To report or not report: A qualitative study of nurses' decisions in error reporting
Amy R. Koehn, PhD, NNP-BC, UTHSC College of Nursing, Memphis, Tennessee, USA
- Sigma Affiliation
- Beta Theta at-Large
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Koehn, Amy R. by View
Popular Works for Koehn, Amy R. by Download
This qualitative study was successful in utilization of grounded theory methodology to ascertain nurses’ decision-making processes following their awareness of having made a medical error, as well as how and/or if they corrected and reported the error. Significant literature documents the existence of medical errors; however, this unique study interviewed thirty nurses from adult intensive care units seeking to discover through a detailed interview process their individual stories and experiences, which were then analyzed for common themes. Common themes led to the development of a theoretical model of thought processes regarding error reporting when nurses made an error. Within this theoretical model are multiple processes that outline a shared, time-orientated sequence of events nurses encounter before, during, and after an error. One common theme was the error occurred during a busy day when they had been doing something unfamiliar. Each nurse expressed personal anguish at the realization she had made an error, she sought to understand why the error happened and what corrective action was needed. Whether the error was reported on or told about depended on each unit’s expectation and what needed to be done to protect the patient. If there was no perceived patient harm, errors were not reported. Even for reported errors, no one followed-up with the nurses in this study. Nurses were left on their own to reflect on what had happened and to consider what could be done to prevent error recurrence. The overall impact of the process of and the recovery from the error led to learning from the error that persisted throughout her nursing career. Findings from this study illuminate the unique viewpoint of licensed nurses’ experiences with errors and have the potential to influence how the prevention of, notification about and resolution of errors are dealt with in the clinical setting. Further research is needed to answer multiple questions that will contribute to nursing knowledge about error reporting activities and the means to continue to improve error-reporting rates.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3665927; ProQuest document ID: 1640762841. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Evidence Level||Grounded Theory|
|Research Approach||Qualitative Research|
Decision Making Process;
|CINAHL Subject(s)||Health Education|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
The factors facilitating and inhibiting effective clinical decision-making in nursing: a qualitative study Hagbaghery, Mohsen Adib; Salsali, Mahvash; Ahmadi, Fazlolah (BioMed Central Ltd, 2004-04-06)Nurses' practice takes place in a context of ongoing advances in research and technology. The dynamic and uncertain nature of health care environment requires nurses to be competent decision-makers in order to respond to ...
Savage, Teresa A.The literature on ethical decision-making by nurses presents both prescriptive and descriptive decision-making models. The processes nurses use to move through the step-wise models has not been described. An atheoretical ...
Measuring what matters: A multi-site study of self-reported and objectively measured nursing EBP knowledge Spurlock, Darrell R. Jr.; McNelis, Angela; Wonder, Amy Hagedorn; Ironside, Pamela (2017-07-25)Lacking well-developed objective measures, nursing education and practice-related knowledge, skills, and abilities are often measured using self-assessment tools. This session will report on a multi-site study of US nurses' ...
Email interviews: The decision-making process for utilizing electronic data collection in qualitative nursing research Hawkins, Janice E. (2017-09-18)A discussion of the potential advantages, disadvantages, and methodological fit of electronic data collection in qualitative research will assist nursing researchers in determining when to use technology assisted interviews ...
Barriers and promoters for nurses' participation in cancer treatment decision making process and patient satisfaction with treatment decision McCarter, Sarah P.; Tariman, Joseph D.; Spawn, Nadia Y.; Mehmeti, Enisa; Speer, Jessica; Bishop-Royse, Jessica (2016-03-17)Session presented on Friday, July 24, 2015: Purpose: To examine the barriers and promoters for nurses' participation during cancer treatment decision making (TDM) process and to describe the nurse and nurse practitioner's ...