Operational Failures Detected by Frontline Acute Care Nurses
| Autor: | Linda Searle-Leach, Pamela P. DiNapoli, Lisa Mestas, Marie Ann Marino, Anne Marie Kotzer, Nicole M. Shonka, Peri Rosenfeld, Karen L. Rice, Ellen D'Errico, Linda P. Riley, Mary Townsend-Gervis, Kathleen R. Stevens, Joleen Lynn Fischer, Nancy A. Ryan-Wenger, Deborah Marks Conley, Laura Sweatt, Carolyn L. Lindgren, Rebekah Powers, Janice S. Withycombe, Ellen Wathen, Eileen P. Engh, Heather L. Tubbs-Cooley, Vicki L. Smith, Ruth Freed, Linda Roussel, Patricia Radovich, Jessica Perdue, Tammy Cupit |
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| Rok vydání: | 2017 |
| Předmět: |
Medical-surgical nursing
medicine.medical_specialty Quality management business.industry 030503 health policy & services media_common.quotation_subject medicine.disease 03 medical and health sciences Patient safety Unit type 0302 clinical medicine Nursing Scale (social sciences) Acute care Organizational learning medicine Quality (business) 030212 general & internal medicine Medical emergency 0305 other medical science business General Nursing media_common |
| Zdroj: | Research in Nursing & Health. 40:197-205 |
| ISSN: | 0160-6891 |
| Popis: | Frontline nurses encounter operational failures (OFs), or breakdowns in system processes, that hinder care, erode quality, and threaten patient safety. Previous research has relied on external observers to identify OFs; nurses have been passive participants in the identification of system failures that impede their ability to deliver safe and effective care. To better understand frontline nurses' direct experiences with OFs in hospitals, we conducted a multi-site study within a national research network to describe the rate and categories of OFs detected by nurses as they provided direct patient care. Data were collected by 774 nurses working in 67 adult and pediatric medical-surgical units in 23 hospitals. Nurses systematically recorded data about OFs encountered during 10 work shifts over a 20-day period. In total, nurses reported 27,298 OFs over 4,497 shifts, a rate of 6.07 OFs per shift. The highest rate of failures occurred in the category of Equipment/Supplies, and the lowest rate occurred in the category of Physical Unit/Layout. No differences in OF rate were detected based on hospital size, teaching status, or unit type. Given the scale of this study, we conclude that OFs are frequent and varied across system processes, and that organizations may readily obtain crucial information about OFs from frontline nurses. Nurses' detection of OFs could provide organizations with rich, real-time information about system operations to improve organizational reliability. © 2017 Wiley Periodicals, Inc. |
| Databáze: | OpenAIRE |
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