenomenological methods. Descriptive analysis was used in the analysis of the data obtained from the interviews. The research was conducted following the COnsolidated criteria for REporting Qualitative checklist.

RESULTS

The resulting 26 codes were categorized under seven themes: "Definition of medical error", "Experience of medical errors", "Frequency of medical errors", "Causes of medical errors", "Reporting of medical errors", "Medical error approach" and "Prevention of medical errors".

CONCLUSIONS

The results show that it is still necessary to increase the awareness of nurses about medical errors and the importance of error reporting. In addition, it reveals the need for leadership to eliminate the negative approach to medical errors and shows that nurse managers should be empowered accordingly.

IMPLICATIONS FOR NURSING PRACTICE AND POLICY

It is the first step of quality and safe care to reveal nurses' perspectives on medical errors, their thoughts about medical errors and their experiences about errors in their institutions. In this study, nurses' knowledge, opinions and experiences regarding medical errors were revealed in this qualitative study. Therefore, this study offers important clues to nursing services, hospital managers and policy makers for clinical and institutional arrangements.

摘要

介绍

医疗错误是威胁患者安全的最重要因素之一。因此,护士对医疗错误的看法和经验对这种情况很重要。

目的

本研究旨在深入了解护士对医疗错误的看法和经验,包括他们如何定义医疗错误,以及其原因、管理和报告。

设计

这是一项描述性、探索性研究,采用定性设计。

方法

通过滚雪球抽样法,共采访了来自 11 个省的 15 名临床护士。在研究中,通过基于现象学方法的半结构式在线深入访谈,了解护士对医疗错误的看法。对访谈中获得的数据进行描述性分析。研究遵循 COnsolidated criteria for REporting Qualitative 清单进行。

结果

产生的 26 个代码分为七个主题:“医疗错误的定义”、“医疗错误的体验”、“医疗错误的频率”、“医疗错误的原因”、“医疗错误的报告”、“医疗错误的方法”和“医疗错误的预防”。

结论

结果表明,仍有必要提高护士对医疗错误的认识和错误报告的重要性。此外,它揭示了领导层消除对医疗错误的消极态度的必要性,并表明护士管理人员应相应地获得授权。

对护理实践和政策的影响

揭示护士对医疗错误的看法、他们对错误的想法以及他们在机构中对错误的经验,是提供优质和安全护理的第一步。在这项研究中,通过定性研究揭示了护士对医疗错误的知识、意见和经验。因此,这项研究为护理服务、医院管理人员和政策制定者提供了重要线索,以进行临床和机构安排。

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