Health Management and Policy, Jordan University of Science and Technology, Irbid, Jordan.
Community & Mental Health Nursing, Zarqa University, Zarqa, Zarqa Governorate, Jordan.
BMJ Open. 2024 Nov 24;14(11):e087057. doi: 10.1136/bmjopen-2024-087057.
Nurses have a significant role in maintaining patient and healthcare safety. Thus, healthcare administrators should focus on nurse performance and create a friendly hospital work environment to ensure patient safety and healthcare quality. Limited studies have investigated the impact of nurses' demographics on nurses' error reporting practices and nurses' perceptions of the hospital work environment, especially in Jordan. This study aims to investigate the factors influencing nurses' medical error reporting practices in Jordan, specifically focusing on the role of nurses' demographics and the hospital work environment. This is a descriptive cross-sectional study.
Data collection was done in three hospitals (public, university-affiliated and private) in Jordan, using surveys that included demographics, the incident reporting practice scale and the Practice Environment Scale-Nursing Work Index from 11 June 2023 to 13 August 2023.
350 nurses with a diploma, associate degree, bachelor's degree or postgraduate degree had worked at the targeted hospitals for at least 6 months and were responsible for direct inpatient care.
The level of medical error reporting practices and the nursing work environment. Also, differences were assessed among demographic characteristics and investigated the factors for medical error reporting practices.
Jordanian nurses had low medical error reporting practices (M=2.34; SD=0.57) and nursing work environment (M=2.4; SD=0.56). Nurses who were single and in private hospitals had higher medical error reporting practices (p<0.05). Medical error reporting practices positively correlated with the nursing work environment (r=0.807, p<0.01) and negatively correlated with the average number of patients per shift (r=-0.109, p<0.05). The nursing work environment was a significant predictor, with an 81.0% variance in medical error reporting practices.
The study found that Jordanian nurses have low perceptions of their work environment and medical error reporting practices, which are influenced by marital status and hospital type. Enhancing the nurse work environment and providing ongoing standards training are critical for improving safety behaviours, patient outcomes and care quality. Future research should investigate the long-term consequences of interventions on reporting practices and patient outcomes.
护士在维护患者和医疗保健安全方面发挥着重要作用。因此，医疗保健管理人员应关注护士的绩效，并营造友好的医院工作环境，以确保患者安全和医疗保健质量。有限的研究调查了护士人口统计学特征对护士错误报告实践和护士对医院工作环境的看法的影响，特别是在约旦。本研究旨在调查影响约旦护士医疗错误报告实践的因素，特别是关注护士人口统计学特征和医院工作环境的作用。这是一项描述性的横断面研究。
数据收集于 2023 年 6 月 11 日至 8 月 13 日在约旦的三家医院（公立、大学附属和私立）进行，使用的调查包括人口统计学特征、事件报告实践量表和实践环境量表-护理工作指数。
350 名具有文凭、大专、本科或研究生学位的护士，在目标医院工作至少 6 个月，负责直接住院护理。
医疗错误报告实践水平和护理工作环境。还评估了人口统计学特征之间的差异，并调查了医疗错误报告实践的因素。
约旦护士的医疗错误报告实践水平较低（M=2.34；SD=0.57）和护理工作环境（M=2.4；SD=0.56）。单身和在私立医院工作的护士的医疗错误报告实践较高（p<0.05）。医疗错误报告实践与护理工作环境呈正相关（r=0.807，p<0.01），与每班平均患者人数呈负相关（r=-0.109，p<0.05）。护理工作环境是一个显著的预测因素，对医疗错误报告实践的解释率为 81.0%。
本研究发现，约旦护士对工作环境和医疗错误报告实践的看法较低，这受到婚姻状况和医院类型的影响。加强护士工作环境和提供持续的标准培训对于改善安全行为、患者结局和护理质量至关重要。未来的研究应调查干预对报告实践和患者结局的长期影响。
