2.50
Hdl Handle:
http://hdl.handle.net/10755/304280
Category:
Full-text
Type:
Presentation
Title:
Nurse Likelihood to Report a Medication Error
Author(s):
Kingston, Francine K.
Lead Author STTI Affiliation:
Zeta Pi
Author Details:
Francine K. Kingston, DrPH, MSN, RN-BC, fkkingst@texaschildrens.org
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose:

From a better understanding of factors that contribute to'the likelihood of a nurse to report an error, interventions can be identified to help'increase reporting'in order to learn from error and reduce the possibility of'similar error. To learn from the lived experience of the nurse, the'research question became, 'What factors contribute to a nurse's likelihood to report an error?'

Methods:

A qualitative research study was conducted to explore the medication error experience.'Structured group interviews were conducted using open-ended questions. A total of 54 registered nurses participated.''

Results:

Several themes'emerged'around a nurse's likelihood to report a medication error:

  1. The nurse's'foremost concern is'the wellbeing of the patient;
  2. If managers are supportive in response to'error, a nurse is likely to report again;
  3. Nurses want to be held accountable for their errors;
  4. Nurses are more likely to report in an environment perceived as non-punitive;
  5. Nurses struggle with wanting to be perfect;
  6. Nurses engage in a process of reconciliation between wanting to be perfect and yet having just made a medication error;
  7. Nurses question their own competence after'making an error; and
  8. Nurses want to be involved in synthesizing error reports.'

'Conclusion:

Findings have implications for both schools of nursing and health care organizations:

  • Theories of human performance, complex systems, production pressure, and high hazard industry should be incorporated into the undergraduate curriculum and reinforced in'health care organizations;
  • Education and training should be available to managers who immediately counsel the nurse who has made an error;''
  • Procedures used in reporting should be evaluated in order to promote the most efficient and most private process possible;
  • Structures and processes should be put into place to engage the bedside nurse in synthesizing and interpreting the data around medication error; and feedback provided to demonstrate that'organizations can learn from error and'change long standing traditional practices. '
Keywords:
nurse; error; report
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleNurse Likelihood to Report a Medication Erroren
dc.contributor.authorKingston, Francine K.en
dc.contributor.departmentZeta Pien
dc.author.detailsFrancine K. Kingston, DrPH, MSN, RN-BC, fkkingst@texaschildrens.orgen
dc.identifier.urihttp://hdl.handle.net/10755/304280-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b> <p>From a better understanding of factors that contribute to'the likelihood of a nurse to report an error, interventions can be identified to help'increase reporting'in order to learn from error and reduce the possibility of'similar error. To learn from the lived experience of the nurse, the'research question became, 'What factors contribute to a nurse's likelihood to report an error?' <p><b>Methods: </b> <p>A qualitative research study was conducted to explore the medication error experience.'Structured group interviews were conducted using open-ended questions. A total of 54 registered nurses participated.'' <p><b>Results: </b> <p>Several themes'emerged'around a nurse's likelihood to report a medication error: <ol> <li>The nurse's'foremost concern is'the wellbeing of the patient;</li> <li>If managers are supportive in response to'error, a nurse is likely to report again;</li> <li>Nurses want to be held accountable for their errors;</li> <li>Nurses are more likely to report in an environment perceived as non-punitive;</li> <li>Nurses struggle with wanting to be perfect;</li> <li>Nurses engage in a process of reconciliation between wanting to be perfect and yet having just made a medication error;</li> <li>Nurses question their own competence after'making an error; and</li> <li>Nurses want to be involved in synthesizing error reports.'</li> </ol><p>'<b>Conclusion: </b> <p>Findings have implications for both schools of nursing and health care organizations: <ul> <li>Theories of human performance, complex systems, production pressure, and high hazard industry should be incorporated into the undergraduate curriculum and reinforced in'health care organizations;</li> <li>Education and training should be available to managers who immediately counsel the nurse who has made an error;''</li> <li>Procedures used in reporting should be evaluated in order to promote the most efficient and most private process possible;</li> <li>Structures and processes should be put into place to engage the bedside nurse in synthesizing and interpreting the data around medication error; and feedback provided to demonstrate that'organizations can learn from error and'change long standing traditional practices. '</li> </ul>en
dc.subjectnurseen
dc.subjecterroren
dc.subjectreporten
dc.date.available2013-10-22T20:32:41Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:32:41Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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