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Original Article

Perioperative Nurse's Experience of Nursing Errors and Emotional Distress, Coping Strategies, and Changes in Practice

JooYeon Jun1, Nam-Ju Lee2
Journal of Korean Academy of Nursing Administration 2014;20(5):481-491.
Published online: December 31, 2014

1Seoul National University Hospital, Korea.

2College of Nursing, The Research Institute of Nursing Science, Seoul National University, Korea.

Corresponding author: Lee, Nam-Ju. College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 110-799, Korea. Tel: +82-2-740-8812, Fax: +82-2-740-8812, njlee@snu.ac.kr
• Received: June 16, 2014   • Revised: August 27, 2014   • Accepted: December 15, 2014

Copyright © 2014 Korean Academy of Nursing Administration

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    This study was done to examine perioperative nurses' perception of the definitions and causes of nursing errors; the relationships among emotional distress, coping strategies, and changes in practice as a result of errors.
  • Methods
    A descriptive, correlative design was used with a sample of 146 nurses working in the operating room of a university hospital. Data were collected using a self-report questionnaire with 4 point Likert scales. For the analysis, t-test, ANOVA, Scheffé's post hoc test and multiple regression analysis were used.
  • Results
    Most nurses recognized themajority of the items as perioperative nursing errors. Job overload was perceived as the cause of errors. Emotional distress was significantly related with nurses' age, position and years of work experience. The coping strategies used most frequently were 'accepting responsibility' and 'planful problem solving'. The coping strategies of 'accepting responsibility', 'planful problem solving', 'seeking social support', and 'using self-control' were significant predictors in constructive practice change. Defensive changes were related to the strategy of escape/avoidance and emotional distress.
  • Conclusion
    The results of this study suggest that intervention strategies should be developed to decrease perioperative nurses'distress and improve their coping strategies resulting in constructive change in practice after committing an error.
  • Key Words: Perioperative nursing; Medical errors; Coping; Stress
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Table 1
Emotional Distress, Coping Strategy, and Changes in Practice by General Characteristic (N=146)
jkana-20-481-i001.jpg

GN=General nurse; FN=Fixed nurse; CN=Charge nurse; OR=Operating room.

Table 2
Definitions of Perioperative Nursing Errors (N=146)
jkana-20-481-i002.jpg
Table 3
Mean scores for Causes of Error, Emotional Distress, Coping Strategy and Changes in Practice (N=146)
jkana-20-481-i003.jpg
Table 4
Correlations among Subscales of Emotional Distress, Coping Strategy, and Changes in Practice (N=146)
jkana-20-481-i004.jpg
Table 5
Factors Influencing Changes in Practice (N=146)
jkana-20-481-i005.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Effect of Counting Error Prevention Training on Operating Room Nurses’ Counting Error Prevention Awareness and Perceptions of Patient Safety
      Myung Jin JANG, Mi Kyung HONG, Mi Jeong LEE, Kyung A LEE, Yang Ok KIM, Jin A JEON, Hana KO
      Korean Journal of Health Promotion.2024; 24(1): 20.     CrossRef
    • Factors Affecting on Turnover Intentions among Operating Room Nurses
      Yeo-Jin Kim, Keum-Sook Park, Eun-Ja Yang
      Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 352.     CrossRef

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    Perioperative Nurse's Experience of Nursing Errors and Emotional Distress, Coping Strategies, and Changes in Practice
    J Korean Acad Nurs Adm. 2014;20(5):481-491.   Published online December 31, 2014
    DOI: https://doi.org/10.11111/jkana.2014.20.5.481
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    Perioperative Nurse's Experience of Nursing Errors and Emotional Distress, Coping Strategies, and Changes in Practice
    J Korean Acad Nurs Adm. 2014;20(5):481-491.   Published online December 31, 2014
    DOI: https://doi.org/10.11111/jkana.2014.20.5.481
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    Perioperative Nurse's Experience of Nursing Errors and Emotional Distress, Coping Strategies, and Changes in Practice
    Perioperative Nurse's Experience of Nursing Errors and Emotional Distress, Coping Strategies, and Changes in Practice

    Emotional Distress, Coping Strategy, and Changes in Practice by General Characteristic (N=146)

    GN=General nurse; FN=Fixed nurse; CN=Charge nurse; OR=Operating room.

    Definitions of Perioperative Nursing Errors (N=146)

    Mean scores for Causes of Error, Emotional Distress, Coping Strategy and Changes in Practice (N=146)

    Correlations among Subscales of Emotional Distress, Coping Strategy, and Changes in Practice (N=146)

    Factors Influencing Changes in Practice (N=146)
    Table 1 Emotional Distress, Coping Strategy, and Changes in Practice by General Characteristic (N=146)

    GN=General nurse; FN=Fixed nurse; CN=Charge nurse; OR=Operating room.

    Table 2 Definitions of Perioperative Nursing Errors (N=146)

    Table 3 Mean scores for Causes of Error, Emotional Distress, Coping Strategy and Changes in Practice (N=146)

    Table 4 Correlations among Subscales of Emotional Distress, Coping Strategy, and Changes in Practice (N=146)

    Table 5 Factors Influencing Changes in Practice (N=146)

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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