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Emergency Nurses as Second Victims of Error: A Qualitative Study
Mehdi Ajri-Khameslou1, Abbas Abbaszadeh, Fariba Borhani
1Medical Ethics and Law Research Center (Drs Abbaszadeh and Borhani), Department of Medical Surgical Nursing (Dr Ajri-Khameslou), School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Hospital errors impact nurses, causing psychological distress and career damage. Learning from mistakes improves patient safety, but nurses need support to mitigate negative effects and enhance their careers.
Area of Science:
- Nursing
- Healthcare Quality
- Patient Safety
Background:
- Nurses frequently encounter errors within hospital settings.
- Understanding the impact of these errors on nurses' professional lives is crucial.
Purpose of the Study:
- To identify causes of errors affecting nurses in emergency departments.
- To explore the consequences of confronting errors in the workplace.
Main Methods:
- Qualitative approach utilizing content analysis.
- Purposive sampling of 18 emergency nurses.
- In-depth, semi-structured interviews for data collection until saturation.
Main Results:
- Errors evoke psychological reactions, learning opportunities, and avoidance behaviors in nurses.
- Errors have both positive and negative effects on nurses' attitudes.
- Learning from errors can enhance patient safety, while negative outcomes harm nurses' careers.
Conclusions:
- Nurses are often victims of errors and require support.
- Addressing the psychological and career impacts of errors is essential.
- Fostering a learning environment from errors can improve patient safety and support nursing professionals.
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