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Type: Journal article
Title: Attitudes of doctors and nurses towards incident reporting: a qualitative analysis
Author: Kingston, M.
Evans, S.
Smith, B.
Berry, J.
Citation: Medical Journal of Australia, 2004; 181(1):36-39
Publisher: Australasian Med Publ Co Ltd
Issue Date: 2004
ISSN: 0025-729X
Statement of
Marilyn J Kingston, Sue M Evans, Brian J Smith and Jesia G Berry
Abstract: Objectives: (i) To examine attitudes of medical and nursing staff towards reporting incidents (adverse events and near-misses), and (ii) to identify measures to facilitate incident reporting. Design: Qualitative study. In March 2002, semistructured questions were administered to five focus groups — one each for consultants, registrars, resident medical officers, senior nurses, and junior nurses. Participants and setting: 14 medical and 19 nursing staff recruited using purposive sampling from three metropolitan public hospitals in Adelaide, South Australia. Main outcome measures: Attitudes and barriers to incident reporting; differences in reporting behaviour between disciplines; how to facilitate incident reporting. Results: Cultural differences between doctors and nurses, identified using Triandis’ theory of social behaviour, were found to underpin attitudes to incident reporting. Nurses reported more habitually than doctors due to a culture which provided directives, protocols and the notion of security, whereas the medical culture was less transparent, favoured dealing with incidents “in-house” and was less reliant on directives. Common barriers to reporting incidents included time constraints, unsatisfactory processes, deficiencies in knowledge, cultural norms, inadequate feedback, beliefs about risk, and a perceived lack of value in the process. Conclusions: Strategies to improve incident reporting must address cultural issues.
Keywords: Humans; Focus Groups; Attitude of Health Personnel; Habits; Social Conformity; Social Facilitation; Affect; Motivation; Intention; Social Perception; Qualitative Research; Nurses; Physicians; Risk Management; South Australia
Description: The document attached has been archived with permission from the editor of the Medical Journal of Australia. An external link to the publisher’s copy is included.
RMID: 0020040720
DOI: 10.5694/j.1326-5377.2004.tb06158.x
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Appears in Collections:Medicine publications

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