Nurses' recognition and response to unsafe practice by their peers: A qualitative descriptive analysis.
Behaviours
Cues
Recognition
Reporting
Response
Unsafe practice
Journal
Nurse education in practice
ISSN: 1873-5223
Titre abrégé: Nurse Educ Pract
Pays: Scotland
ID NLM: 101090848
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
received:
03
02
2022
revised:
02
05
2022
accepted:
21
06
2022
pubmed:
9
7
2022
medline:
30
8
2022
entrez:
8
7
2022
Statut:
ppublish
Résumé
Unsafe practice is an important issue for the nursing profession however few studies have sought to identify how nurses recognise and respond to unsafe practice. To identify the behaviours and cues that registered nurses recognise as indications of unsafe practice, perceived factors that contribute to unsafe practice and action nurses take in response. Qualitative descriptive study. New Zealand health care settings. New Zealand registered Nurses (n = 13). Data were collected via semi-structured interviews and analysis was conducted using constant-comparative and thematic analysis. Nurses identified a range of behaviours, cues, contributing factors and responses to unsafe practice. Three themes emerged from the data: Uncertainty, 'sensing' unsafe practice and disrupted professionalism. Understanding the challenges nurses face every day in recognising and responding to unsafe practice in increasingly complex nursing contexts is key to understanding how unsafe practice may be further addressed in clinical practice. Nurses in this study recognised overtly unsafe behaviour and subtle cues as indications of unsafe practice. Participants also identified factors which they perceived contributed to the occurrence of unsafe practice including high workloads and poor skill mix as well as organisational cultures that failed to support safe practice.
Sections du résumé
BACKGROUND
BACKGROUND
Unsafe practice is an important issue for the nursing profession however few studies have sought to identify how nurses recognise and respond to unsafe practice.
OBJECTIVES
OBJECTIVE
To identify the behaviours and cues that registered nurses recognise as indications of unsafe practice, perceived factors that contribute to unsafe practice and action nurses take in response.
DESIGN
METHODS
Qualitative descriptive study.
SETTINGS
METHODS
New Zealand health care settings.
PARTICIPANTS
METHODS
New Zealand registered Nurses (n = 13).
METHODS
METHODS
Data were collected via semi-structured interviews and analysis was conducted using constant-comparative and thematic analysis.
RESULTS
RESULTS
Nurses identified a range of behaviours, cues, contributing factors and responses to unsafe practice. Three themes emerged from the data: Uncertainty, 'sensing' unsafe practice and disrupted professionalism.
CONCLUSION
CONCLUSIONS
Understanding the challenges nurses face every day in recognising and responding to unsafe practice in increasingly complex nursing contexts is key to understanding how unsafe practice may be further addressed in clinical practice. Nurses in this study recognised overtly unsafe behaviour and subtle cues as indications of unsafe practice. Participants also identified factors which they perceived contributed to the occurrence of unsafe practice including high workloads and poor skill mix as well as organisational cultures that failed to support safe practice.
Identifiants
pubmed: 35803182
pii: S1471-5953(22)00101-9
doi: 10.1016/j.nepr.2022.103387
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
103387Informations de copyright
Copyright © 2022 Elsevier Ltd. All rights reserved.