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Barriers to Incident Reporting among Nurses: A Qualitative Systematic Review
Moataz Mohamed Maamoun Hamed1, Stathis Konstantinidis1
1School of Health Sciences, University of Nottingham, Nottingham, UK.
Western Journal of Nursing Research
|March 17, 2021
Summary
Fear of negative consequences is the primary barrier to nurses reporting incidents, hindering patient safety improvements. Addressing system flaws and fostering a supportive culture are crucial for effective healthcare error reporting.
Area of Science:
- Healthcare Quality and Safety
- Nursing Research
- Qualitative Systematic Review
Background:
- Incident reporting is vital for preventing medical errors and enhancing patient safety.
- Understanding barriers nurses face in reporting incidents is crucial for system improvement.
Purpose of the Study:
- To identify and synthesize barriers to incident reporting among nurses through a qualitative systematic review.
Main Methods:
- Qualitative systematic review following Joanna Briggs Institute (JBI) methodology.
- Data extraction using JBI QARI tools; quality appraisal using CASP.
- Meta-aggregation synthesis with confidence assessment via GRADE ConQual.
Main Results:
- Fear of negative consequences emerged as the most significant barrier to nursing incident reporting.
- Other key barriers include inadequate reporting systems, poor interdisciplinary cooperation, insufficient training, lack of feedback/motivation, and a blame culture.
Conclusions:
- Addressing nurses' fear of repercussions and improving reporting systems are essential for enhancing patient safety.
- Effective training, interdepartmental collaboration, and fostering a non-punitive environment are critical for promoting incident reporting.
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