Negative Emotions Experienced on the Occurrence of Medication Errors by Nurses: A Mixed-Method Systematic Review
Afifeh Khosravi1, Sanu Mahat1, Tiina Syyrilä1
1Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Journal of Clinical Nursing
|April 4, 2025
Summary
Nurses experiencing negative emotions after medication errors, as second victims, require support. Addressing these feelings is crucial for their well-being and patient safety.
Area of Science:
- Nursing
- Healthcare Psychology
- Patient Safety
Background:
- Medication errors can lead to nurses becoming "second victims."
- The emotional impact on nurses is a significant concern in healthcare.
Purpose of the Study:
- To explore the range of negative emotions nurses experience following medication errors.
- To identify specific types of fear and shame reported by nurses.
Main Methods:
- A mixed-method systematic review was conducted.
- Searches included major databases (PubMed, Scopus, CINAHL, etc.) for studies from 2013-2024.
- Qualitative content analysis was used for data analysis.
Main Results:
- 19 studies were selected, analyzing nurses' negative emotions as second victims.
- Emotions identified include fear, anger, sadness, shame, guilt, low self-esteem, and depression.
- Specific fears include fear of judgment, job loss, and patient well-being; shame can be internal or external.
Conclusions:
- Negative emotions can persist long after medication errors occur.
- There is a need for structured psychological support systems.
- Fostering a "responsibility without blame" culture is essential for nurses' well-being and healthcare quality.
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