A Study on the Reporting Intention of Medical Incidents: A Nursing Perspective

Medical incidents threaten patients’ lives and health, increase medical costs, and can lead to medical disputes. A high proportion of medical incidents are not reported. The aim of this study was to explore the factors influencing nurses’ reporting of medical incidents. The cross-sectional survey de...

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Bibliographic Details
Published in:Clinical nursing research 2018-06, Vol.27 (5), p.560-578
Main Authors: Chen, Li-Chin, Wang, Li-Hsiang, Redley, Bernice, Hsieh, Ya-Hui, Chu, Tsung-Lan, Han, Chin-Yen
Format: Article
Language:English
Subjects:
Adult
Attitude of Health Personnel
Attitudes
Cross-Sectional Studies
Disputes
Female
Health care expenditures
Hospitals
Humans
Incentives
Informed consent
Intention
Male
Mandatory reporting
Medical errors
Motivation
Nurses
Nursing
Nursing Staff, Hospital - psychology
Nursing Staff, Hospital - statistics & numerical data
Patient Safety
Polls & surveys
Risk Management - statistics & numerical data
Surveys and Questionnaires
Taiwan
Work environment
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Summary:Medical incidents threaten patients’ lives and health, increase medical costs, and can lead to medical disputes. A high proportion of medical incidents are not reported. The aim of this study was to explore the factors influencing nurses’ reporting of medical incidents. The cross-sectional survey design used a self-administered 47-item questionnaire to survey 835 nurses in three hospitals in Taiwan between January and December 2014. The intention among nurses to report medical incidents was high (3.86/5); nurses’ intention to report medical incidents was positively correlated (r = .34, p < .0001) with their attitude about reporting, awareness of reporting (r = .37, p < .0001), and support from interested parties (r = .12, p = .001), and was negatively correlated with positive incentives (r = -.14, p < .0001) and negative incentives (r = .29, p < .0001). Nurses’ awareness and a supportive work environment affect nurses’ willingness to voluntarily report medical incidents; hence, they are critical considerations as Taiwan moves toward systems of mandatory reporting.
ISSN:1054-7738
1552-3799
DOI:10.1177/1054773817692179