Purpose Nursing care activities for patient safety are important to prevent accidents. This study aimed to examine the association between nurses’ perception of patient safety culture, willingness to report near misses, critical thinking disposition, and nursing care activities for patient safety. Methods In this cross-sectional study, data were obtained from online surveys conducted with 201 ward nurses. An independent t-test, one-way ANOVA, Pearson’s correlation coefficient test, and multiple linear regression analysis were performed using IBM SPSS/WIN 21.0. Results Perceptions of patient safety culture, willingness to report near misses, critical thinking disposition, and nursing activities for patient safety were all correlated with each other. According to the regression model, significant factors influencing nursing care activities for patient safety were medical ward (β=-.28, p=.010), critical thinking disposition (β=.27, p<.001), willingness to report near misses (β=.19, p=.004), perceptions of patient safety culture (β=.19, p=.007), and work experience (β=-.18, p=.016). Conclusion Improving nurses’ perceptions of patient safety culture, promoting the reporting of near misses, and strengthening nurses' critical thinking dispositions can foster patient-safety nursing care activities. Additionally, a tailored patient safety education program that considers nursing work experience may be appropriate for patient-safety nursing care activities.
Purpose The purpose of this study was to describe nurses' experience of near misses in medication errors.
Methods: Data were collected from April, 3 to October 30, 2019 through in-depth interviews with nine nurses who had worked in hospitals. Data was analyzed using Colaizzi's phenomenological methodology.
Results: The three themes that emerged from the analysis were: Shameful things to hide, Inevitable matter to happen, and Step to move forward.
Conclusion: The result has shown that nurses' experience of near misses in medication administration has happened not only because of individual matters but also institutional problems. Therefore, to improve the situation and prevent serious medication errors for nurses, both, individual and institutional problems need to be assessed, analyzed and change.
Citations
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Purpose The purpose of this study was to investigate the status of the near miss by nurses in small-medium hospitals and to identify the factors that affect the near miss.
Methods: Data were collected using a structured questionnaire for small-medium sized hospital nurses who had worked for more than one year. A total of 243 questionnaires were used for analysis. The difference in the characteristics of the nurses according to the near miss experience was analyzed by the x 2 test, and the influence factor of the near miss was analyzed by logistic regression.
Results: Overall, 155 nurses (63.8%) experienced near misses during the previous 1 year. Among those who experienced a near miss, the medication-related error was the highest at 58.3%. As a result of the stepwise logistic regression analysis, the odds ratio over time work of over 3 hours increased near misses 2.48 (95% CI: 1.21~5.08) compared to the group without overtime.
Conclusion: Overtime work seems to be a significant factor in the near miss experience for small-medium hospital nurses.
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