Predictors of Nursing Home Nurses' Willingness to Report Medication Near-Misses

被引：5

作者：

Farag, Amany ^{[1
]}

Vogelsmeier, Amy ^{[2
]}

Knox, Katie ^{[1
]}

Perkhounkova, Yelena ^{[1
]}

Burant, Christopher ^{[3
]}

机构：

[1] Univ Iowa, Coll Nursing, Off Nursing Res & Scholarship, Iowa City, IA 52242 USA

[2] Univ Missouri, Sinclair Sch Nursing, Columbia, MO USA

[3] Case Western Reserve Univ, Frances Bayne Bolton Sch Nursing, Cleveland, OH 44106 USA

来源：

JOURNAL OF GERONTOLOGICAL NURSING | 2020年 / 46卷 / 04期

关键词：

SAFETY CLIMATE; TRANSFORMATIONAL LEADERSHIP; ORGANIZATIONAL-CLIMATE; ERROR; PERCEPTIONS; BARRIERS; CULTURE; ENVIRONMENT; CONTRIBUTE; EVENTS;

D O I：

10.3928/00989134-20200303-03

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Medication near-misses occur at higher rates than medication errors and are usually underreported. Reporting a medication near-miss is crucial, as it highlights areas of human and system failures. Identifying these incidents is particularly important in nursing home (NH) settings to help managers plan and initiate proactive measures to contain the errors. However, scarce evidence exists about predictors of nurses' willingness to report near-misses. Therefore, the purpose of this study was to test a proposed model for NH nurses' willingness to report medication near-misses. Data for this cross-sectional study were collected using a random sample of RNs working in NHs across one Midwestern state. The proposed model predicted a 19% variance in nurses' willingness to report medication near-misses, with the strongest predicators being non-punitive responses to errors (beta = 0.33, p < 0.001). According to the study results, system and social factors are needed to improve nurses' voluntary reporting of medication near-misses.

引用

页码：21 / 30

页数：10

共 49 条

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