A study of error reporting by nurses: the significant impact of nursing team dynamics

Author:

Munn Lindsay Thompson1ORCID,Lynn Mary R2,Knafl George J3,Willis Tina Schade4,Jones Cheryl B5

Affiliation:

1. Co-Director of Workforce Development, Clinical and Translational Science Institute, Wake Forest University School of Medicine, Winston-Salem, NC, USA

2. Professor, University of North Carolina, Chapel Hill, NC, USA

3. Emeritus Professor, School of Nursing, University of North Carolina, Chapel Hill, NC, USA

4. Professor of Clinical Pediatrics, Division of Pediatric Critical Care, Indiana University School of Medicine, Indianapolis, IN, USA

5. Professor and Director, Hillman Scholar Program in Nursing Innovation, School of Nursing, University of North Carolina, Chapel Hill, NC, USA

Abstract

Background: Error reporting is crucial for organisational learning and improving patient safety in hospitals, yet errors are significantly underreported. Aims: The aim of this study was to understand how the nursing team dynamics of leader inclusiveness, safety climate and psychological safety affected the willingness of hospital nurses to report errors. Methods: The study was a cross-sectional design. Self-administered surveys were used to collect data from nurses and nurse managers. Data were analysed using linear mixed models. Bootstrap confidence intervals with bias correction were used for mediation analysis. Results: Leader inclusiveness, safety climate and psychological safety significantly affected willingness to report errors. Psychological safety mediated the relationship between safety climate and error reporting as well as the relationship between leader inclusiveness and error reporting. Conclusion: The findings of the study emphasise the importance of nursing team dynamics to error reporting and suggest that psychological safety is especially important to error reporting.

Funder

national institute of nursing research

Publisher

SAGE Publications

Subject

Research and Theory

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