Attitudes of doctors and nurses towards incident reporting: a qualitative analysis

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dc.contributor.authorKingston, M.
dc.contributor.authorEvans, S.
dc.contributor.authorSmith, B.
dc.contributor.authorBerry, J.
dc.date.issued2004
dc.descriptionThe document attached has been archived with permission from the editor of the Medical Journal of Australia.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.
dc.description.abstractObjectives: (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.
dc.description.statementofresponsibilityMarilyn J Kingston, Sue M Evans, Brian J Smith and Jesia G Berry
dc.identifier.citationMedical Journal of Australia, 2004; 181(1):36-39
dc.identifier.doi10.5694/j.1326-5377.2004.tb06158.x
dc.identifier.issn0025-729X
dc.identifier.issn1326-5377
dc.identifier.orcidBerry, J. [0000-0002-4446-7927]
dc.identifier.urihttp://hdl.handle.net/2440/9952
dc.language.isoen
dc.publisherAustralasian Med Publ Co Ltd
dc.source.urihttp://www.mja.com.au/public/issues/181_01_050704/kin10795_fm.html
dc.subjectHumans
dc.subjectFocus Groups
dc.subjectAttitude of Health Personnel
dc.subjectHabits
dc.subjectSocial Conformity
dc.subjectSocial Facilitation
dc.subjectAffect
dc.subjectMotivation
dc.subjectIntention
dc.subjectSocial Perception
dc.subjectQualitative Research
dc.subjectNurses
dc.subjectPhysicians
dc.subjectRisk Management
dc.subjectSouth Australia
dc.titleAttitudes of doctors and nurses towards incident reporting: a qualitative analysis
dc.typeJournal article
pubs.publication-statusPublished

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