A Study on the Reporting Intention of Medical Incidents: A Nursing Perspective

Clin Nurs Res. 2018 Jun;27(5):560-578. doi: 10.1177/1054773817692179. Epub 2017 Feb 6.

Abstract

Medical incidents threaten patients' lives and health, increase medical costs, and can lead to medical disputes. A high proportion of medical incidents are not reported. The aim of this study was to explore the factors influencing nurses' reporting of medical incidents. The cross-sectional survey design used a self-administered 47-item questionnaire to survey 835 nurses in three hospitals in Taiwan between January and December 2014. The intention among nurses to report medical incidents was high (3.86/5); nurses' intention to report medical incidents was positively correlated ( r = .34, p < .0001) with their attitude about reporting, awareness of reporting ( r = .37, p < .0001), and support from interested parties ( r = .12, p = .001), and was negatively correlated with positive incentives ( r = -.14, p < .0001) and negative incentives ( r = .29, p < .0001). Nurses' awareness and a supportive work environment affect nurses' willingness to voluntarily report medical incidents; hence, they are critical considerations as Taiwan moves toward systems of mandatory reporting.

Keywords: attitude; intention; reporting medical incidents.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Cross-Sectional Studies
  • Female
  • Hospitals
  • Humans
  • Intention*
  • Male
  • Nursing Staff, Hospital / psychology
  • Nursing Staff, Hospital / statistics & numerical data*
  • Patient Safety
  • Risk Management / statistics & numerical data*
  • Surveys and Questionnaires
  • Taiwan