Nematollahi Monirsadat, Bagherian Behnaz, Mehdipour-Rabori Roghayeh
Department of Pediatric Nursing School of Nursing and Midwifery, Reproductive and Family Health Research Center, Kerman University of Medical Sciences Kerman Iran.
Department of Medical-Surgical Nursing Nursing Research Center, Kerman University of Medical Sciences Kerman Iran.
Health Sci Rep. 2025 Jun 18;8(6):e70904. doi: 10.1002/hsr2.70904. eCollection 2025 Jun.
Medical errors that result in patient injuries and fatalities are a significant concern in healthcare. Understanding these errors and their contributing factors is essential for enhancing the quality of patient care. This study aimed to investigate nursing errors and the factors that influence them.
This study employed a mixed-method approach with a sequential explanatory design and was conducted in Iran from 2022 to 2023. The study consisted of two phases. In the quantitative phase, a cross-sectional study was conducted in which 200 nurses in Kerman City completed two questionnaires: one on nursing errors and the other on factors influencing nursing errors. In the qualitative phase, the researchers conducted semi-structured, in-depth, face-to-face individual interviews with 30 nurses.
Two hundred nurses took part in the quantitative phase, and 99% of them reported experiencing at least one nursing error. The highest average score for errors was associated with medication errors (3.40 ± 0.37), followed by care errors (2.85 ± 1.34). The average scores for the most prevalent causes of errors were highest in the organizational dimension (3.8 ± 1.01). A significant positive correlation was found between the average scores of various error dimensions and the average scores of different dimensions related to the causes of errors ( < 0.05). Three main categories were identified from the qualitative data: "Nursing errors must be reported," "Doom of conscience after committing a nursing error," and "Error in nursing is multifactorial."
The study revealed a high prevalence of nursing errors, emphasizing the need for proactive measures. Healthcare system managers and decision-makers must take into account the factors that contribute to nursing errors and respond appropriately to eliminate or reduce them.
导致患者受伤和死亡的医疗差错是医疗保健领域的一个重大问题。了解这些差错及其促成因素对于提高患者护理质量至关重要。本研究旨在调查护理差错及其影响因素。
本研究采用混合方法，采用顺序解释性设计，于2022年至2023年在伊朗进行。该研究包括两个阶段。在定量阶段，进行了一项横断面研究，克尔曼市的200名护士完成了两份问卷：一份关于护理差错，另一份关于影响护理差错的因素。在定性阶段，研究人员对30名护士进行了半结构化、深入的面对面个人访谈。
200名护士参与了定量阶段，其中99%的护士报告至少经历过一次护理差错。差错平均得分最高的是用药差错（3.40±0.37），其次是护理差错（2.85±1.34）。差错最普遍原因的平均得分在组织维度最高（3.8±1.01）。发现各种差错维度的平均得分与差错原因相关的不同维度的平均得分之间存在显著正相关（<0.05）。从定性数据中确定了三个主要类别：“护理差错必须报告”、“犯护理差错后的良心谴责”和“护理差错是多因素的”。
该研究揭示了护理差错的高发生率，强调了采取积极措施的必要性。医疗保健系统管理人员和决策者必须考虑导致护理差错的因素，并做出适当反应以消除或减少这些因素。
