IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v20y2011i21-22p3246-3255.html
   My bibliography  Save this article

Changes in nursing practice: associations with responses to and coping with errors

Author

Listed:
  • Mary Karga
  • Panagiotis Kiekkas
  • Diamanto Aretha
  • Chrisoula Lemonidou

Abstract

Aims and objective. To investigate emotional responses of nurses and perceived senior staff responses to errors, error‐coping strategies used by nurses and how these are associated with constructive or defensive changes in nursing practice. Background. Healthcare professionals have generally reported distressing emotional responses to errors and fear concerns about their consequences. However, errors can also be part of a developmental process, by offering opportunities for learning and leading to constructive changes in clinical practice. Design. Prospective, correlational, multicentre study. Methods. Five hundred and thirty‐six structured questionnaires completed from nurses employed in various hospital departments were considered eligible for data extraction. The revised questionnaire used was evaluated for content validity. Results. Data analysis indicated that positive perceived senior staff responses (p = 0·030), accepting error responsibility (p = 0·031) and seeking social support (p = 0·019) predicted constructive changes in nursing practice, while negative perceived senior staff responses (p = 0·040) and error escape‐avoidance (p = 0·041) predicted defensive changes. Conclusions. Errors promote constructive changes in clinical practice when nurses are encouraged to use adaptive error‐coping strategies within a supportive, non‐blaming culture. Relevance to clinical practice. These findings highlight the role of senior staff in the establishment of a supportive, trustful ward climate, so that nurses can learn from errors, prevent their recurrence and improve patient safety.

Suggested Citation

  • Mary Karga & Panagiotis Kiekkas & Diamanto Aretha & Chrisoula Lemonidou, 2011. "Changes in nursing practice: associations with responses to and coping with errors," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(21‐22), pages 3246-3255, November.
  • Handle: RePEc:wly:jocnur:v:20:y:2011:i:21-22:p:3246-3255
    DOI: 10.1111/j.1365-2702.2011.03772.x
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/j.1365-2702.2011.03772.x
    Download Restriction: no

    File URL: https://libkey.io/10.1111/j.1365-2702.2011.03772.x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ahmad Zulfahmi Mohd Kamaruzaman & Mohd Ismail Ibrahim & Ariffin Marzuki Mokhtar & Maizun Mohd Zain & Saiful Nazri Satiman & Najib Majdi Yaacob, 2022. "The Effect of Second-Victim-Related Distress and Support on Work-Related Outcomes in Tertiary Care Hospitals in Kelantan, Malaysia," IJERPH, MDPI, vol. 19(11), pages 1-17, May.
    2. Shi Teng Chan & Betty Peck Chui Khong & Lynnette Pei Lin Tan & Hong‐Gu He & Wenru Wang, 2018. "Experiences of Singapore nurses as second victims: A qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(2), pages 165-172, June.
    3. Ahmad Zulfahmi Mohd Kamaruzaman & Mohd Ismail Ibrahim & Ariffin Marzuki Mokhtar & Maizun Mohd Zain & Saiful Nazri Satiman & Najib Majdi Yaacob, 2022. "Translation and Validation of the Malay Revised Second Victim Experience and Support Tool (M-SVEST-R) among Healthcare Workers in Kelantan, Malaysia," IJERPH, MDPI, vol. 19(4), pages 1-16, February.
    4. Dilek Kiymaz & Zeliha Koç, 2018. "Identification of factors which affect the tendency towards and attitudes of emergency unit nurses to make medical errors," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1160-1169, March.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:20:y:2011:i:21-22:p:3246-3255. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.