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A Qualitative Study on Nurses’ Experiences of Reporting Patient Safety Incidents in East Nusa Tenggara, Indonesia

*Petrus Kanisius Siga Tage orcid  -  Department of Nursing, Health Sciences Faculty, Universitas Citra Bangsa, Indonesia
Appolonaris T Berkanis  -  Department of Nursing, Health Sciences Faculty, Universitas Citra Bangsa, Indonesia
Yasinta Betan orcid scopus  -  Department of Nursing, Health Sciences Faculty, Universitas Citra Bangsa, Indonesia
Elisabet Batseba Pinis  -  Prof. Dr. W. Z. Johannes Hospital, Indonesia
Open Access Copyright (c) 2021 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Reporting patient safety incidents is important to improve patient safety and quality of care. Barriers to report patient safety incidents in nursing may occur due to lack of knowledge and unscheduled as well as low reporting rates. Unfortunately, nurses’ experiences in reporting patient safety incidents have not been comprehensively reviewed.

Purpose: The purpose of this study was to explore nurses’ experiences of reporting patient safety incidents in East Nusa Tenggara, Indonesia.

Methods: A descriptive phenomenological approach was used to identify, analyze and describe the experiences of 15 nurses in reporting patient safety incidents.  Nurses having worked for more than two years, not on leave, not being infected with COVID-19 in the last 14 days, and not having a structural position were purposively recruited. Data were collected using in-depth interviews and voice recordings. The collected data were then transcribed verbatim, and thematic analysis was applied for data analysis.

Results: Four main themes were found in this study, which included: (1) Priority and responsibility for services, (2) Barriers to incident reporting, (3) Learning for nurses, and (4) Support for nurses.

Conclusion: The nurses experience of in reporting safety incidents is still constrained by several obstacles. It is hoped that health care organizations need to provide appropriate strategies to enhance the safety incident reporting efforts made by nurses. Based on the research findings, it is recommended that health service organizations disseminate the use of safety incident reporting forms and assist nursing managers to their subordinates by conducting supervision and motivation related to incident reporting on a scheduled and continuous basis.
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Keywords: Incident reporting; nurses; patient safety; qualitative research

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  1. Ahmed, I., & Faheem, A. (2021). How effectively safety incentives work? A randomized experimental investigation. Safety and Health at Work, 12(1), 20–27. https://doi.org/10.1016/j.shaw.2020.08.001
  2. Ali, H., Ibrahem, S. Z., al Mudaf, B., al Fadalah, T., Jamal, D., & El-Jardali, F. (2018). Baseline assessment of patient safety culture in public hospitals in Kuwait. BMC Health Services Research, 18(1), 1–12. https://doi.org/10.1186/s12913-018-2960-x
  3. Alves, M., de Carvalho, D. S., & de Albuquerque, G. S. C. (2019). Barriers to patient safety incident reporting by Brazilian health professionals: An integrative review. Ciencia e Saude Coletiva, 24(8), 2895–2908). https://doi.org/10.1590/1413-81232018248.23912017
  4. Amaniyan, S., Faldaas, B. O., Logan, P. A., & Vaismoradi, M. (2020). Learning from patient safety incidents in the emergency department: A systematic review. Journal of Emergency Medicine, 58(2), 234–244. https://doi.org/10.1016/j.jemermed.2019.11.015
  5. Amiri, M., Khademian, Z., & Nikandish, R. (2018). The effect of nurse empowerment educational program on patient safety culture: A randomized controlled trial. BMC Medical Education, 18(1), 1–8. https://doi.org/10.1186/s12909-018-1255-6
  6. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
  7. Carlfjord, S., Öhrn, A., & Gunnarsson, A. (2018). Experiences from ten years of incident reporting in health care: A qualitative study among department managers and coordinators. BMC Health Services Research, 18(1), 1–9. https://doi.org/10.1186/s12913-018-2876-5
  8. Chen, L. C., Wang, L. H., Redley, B., Hsieh, Y. H., Chu, T. L., & Han, C. Y. (2018). A study on the reporting intention of medical incidents: A nursing perspective. Clinical Nursing Research, 27(5), 560–578. https://doi.org/10.1177/1054773817692179
  9. Cypress, B. S. (2017). Rigor or reliability and validity in qualitative research: perspectives, strategies, reconceptualization, and recommendations. Dimensions of Critical Care Nursing, 36(4), 253–263. https://doi.org/10.1097/DCC.0000000000000253
  10. de Chesnay, M. (2015). Nursing research using phenomenology: Qualitative designs and methods in nursing (M. de Chesnay, Ed.). Springer Publishing Company
  11. Dhamanti, I., Leggat, S., & Barraclough, S. (2020). Practical and cultural barriers to reporting incidents among health workers in Indonesian public hospitals. Journal of Multidisciplinary Healthcare, 13, 351–359. https://doi.org/10.2147/JMDH.S240124
  12. di Simone, E., Giannetta, N., Auddino, F., Cicotto, A., Grilli, D., & di Muzio, M. (2018). Medication errors in the emergency department: Knowledge, attitude, behavior, and training needs of nurses. Indian Journal of Critical Care Medicine, 22(5), 346–352. https://doi.org/10.4103/ijccm.IJCCM_63_18
  13. Faridah, I., Setyowati, S., Lestari, F., & Hariyati, R. T. S. (2021). The correlation between work environment and patient safety in a general hospital in Indonesia. Enfermería Clínica, 31, S220–S224. https://doi.org/10.1016/J.ENFCLI.2020.12.026
  14. Forero, R., Nahidi, S., de Costa, J., Mohsin, M., Fitzgerald, G., Gibson, N., McCarthy, S., & Aboagye-Sarfo, P. (2018). Application of four dimension criteria to assess rigour of qualitative research in emergency medicine. BMC Health Services Research, 18(1), 120. https://doi.org/10.1186/s12913-018-2915-2
  15. Gqaleni, T. M., & Bhengu, B. R. (2020). Analysis of patient safety incident reporting system as an indicator of quality nursing in critical care units in KwaZulu-Natal, South Africa. Health SA Gesondheid, 25. https://doi.org/10.4102/HSAG.V25I0.1263
  16. Hennessy, K., Abe, C., & Tuppal, C. P. (2018). Patient safety goals’ level of attainment in selected tertiary hospitals in Manila, Philippines: A preliminary study. Nurse Media Journal of Nursing, 8(1), 1–12. https://doi.org/10.14710/NMJN.V8I1.18536
  17. Hewitt, T., Chreim, S., & Forster, A. (2017). Sociocultural factors influencing incident reporting among physicians and nurses: Understanding frames underlying self and peer reporting practices. Journal of Patient Safety, 13(3), 129–137. https://doi.org/10.1097/PTS.0000000000000130
  18. Indonesian Hospital Association. (2020). Patient safety incident reporting system. Indonesian Hospital Association
  19. Jember, A., Hailu, M., Messele, A., Demeke, T., & Hassen, M. (2018). Proportion of medication error reporting and associated factors among nurses: A cross sectional study. BMC Nursing, 17(1), 1–8. https://doi.org/10.1186/S12912-018-0280-4
  20. Khalil, H., & Lee, S. (2018). Medication safety challenges in primary care: Nurses’ perspective. Journal of Clinical Nursing, 27(9–10), 2072–2082. https://doi.org/10.1111/JOCN.14353
  21. Kleemola, E., Leino-Kilpi, H., & Numminen, O. (2020). Care situations demanding moral courage: Content analysis of nurses’ experiences. Nursing Ethics, 27(3), 714–725. https://doi.org/10.1177/0969733019897780
  22. Kuosmanen, A., Tiihonen, J., Repo-Tiihonen, E., Eronen, M., & Turunen, H. (2019). Changes in patient safety culture: A patient safety intervention for finnish forensic psychiatric hospital staff. Journal of Nursing Management, 27(4), 848–857. https://doi.org/10.1111/JONM.12760
  23. Kusumawati, A. S., Handiyani, H., & Rachmi, S. F. (2019). Patient safety culture and nurses’ attitude on incident reporting in Indonesia. Enfermería Clínica, 29, 47–52. https://doi.org/10.1016/J.ENFCLI.2019.04.007
  24. Lee, W., Pyo, J., Jang, S. G., Choi, J. E., & Ock, M. (2019). Experiences and responses of second victims of patient safety incidents in Korea: A qualitative study. BMC Health Services Research, 19(1), 1–12. https://doi.org/10.1186/s12913-019-3936-1
  25. Leistikow, I., Mulder, S., Vesseur, J., & Robben, P. (2017). Learning from incidents in healthcare: The journey, not the arrival, matters. BMJ Quality and Safety, 26(3), 252–256. https://doi.org/10.1136/bmjqs-2015-004853
  26. Martin, G., Ghafur, S., Cingolani, I., Symons, J., King, D., Arora, S., & Darzi, A. (2019). The effects and preventability of 2627 patient safety incidents related to health information technology failures: A retrospective analysis of 10 years of incident reporting in England and Wales. The Lancet Digital Health, 1(3), e127–e135. https://doi.org/10.1016/S2589-7500(19)30057-3
  27. Mashi, M. S., Subramaniam, C., & Johari, J. (2018). The effect of management commitment to safety, and safety communication and feedback on safety behavior of nurses: The moderating role of consideration of future safety consequences. The International Journal of Human Resource Management, 31(20), 2565–2594. https://doi.org/10.1080/09585192.2018.1454491
  28. Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1). https://doi.org/10.1177/1609406917733847
  29. Papadakis, M., Meiwandi, A., & Grzybowski, A. (2019). The WHO safer surgery checklist time out procedure revisited: Strategies to optimise compliance and safety. International Journal of Surgery, 69, 19–22. https://doi.org/10.1016/J.IJSU.2019.07.006
  30. Rashed, A., & Hamdan, M. (2019). Physicians’ and nurses’ perceptions of and attitudes toward incident reporting in Palestinian hospitals. Journal of Patient Safety, 15(3), 212–217. https://doi.org/10.1097/PTS.0000000000000218
  31. Streubert, J. H., & Carpenter, D. R. (2011). Qualitative research in nursing advancing the humanistic imperative (5th ed.). Lippincott Williams & Wilkins
  32. Tan, J. J. M., Cheng, M. T. M., Hassan, N. B., He, H., & Wang, W. (2020). Nurses’ perception and experiences towards medical device related pressure injuries: A qualitative study. Journal of Clinical Nursing, 29(13–14), 2455–2465. https://doi.org/10.1111/JOCN.15262
  33. Tristantia, A. D. (2018). Evaluasi sistem pelaporan insiden keselamatan pasien di rumah sakit [An evaluation of patient safety incident reporting in hospitals]. Jurnal Administrasi Kesehatan Indonesia, 6(2), 83. https://doi.org/10.20473/jaki.v6i2.2018.83-94
  34. Vaismoradi, M., Tella, S., Logan, P. A., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 2028 https://doi.org/10.3390/IJERPH17062028
  35. Vaismoradi, M., Vizcaya-Moreno, F., Jordan, S., Kymre, I. G., & Kangasniemi, M. (2020). Disclosing and reporting practice errors by nurses in residential long term care settings: A systematic review. Sustainability, 12(7), 2630. https://doi.org/10.3390/SU12072630
  36. van Gerven, E., Bruyneel, L., Panella, M., Euwema, M., Sermeus, W., & Vanhaecht, K. (2016). Psychological impact and recovery after involvement in a patient safety incident: A repeated measures analysis. BMJ Open, 6(8), 11403. https://doi.org/10.1136/bmjopen-2016-011403
  37. Wanda, M. Y., Nursalam, N., & Wahyudi, A. S. (2020). Analisis faktor yang mempengaruhi pelaporan insiden keselamatan pasien pada perawat [An analysis of factors influencing patient safety incident reporting among nurses]. Fundamental and Management Nursing Journal, 3(1), 15–24. https://doi.org/10.20473/FMNJ.V3I1.17284
  38. World Health Organization. (2020). Patient safety incident reporting and learning systems: Technical report and guidance. World Health Organization. https://apps.who.int/iris/rest/bitstreams/1303416/retrieve
  39. Younas, A., Rasheed, S. P., Sundus, A., & Inayat, S. (2020). Nurses’ perspectives of self awareness in nursing practice: A descriptive qualitative study. Nursing & Health Sciences, 22(2), 398–405. https://doi.org/10.1111/NHS.12671
  40. Zarea, K., Mohammadi, A., Beiranvand, S., Hassani, F., & Baraz, S. (2018). Iranian nurses’ medication errors: A survey of the types, the causes, and the related factors. International Journal of Africa Nursing Sciences, 8, 112–116. https://doi.org/10.1016/J.IJANS.2018.05.001

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