Abstract
BackgroundThere is growing interest in examining the factors affecting the reporting of errors by nurses. However, little research has been conducted into the effects of perceived patient safety culture and leader coaching of nurses on the intention to report errors.MethodsThis cross-sectional study was conducted amongst 256 nurses in the emergency departments of 18 public and private hospitals in Tabriz, northwest Iran. Participants completed the Hospital Survey on Patient Safety Culture (HSOPSC), Coaching Behavior Scale and Intention to Report Errors’ questionnaires and the data was analyzed using multiple linear regression analysis.ResultsOverall, 43% of nurses had an intention to report errors; 50% of respondents reported that their nursing managers demonstrated high levels of coaching. With regard to patient safety culture, areas of strength and weakness were “teamwork within units” (PRR = 66.8%) and “non-punitive response errors” (PRR = 19.7%). Regression analysis findings highlighted a significant association between an intention to report errors and patient safety culture (B = 0.2, CI 95%: 0.1 to 0.3, P < 0.05), leader coaching behavior (B = 0.2, CI 95%: 0.1 to 0.3, P < 0.01) and nurses’ educational status (B = 0.8, 95% CI: − 0.1 to 1.6, P < 0.05).ConclusionsFurther research is needed to assess how interventions addressing patient safety culture and leader coaching behaviours might increase the intention to report errors.
Highlights
There is growing interest in examining the factors affecting the reporting of errors by nurses
According to Sorra and Dyer, patient safety culture (PSC) describes “management and staff values, beliefs, and norms about what is important in a health care organization, how organization members are expected to behave, what attitudes and actions are appropriate and
In Australia, each year, 18,000 preventable deaths are attributable to medical errors and at least 50, 000 patients are disabled [2], and in Germany 25,000 deaths result from 100,000 medical errors per year [6]
Summary
There is growing interest in examining the factors affecting the reporting of errors by nurses. Little research has been conducted into the effects of perceived patient safety culture and leader coaching of nurses on the intention to report errors. In Australia, each year, 18,000 preventable deaths are attributable to medical errors and at least 50, 000 patients are disabled [2], and in Germany 25,000 deaths result from 100,000 medical errors per year [6]. In Iran, it is estimated that between 3 and 17% of in-patients experience unwanted side effects as a result of medical errors with 30–70% of these being preventable [8]. Despite such high rates of medical errors, Iranian healthcare organizations have poor levels of reporting [9]
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