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The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study


Autoři: Eunmi Lee aff001;  Yujeong Kim aff002
Působiště autorů: Department of Nursing, Hoseo University, Asan, Chungcheongnamdo, Republic of Korea aff001;  College of Nursing, Kyungpook National University, Daegu, Republic of Korea aff002
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0227585

Souhrn

Disclosure of patient safety incidents is a healthcare management strategy that primarily involves responding after incidents. We investigated the association between nursing students’ moral sensitivity, attitudes about patient safety, and perceptions of open disclosure of patient safety incidents in Korea. Data were collected from 407 nursing students at four nursing universities using self-reported moral sensitivity, attitudes about patient safety, and perceptions about open disclosure of patient safety incidents as measures. The data were analyzed using t-test, one-way analysis of variance, and a multiple regression. As moral sensitivity and attitudes about patient safety improved, nursing students’ perceptions regarding the open disclosure of patient safety incidents improved significantly. After controlling for gender, grade, and major satisfaction, the effect of changing attitudes about patient safety was greater than that of moral sensitivity for all perceptions of open disclosure. An education and intervention program is needed to improve nursing students’ attitudes about patient safety and promote the open disclosure of patient safety incidents during undergraduate training.

Klíčová slova:

Allied health care professionals – Health care – Health care facilities – Health care providers – Nurses – Nursing science – Patients – Undergraduates


Zdroje

1. Perneger TV. A research agenda for patient safety. Int J Qual Healthc. 2006;18(1): 1–3.

2. Lee SI. Approaches to improve patient safety in healthcare organizations. J Korean Med Assoc. 2015;58(2): 90–92. doi: 10.5124/jkma.2015.58.2.90

3. Wu AW, McCay L, Levinson W, Iedema R, Wallace G, Boyle DJ, et al. Disclosing adverse events to patients: international norms and trends. J Patient Saf. 2017;13(1): 43–49. doi: 10.1097/PTS.0000000000000107 24717530

4. Pace WD, Staton EW. Improving the disclosure of medical incidents: a genuine apology is only the first step in the process. BMJ. 2011;343:d4340. doi: 10.1136/bmj.d4340 21788258

5. Ock M, Lim SY, Jo MW, Lee S. Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review. J Prev Med Public Health. 2017;50(2): 68–82. doi: 10.3961/jpmph.16.105 28372351

6. Gallagher TH, Waterman AD, Garbutt JM, Kapp JM, Chan DK, Dunagan WC, et al. US and Canadian physicians’ attitudes and experiences regarding disclosing errors to patients. Arch Intern Med. 2006;166(15): 1605–1611. doi: 10.1001/archinte.166.15.1605 16908793

7. Kim YJ. Nurses’ experience of inpatients’ falls. Korean J Fundam Nurs. 2017;24(2): 106–117.

8. Lutzen K, Nordstrom G, Evertzon M. Moral sensitivity in nursing practice. Scand J Caring Sci. 1995;9(3): 131–138. doi: 10.1111/j.1471-6712.1995.tb00403.x 7569517

9. Han SS, Kim J, Kim YS, Ahn S. Validation of a Korean version of the Moral Sensitivity Questionnaire. Nurs Ethics. 2010;17(1): 99–105. doi: 10.1177/0969733009349993 20089629

10. Lim KC, Park M, Shin G. Influences of sense of ethics and attitude toward patient safety in the confidence in patient safety in nursing students. J Muscle Jt Health. 2017;24(2): 140–149. doi: 10.5953/JMJH.2017.24.2.140

11. Vaismoral M, Salalim M, Marck P. Patient safety: nursing students’ perspectives and the role of nursing education to provide safe care. Int Nurs Rev. 2011;58(4): 434–442. doi: 10.1111/j.1466-7657.2011.00882.x 22092321

12. White AA, Gallagher TH, Krauss MJ, Garbutt J, Waterman AD, Dunagan WC, et al. The attitudes and experiences of trainees regarding disclosing medical errors to patients. Acad Med. 2008;83(3): 250–256. doi: 10.1097/ACM.0b013e3181636e96 18316869

13. Wagner LM, Harkness K, Hébert PC, Gallagher TH. Nurses’ perceptions of error reporting and disclosure in nursing homes. J Nurs Care Qual. 2012;27(1): 63–9. doi: 10.1097/NCQ.0b013e318232c0bc 21915062

14. Anne JG, Kelly MS, David BM, Timothy M, Nikki C. Teaching medical students the art of medical error full disclosure: evaluation of a new curriculum. Teaching and Learning in Medicine. 2009;21(3): 229–232. doi: 10.1080/10401330903018526 20183343

15. Noland CM, Carmack HJ. “You never forget your first mistake”: nursing socialization, memorable messages, and communication about medical errors. Health Commun. 2015;30(12): 1234–1244. doi: 10.1080/10410236.2014.930397 25412245

16. Tella S, Smith NJ, Partanen P, Jamookeeah D, Lamidi ML, Turunen H. Learning to ensure patient safety in clinical settings: comparing Finnish and British nursing students’ perceptions. J Clin Nurs. 2015;24(19–20): 2954–2964. doi: 10.1111/jocn.12914 26216053

17. Palese A, Gonella S, Grassetti L, Mansutti I, Brugnolli A, Saiani L, et al. Multi-level analysis of national nursing students’ disclosure of patient safety concerns. Med Educ. 2018;52(11): 1156–1166. doi: 10.1111/medu.13716 30345687

18. Noland CM. Baccalaureate nursing students’ accounts of medical mistakes occurring in the clinical setting: implications for curricula. J Nurs Educ. 2014;53(3): S34–37. doi: 10.3928/01484834-20140211-04 24512333

19. Iedema R, Jorm C, Wakefield J, Ryan C, Dunn S. Practising Open Disclosure: clinical incident communication and systems improvement. Sociol Health Illn. 2009;31(2): 262–277. doi: 10.1111/j.1467-9566.2008.01131.x 18983420

20. Comrie RW. An analysis of undergraduate and graduate student nurses’ moral sensitivity. Nurs Ethics. 2012;19(1): 116–127. doi: 10.1177/0969733011411399 22183964

21. Madigosky WS, Headrick LA, Nelson K, Cox KR, Anderson T. Changing and sustaining medical student’s knowledge, skills, and attitudes about patient safety and medical fallibility. Acad Med. 2006;81(1): 94–101. doi: 10.1097/00001888-200601000-00022 16377828

22. Park JH, Park MH. Knowledge, attitude, and confidence on patient safety of undergraduate nursing students. J Korean Acad Soc Nurs Educ. 2014;20(1): 5–14. doi: 10.5977/jkasne.2014.20.1.5

23. Kaldjian LC, Jones EW, Wu BJ, Forman-Hoffman VL, Levi BH, Rosenthal GE. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. Jo Gen Int Med. 2007;22(7): 988–996. doi: 10.1007/s11606-007-0227-z 17473944

24. Lee W, Choi EY, Pyo JH, Jang SG, Ock MS, Lee SI. Perception and effectiveness of education regarding disclosure of patient safety incidents: a preliminary study on nurses. Qual Improv Healthcare 2017;23(2): 37–54. doi: 10.14371/QIH.2017.23.2.37

25. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4): 344–349. doi: 10.1016/j.jclinepi.2007.11.008 18313558

26. Shannon SE, Foglia MB, Hardy M, Gallagher TH. Disclosing errors to patients: perspectives of registered nurses. Jt Comm J Qual Patient Saf. 2009;35(1): 5–12. doi: 10.1016/s1553-7250(09)35002-3 19213295

27. Choi EY, Pyo J, Ock M, Lee SI. Nurses’ perceptions regarding disclosure of patient safety incidents in Korea: a qualitative study. Asian Nurs Res. 2019;13(3): 200–208. doi: 10.1016/j.anr.2019.05.002 31173923

28. Ock M, Kim HJ, Jo MW, Lee SI. Perceptions of the general public and physicians regarding open disclosure in Korea: a qualitative study. BMC Med Ethics. 2016;17(1): 50. doi: 10.1186/s12910-016-0134-0 27542889

29. Katsuhara Y. What moral requirements cause ethical dilemmas among nurse executives? Japan J Nurs Sci. 2005;2: 57–65.

30. Luk LA, Ng WA, Ko KK, Ung VH. Nursing management of medication errors. Nurs Ethics. 2008;15(1): 28–39. doi: 10.1177/0969733007083932 18096579

31. Kim EJ. Factors affecting the patient safety attitude and safety control on safety care activities among nurses in small and medium-sized hospitals. J Korea Acad Industr Coop Soc. 2016;17(7): 564–572. doi: 10.5762/KAIS.2016.17.7.564

32. Park AY, Kim KH. Development and evaluation of competency based quality improvement and safety education program for undergraduate nursing students. Korean J Adult Nurs. 2016. doi: 10.7475/kjan.2016.28.5.559

33. Wu AW, Boyle DJ, Wallace G, Mazor KM. Disclosure of adverse events in the United States and Canada: an update, and a proposed framework for improvement. J Public Health Res. 2013;2(3): e32. doi: 10.4081/jphr.2013.e32 25170503

34. Sherwood G. Integrating quality and safety science in nursing education and practice. Journal of Research in Nursing. 2011;16: 226–240. doi: 10.1177/1744987111400960

35. European Network for Patient Safety. A general guide for education and training in patient safety. 2010. http://www.eu-patient.eu/whatwedo/Projects/completed-projects/EUNetPaS/. Accessed 2 Mar 2018.

36. Ministry of Social Affairs and Health. Promoting patient safety together. Finnish patient safety strategy 2009–2013. 2009. http://julkaisut.valtioneuvosto.fi/handle/10024/72898 Accessed 2 Mar 2018.

37. Ock M, Lee SI. Disclosure of patient safety incidents: implications from ethical and quality of care perspectives. J Korean Med Assoc. 2017;60: 417–427. doi: 10.5124/jkma.2017.60.5.417

38. Jeffs L, Espin S, Shannon SE, Levinson W, Kohn MK, Lingard L. A new way of relating: perceptions associated with a team-based error disclosure simulation intervention. Qual Saf Healthc. 2010;19: 42–44. doi: 10.1136/qshc.2009.036418 20959320

39. Lewis EJ, Baernholdt M, Hamric AB. Nurses’ experience of medical errors: an integrative literature review. J Nurs Care Qual. 2013;supp 3: i57–i60. doi: 10.1097/NCQ.0b013e31827e05d1 23222195

40. Rathert C, Phillips W. Medical error disclosure training: evidence for values-based ethical environments. J Bus Ethics. 2010;97(3): 491–503. doi: 10.1007/s10551-010-0520-3

41. Maser T, Staender S. Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure. Acta Anaesthesiol Scand. 2005;49(6): 728–34. doi: 10.1111/j.1399-6576.2005.00746.x 15954950

42. McLennan SR, Engel-Glatter S, Meyer AH, Schwappach DLB, Scheidegger DH, Elger BS. Disclosing and reporting medical errors: Cross-sectional survey of Swiss anaesthesiologists. EJA 2015;32(7): 471–76. doi: 10.1097/EJA.0000000000000236 26389547

43. Iedema R, Allen S, Sorensen R, Gallagher TH. What prevents incident disclosure, and what can be done to promote it? Jt Comm J Qual Improv. 2011;37: 409–415. doi: 10.1016/S1553-7250(11)37051-1


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