11.00
Hdl Handle:
http://hdl.handle.net/10755/243396
Category:
Full-text
Type:
Presentation
Title:
The Culture of Incident Reporting Among Filipino Nurses
Author(s):
de Guzman, Barbara Michelle
Lead Author STTI Affiliation:
Delta Alpha-at-large
Author Details:
de Guzman, Barbara Michelle, MSN, RN, mikeedeguzman@yahoo.com;
Abstract:
Purpose:

This research provides a preliminary view into the culture of incident reporting among Filipino nurses pertaining to the factors that influence their willingness to report errors.

Methods:

Quantitative data were collected from a snowball sample of fifty-four nurses who have been working in a staff nurse capacity in health care facilities in the Philippines using the modified online version of the AHRQ Patient Safety Questionnaire. The scores on the AHRQ questionnaire pertaining to incident reporting were expressed as the percentage of answers for each dimension

Qualitative data derived from a Focus Group Discussion (n=6) were analyzed using Moustakas’ technique in phenomenological analysis.

Results:

Most respondents gave their unit a grade of “acceptable” (53.1%), only 6.1% gave their unit a grade of "excellent".  Majority (87%) reported no more than two incidences over the last 12 months, with more than half (543.3%) reporting zero number of incidents in the last 12 months.   Triangulation of quantitative and qualitative data revealed that incident reporting is used to determine who is to blame in patient injuries and death; and errors with lesser or no liabilities are more readily reported.  From there emerged the 5Ps of incident reporting among Filipino nurses: 1. Policy (Organizational and unit practices and leadership) 2. Probity (integrity and honesty) 3. Peril (degree of error) 4.  Punishment (individual liability) and 5. Preservation (defense or protection).

Conclusion:

For Filipino nurses, the culture of a reactive and punitive culture is as evident as that reported in foreign literature. A shift to an honest, non-punitive and blame-free system is necessary in order to serve in the current global agenda to ensure provision of safe and quality care.  Similarly, probity and preservation were minimally, if at all, discussed in foreign literature and may possibly be uniquely Filipino.  A more in depth investigation is recommended.

Keywords:
Incident Reporting; Filipino Nurses; Culture
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleThe Culture of Incident Reporting Among Filipino Nursesen
dc.contributor.authorde Guzman, Barbara Michelleen
dc.contributor.departmentDelta Alpha-at-largeen
dc.author.detailsde Guzman, Barbara Michelle, MSN, RN, mikeedeguzman@yahoo.com;en
dc.identifier.urihttp://hdl.handle.net/10755/243396-
dc.description.abstract<b>Purpose: </b> <p>This research provides a preliminary view into the culture of incident reporting among Filipino nurses pertaining to the factors that influence their willingness to report errors. <p><b>Methods: </b> <p>Quantitative data were collected from a snowball sample of fifty-four nurses who have been working in a staff nurse capacity in health care facilities in the Philippines using the modified online version of the AHRQ Patient Safety Questionnaire. The scores on the AHRQ questionnaire pertaining to incident reporting were expressed as the percentage of answers for each dimension <p>Qualitative data derived from a Focus Group Discussion (n=6) were analyzed using Moustakas&rsquo; technique in phenomenological analysis. <p><b>Results: </b> <p>Most respondents gave their unit a grade of &ldquo;acceptable&rdquo; (53.1%), only 6.1% gave their unit a grade of "excellent".&nbsp; Majority (87%) reported no more than two incidences over the last 12 months, with more than half (543.3%) reporting zero number of incidents in the last 12 months.&nbsp;&nbsp; Triangulation of quantitative and qualitative data revealed that incident reporting is used to determine who is to blame in patient injuries and death; and errors with lesser or no liabilities are more readily reported.&nbsp; From there emerged the 5Ps of incident reporting among Filipino nurses: 1. Policy (Organizational and unit practices and leadership) 2. Probity (integrity and honesty) 3. Peril (degree of error) 4.&nbsp; Punishment (individual liability) and 5. Preservation (defense or protection). <p><b>Conclusion: </b> <p>For Filipino nurses, the culture of a reactive and punitive culture is as evident as that reported in foreign literature. A shift to an honest, non-punitive and blame-free system is necessary in order to serve in the current global agenda to ensure provision of safe and quality care.&nbsp; Similarly, probity and preservation were minimally, if at all, discussed in foreign literature and may possibly be uniquely Filipino.&nbsp; A more in depth investigation is recommended.en
dc.subjectIncident Reportingen
dc.subjectFilipino Nursesen
dc.subjectCultureen
dc.date.available2012-09-12T09:21:40Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:21:40Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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