Volume 13, Issue 2 (6-2025)
J Surg Trauma 2025, 13(2): 55-62 |
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Vagharseyyedin S A, Akbari A. Explaining the Emergency Nurses' Experiences of Near-Miss Events: A Qualitative Study. J Surg Trauma 2025; 13 (2) :55-62
URL: http://jsurgery.bums.ac.ir/article-1-474-en.html
URL: http://jsurgery.bums.ac.ir/article-1-474-en.html
Department of Medical Surgical Nursing, Nursing and Midwifery School, Birjand University of Medical Sciences, Birjand, Iran
Abstract: (136 Views)
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.
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.
Type of Study: Research |
Subject:
Nursing
Received: 2025/04/14 | Accepted: 2025/05/17 | ePublished ahead of print: 2025/06/11 | Published: 2025/06/17
Received: 2025/04/14 | Accepted: 2025/05/17 | ePublished ahead of print: 2025/06/11 | Published: 2025/06/17
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