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Lee, Kim, and Kim: A Phenomenological Study on Nurses' Experiences of Accidents in Patient Safety
Original Article

Journal of Korean Academy of Nursing Administration 2014; 20(1): 35-47.

Published online: 29 January 2014

DOI: https://doi.org/10.11111/jkana.2014.20.1.35

A Phenomenological Study on Nurses' Experiences of Accidents in Patient Safety

Tae Kyung Lee1, Eun Young Kim2, Na Hyun Kim3

1Department of Nursing, Gyeonsan University, Korea.

2Department of Nursing, Taegu Science University, Korea.

3College of Nursing · Research Institute for Nursing Science, Keimyung University, Korea.

Corresponding author: Kim, Na Hyun. College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Dalseo-gu, Daegu 704-701, Korea. Tel: +82-53-580-3928, Fax: +82-53-580-3916, drkim@kmu.ac.kr

Received 15 October 2013       Revised 5 December 2013       Accepted 23 December 2013

Copyright © 2014 Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to describe nurses' experiences of accidents in patient safety.

Methods

Data were collected from October 8, 2011 to January 31, 2012 through in-depth interviews with seven nurses who had worked on wards or in the ICU in a university hospital. Data were analyzed by applying Colaizzi's phenomenological methodology.

Results

The following six categories were extracted: Fear of the patient's condition caused by the accident, Conflict in the accident report, Blame on others and circumstances, Feeling guilty and sorry as the patient's condition is improving, Being disappointed with the unfavorable atmosphere in dealing with the accident, After the accident, being sensitive in performing nursing duties and being faithful to the principles.

Conclusion

The results indicate that the organizational culture in the hospital related to accidents in patient safety is still closed and punitive, and such an atmosphere causes nurses to feel seriously hurt, but through this experience nurses are likely to mature as nursing professionals. Programs on prevention of accidents in patient safety and a system to guard against these accidents should be established. Also the organizational safety culture should be improved.

Keywords: Patient safety, Safety accident, Phenomenological study

Figures and Tables

Table 1
Characteristics of the Participants
jkana-20-35-i001

ICU=Intensive care unit; OPD=Out patient department.

Table 2
Nurses' Experience of Patient Safety Accidents
jkana-20-35-i002

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