Nurses’ strategies in prevention of nursing error recurrence in chronic critical care: A qualitative study
DOI:
https://doi.org/10.22122/cdj.v2i2.74Keywords:
Nursing Error, Critical Care, Strategy, Content AnalysisAbstract
BACKGROUND: Nursing errors are common in critical care units while most of them are preventable. Critical care nurses are uniquely positioned to prevent the recurrence of nursing errors. The purpose of this study was to explore the strategies considered or used by nurses in order to prevent the recurrence of nursing errors in chronic critical care units.
METHODS: A qualitative design using content analysis method was employed in the present study. In-depth interviews were conducted with a sample of 17 participants, recruited through purposive sampling. This study was conducted in 2011-2012 in Iran.
RESULTS: Results indicated that the strategies used by critical care nurses to prevent recurrence of nursing errors include personal strategies (paying more attention, updating information, reminding and hinting, experience sharing, prevention), and expectations from the organization (increasing intrinsic motivation and decreasing work pressure).
CONCLUSION: Nursing administrators must be aware of the individual strategies used by the nurses to develop and promote their implementation and underlying these strategies. Identifying and understanding the strategies used by nurses can help them in their support provision. Explored strategies can be used to develop interventions for prevention of nursing errors. Further exploration of the question of how the nursing context will influence strategy selection and why is necessary. Regarding the strategies used by nurses, nurse managers must utilize them in planning in order to develop an error free care.
References
Eslamian J, Taheri F, Bahrami M, Mojdeh S. Assessing the nursing error rate and related factors from the view of nursing staff. Iran J Nurs Midwifery Res 2010; 15(Suppl 1): 272-7.
Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics 2004; 11(6): 568-76.
Rathert C, May DR. Health care work environments, employee satisfaction, and patient safety: Care provider perspectives. Health Care Manage Rev 2007; 32(1): 2-11.
Wiencek C, Winkelman C. Chronic critical illness: prevalence, profile, and pathophysiology. AACN Adv Crit Care 2010; 21(1): 44-61.
Wagner LM, Damianakis T, Pho L, Tourangeau A. Barriers and facilitators to communicating nursing errors in long-term care settings. J Patient Saf 2013; 9(1): 1-7.
Hov R, Hedelin B, Athlin E. Good nursing care to ICU patients on the edge of life. Intensive Crit Care Nurs 2007; 23(6): 331-41.
Camire E, Moyen E, Stelfox HT. Medication errors in critical care: risk factors, prevention and disclosure. CMAJ 2009; 180(9): 936-43.
Kagan I, Barnoy S. Factors associated with reporting of medication errors by Israeli nurses. J Nurs Care Qual 2008; 23(4): 353-61.
Johnstone MJ, Kanitsaki O. The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion paper. Int J Nurs Stud 2006; 43(3): 367-76.
Henneman EA, Gawlinski A, Blank FS, Henneman PL, Jordan D, McKenzie JB. Strategies used by critical care nurses to identify, interrupt, and correct medical errors. Am J Crit Care 2010; 19(6): 500-9.
Henneman EA, Blank FS, Gawlinski A, Henneman PL. Strategies used by nurses to recover medical errors in an academic emergency department setting. Appl Nurs Res 2006; 19(2): 70-7.
Frith KH, Anderson EF, Tseng F, Fong EA. Nurse staffing is an important strategy to prevent medication error in community hospitals. Nurs Econ 2012; 30(5): 288-94.
Holloway I, Wheeler S. Qualitative Research in Nursing and Healthcare. New Jersey, NJ: John Wiley & Sons; 2010.
Speziale HS, Carpenter DR. Qualitative Research in Nursing: Advancing the Humanistic Imperative. Philadelphia, PA: Lippincott Williams & Wilkins; 2007.
Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs 2008; 62(1): 107-15.
Fernandez CV, Gillis-Ring J. Strategies for the prevention of medical error in pediatrics. J Pediatr 2003; 143(2): 155-62.
Handler SM, Perera S, Olshansky EF, Studenski SA, Nace DA, Fridsma DB, et al. Identifying modifiable barriers to medication error reporting in the nursing home setting. J Am Med Dir Assoc 2007; 8(9): 568-74.
Reason J. Human error: models and management. BMJ 2000; 320(7237): 768-70.
Kudo Y, Kido S, Taruzuka SM, Saegusa Y, Satoh T, Aizawa Y. Safety climate and motivation toward patient safety among Japanese nurses in hospitals of fewer than 250 beds. Ind Health 2009; 47(1): 70-9.
Carayon P, Alvarado CJ. Workload and patient safety among critical care nurses. Crit Care Nurs Clin North Am 2007; 19(2): 121-9.
Garrouste-Org, Timsit JF, Vesin A, Schwebel C, Arnodo P, Lefrant JY, et al. Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. Am J Respir Crit Care Med 2010; 181(2): 134-42.
Montgomery VL. Effect of fatigue, workload, and environment on patient safety in the pediatric intensive care unit. Pediatr Crit Care Med 2007; 8(2 Suppl): S11-S16.
Toruner EK, Uysal GC. Causes, reporting, and prevention of medication errors from a pediatric nurse perspective. Australian Journal of Advanced Nursing 2012; 29(4): 28-35.
Townsend T. Medication errors: Don't let them happen to you. American Nurse Today 2010; 5(3): 23-37.
Hughes RG. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality; 2008.
Henneman EA, Gawlinski A, Giuliano KK. Surveillance: A strategy for improving patient safety in acute and critical care units. Crit Care Nurse 2012; 32(2): e9-18.
Naylor R. Medication Errors: Lessons for Education and Healthcare. London, UK: Radcliffe Publishing; 2002. p. 333.
Varpio L, Hall P, Lingard L, Schryer CF. Interprofessional communication and medical error: a reframing of research questions and approaches. Acad Med 2008; 83(10 Suppl): S76-S81.
Maeve MK. A critical analysis of physician research into nursing practice. Nurs Outlook 1998; 46(1): 24-8.