Cerrahi Birimlerde Çalışan Hemşirelerin Tıbbi Hataya İlişkin Bilgi, Eğilim, Tutum ve Görüşleri: Karma Yöntem Çalışması

Abstract

Koralay, G. Knowledge, Tendency, Attitudes and Opinions of Nurses Working in Surgical Units on Medical Errors: Mixed Methods Study, Hacettepe University Graduate School of Health Sciences Surgical Nursing Program PhD Thesis, Ankara, 2021. This study was carried out as a mixed method research with a view to determine the knowledge, tendencies, attitudes of nurses working in surgical units and their views on medical errors, causes of medical errors and their management. Partly mixed concurrent equal status design was adopted in the study. 161 nurses participated in the quantitative part of the study while 29 nurses took part in the qualitative study from surgical clinics and surgical intensive care units of Gazi University, Health Research and Application Center, Gazi Hospital between 13 March and 28 June 2019. Sociodemographic Data Collection Form, Medical Error Information Assessment Form, Tendency to Medical Errors in Nursing Scale, Medical Errors Attitude Scale and Semi-structured Interview Questions were utilized in data collection. The data of qualitative study were collected by focus group interview method through utilization of semi-structured open-ended questions. Majority of the nurses (83.9%) replied incorrect to the question about preventing errors in the evaluation of the accuracy of the medical error information of the nurses. It was determined in the study that nurses' tendency towards medical errors was low (4.72 ± 0.34) and their attitudes towards medical errors were positive (3.87 ± 0.32). Eleven themes and twenty-nine sub-themes emerged together with the contexts of medical error perception, causes of medical error, behavior in case of medical error and prevention of medical errors as a result of the content analysis of the data obtained from the focus group interview. Nurses have defined medical error as doing wrong actions, doing practices in an incomplete way or not doing and harming the patient. Nurses stated that the reasons of medical errors were human-related, institution-related and system-related. Institutional regulation has become the statement to come to the fore among the expressions of nurses for preventing medical errors. According to these results, it is recommended to develop individual, institutional and health system strategies to prevent medical errors.

Keywords: medical error knowledge, medical error tendency, attitude towards medical errors, nursing, qualitative research