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  11. Experiences And Perceptions Of Registered Nurses Who Work In Acute Care Regarding Incident Reporting: A Scoping Review

Experiences and Perceptions of Registered Nurses Who Work in Acute Care Regarding Incident Reporting: A Scoping Review

Clara Smit1, Monica Peddle2

  • 1Intensive Care Unit, St Vincent's Hospital Melbourne, Fitzroy, VIC 3065, Australia.

Healthcare (Basel, Switzerland)
|June 13, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Nurses fear reporting clinical incidents due to blame culture and lack of knowledge. Enhancing patient safety requires a just culture, manager support, and better education on incident reporting.

Area of Science:

  • Healthcare Quality and Safety
  • Nursing Practice
  • Patient Safety Research

Background:

  • Clinical incidents offer learning opportunities for patient safety improvement.
  • Underreporting of clinical incidents is a significant global challenge.
  • Understanding nurses' perspectives is crucial for enhancing reporting behaviors.

Purpose of the Study:

  • To explore acute care bedside nurses' experiences and perceptions of incident reporting.
  • To identify barriers and facilitators influencing nurses' incident reporting behaviors.

Main Methods:

  • A scoping review methodology was employed.
  • Searches were conducted in MEDLINE and CINAHL databases.
  • Sixteen relevant papers were included in the final review.
Keywords:
hospitalsincident reportsjust culturenursing staff

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Main Results:

  • Key themes identified include fear of reporting, varying levels of reporting, lack of knowledge, inadequate education and training, perceived benefits, and the need for cultural change.
  • Nurses' fear of reporting is linked to potential negative repercussions and an organizational blame culture.
  • Insufficient knowledge and training impede effective incident reporting.

Conclusions:

  • A just culture, characterized by managerial support, open communication, and feedback, is vital for improving incident reporting.
  • Addressing nurses' fears and enhancing their knowledge through education and training are essential steps.
  • Promoting a supportive environment can foster better incident reporting and contribute to patient safety.
patient safety