de Paiva MCMDS, Popim RC, Melleiro MM, Tronchim DMR, Lima SAM, Juliani CMCM. The reasons of the nursing staff to notify adverse events.
Rev Lat Am Enfermagem 2016;
22:747-54. [PMID:
25493669 PMCID:
PMC4292683 DOI:
10.1590/0104-1169.3556.2476]
[Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2013] [Accepted: 08/26/2014] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE:
this research aimed to understand the motivation for reporting adverse events
from the perspective of nursing staff in the work environment.
METHOD:
qualitative study that used the phenomenology of Alfred Schutz for reference,
which offers a systematic approach to understand the social aspects of human
action. Data were collected by open interviews with 17 nurses and 14
technicians/assistant nurses in a university hospital.
RESULTS:
motivation was revealed through six categories: all types of occurrences must be
reported; the incident report is an auxiliary instrument to health care provision
management; the culture of punishment in transition; nurses as the agents
responsible for voluntary reporting; sharing problems with higher management and
achieving quality in the work process.
DISCUSSION:
it was unveiled that, when reporting adverse events, team members perceived
themselves to be in a collaborative relationship with the institution and trusted
that they would receive administrative support and professional security, which
encouraged them to continue reporting. Reporting allows health care professionals
to share responsibilities with managers and encourages corrective actions.
FINAL CONSIDERATIONS:
the study revealed the nursing staff's motivation for adverse event reporting,
contributing to reflections on institutional policies aimed at patient safety in
health care.
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