Abstract
To develop an understanding of senior nurses' ranking and perceptions of incident reporting by junior nurses. Nurses must be encouraged to report incidents to nursing management. It is important to ascertain how senior nurses perceive their concerns, as it is crucial to ensuring that patient safety is managed. Qualitative study. Four focus groups explored senior nurses' perceptions of risks identified by nurses from a live incident reporting database. Data were analysed using framework analysis. Five themes emerged demonstrating the differences in opinions in relation to the classification of events by senior and non-senior nurses. Senior nurses held the view that some junior nurses use incident reporting to 'vent frustration.' There is a mismatch between senior nurses' and junior nurses' perceptions of safety incidents. Nurses need to develop the writing style and use language that red flags incidents when reporting incidents. Senior nurses need to create a positive culture where risk from incident reporting is used to improve patient safety and subsequently a positive work environment. Implications for Nursing Management Our research identified the need for joint training to promote a shared understanding among nurses as to how incident report should be completed to promote patient safety.
Highlights
Nurses must be encouraged to report incidents to nursing management
Our study aims to develop an understanding of senior nurses ranking and perceptions of incident reporting by junior nurses
In our study focus group technique allowed us to investigate what a group of senior nurses thought about critical incident reporting as well as how and why i.e. to explore their reasons (Barbour, 2007)
Summary
Nurses must be encouraged to report incidents to nursing management. There is a clear mandate within health and social care to create organisations with a safety culture, by encouraging the reporting of incidents and learning from these to minimise risk and harm to patients (World Health Organisation, 2019). Unsafe care is one of the ten leading causes of death and disability (World Health Organisation, 2019). States (US) adverse events are the third most common cause of death (Makary and Daniel, 2016). International summits have been held to explore new and innovative ways to address and minimise unsafe care that is a universal issue
Published Version
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