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Nurses’ Experiences with Disclosure of Patient Safety Incidents: A Qualitative Study

Authors Kim Y, Lee H

Received 11 March 2020

Accepted for publication 2 May 2020

Published 21 May 2020 Volume 2020:13 Pages 453—464

DOI https://doi.org/10.2147/RMHP.S253399

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Marco Carotenuto


Yujeong Kim,1 Haeyoung Lee2

1College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Daegu 41944, Republic of Korea; 2Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Republic of Korea

Correspondence: Haeyoung Lee 84 Heukseok-ro, Dongjak-gu, Seoul 06974, Republic of Korea
Tel +82-10-3117-6381
Email im0202@cau.ac.kr

Background: Patient safety incidents trigger conflict between healthcare providers and patients. Patients and families want to hear detailed explanations and apologies from medical staff, but nurses may face difficulties with disclosure of patient safety incidents.
Purpose: To identify nurses’ experiences with disclosure of patient safety incidents.
Methods: Data were collected through in-depth interviews with nine clinical and five head nurses and were analyzed using Colaizzi’s phenomenological method.
Findings: After formulating 18 themes representing nurses’ experiences with disclosure of patient safety incidents, we clustered them into four theme clusters: “mixed responses from patients and families,” “caught in a swirl of negative emotions,” “facing the reality that hinders disclosure,” and “waiting for a breakthrough that would enable disclosure”.
Conclusion: Policies, systems, and culture that help both patients and healthcare professionals should be developed.

Keywords: disclosure, medical errors, nurses, patient safety, qualitative research

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