Perceptions of Quality, Safety, and Harm in Oncology Nursing Practice: A Qualitative Study.

IF 1.7 4区 医学 Q3 NURSING
Chantelle Recsky, Michelle B Tam, Shaneice Hague, Charlene E Ronquillo, Sandra B Lauck, Leah K Lambert
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引用次数: 0

Abstract

Background: Oncology care is complex, increasing the risk of patient harm. Nurses play a key role in identifying and addressing safety issues. Gaps in nurses' understanding of quality, safety, and harm may impede improvement efforts, particularly in safety reporting.

Purpose: We examined oncology nurses' experiences with and perceptions of quality and safety in patient care, including their understanding of harm and how they use safety reporting systems in clinical practice.

Methods: We used interpretive description methodology and conducted semi-structured interviews with 28 nurses at an urban oncology center.

Results: Oncology nurses' accounts of quality, safety, and harm were nuanced and closely connected. Safety reporting systems present challenges and limitations in capturing nurses' concerns.

Conclusion: Expanding harm definitions, streamlining reporting, and ensuring meaningful organizational responses are essential for fostering a culture of safety and quality improvement in oncology.

肿瘤护理实践中质量、安全和危害的认知:一项定性研究。
背景:肿瘤治疗是复杂的,增加了患者伤害的风险。护士在识别和解决安全问题方面发挥着关键作用。护士对质量、安全和危害的理解存在差距,可能会阻碍改进工作,特别是在安全报告方面。目的:我们调查了肿瘤科护士对患者护理质量和安全的经验和看法,包括他们对危害的理解以及他们如何在临床实践中使用安全报告系统。方法:采用解释性描述法,对28名城市肿瘤中心的护士进行半结构化访谈。结果:肿瘤科护士对质量、安全性和危害的描述细致入微且密切相关。安全报告系统在捕捉护士的关注点方面存在挑战和局限性。结论:扩大危害定义,简化报告,并确保有意义的组织反应对于培养肿瘤安全和质量改进的文化至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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