Introduction: Near-miss events play a crucial role in identifying opportunities for enhancing the quality and safety of healthcare systems. The hospital emergency department, due to the presence of numerous variables and a high volume of patients, is particularly susceptible to nursing errors and associated adverse outcomes resulting from negligence. The present study aimed to investigate the experiences of emergency nurses regarding near-miss events.
Methods: A qualitative conventional content analysis approach was employed. Using purposive sampling, 15 nurses were recruited from a trauma center affiliated with Birjand University of Medical Sciences, Iran, between June 2021 and November 2022. Data collection was conducted through semi-structured interviews, which were audio-recorded with participants’ informed consent. The interviews were transcribed verbatim into Word documents and subsequently imported into MAXQDA (Version 2020) for systematic organization and analysis.
Results: The study included 15 nurses (53% female, 47% male), with the majority holding a bachelor's degree (87%) and an average of 12.23±5.52 years of work experience. Analysis of the data produced 347 open codes, which were organized into six subcategories and synthesized into three main categories: (1) an unprofessional atmosphere of the workplace, (2) an insufficient culture of learning from near-miss events, and (3) effects of staff personal life on work-life.
Conclusion: The findings highlight the critical need to foster professionalism in nursing, implement robust feedback systems, perform root cause analyses, and develop a structured approach to learning from near-miss events. These strategies can significantly improve the prevention and management of such events.
نوع مطالعه:
پژوهشي |
موضوع مقاله:
پرستاری دریافت: 1404/1/25 | پذیرش: 1404/2/27 | انتشار الکترونیک پیش از انتشار نهایی: 1404/3/21 | انتشار: 1404/3/27