Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes
Abstract
Adverse events, errors and acts of inadequate care have been shown to occur quite frequently in hospitals, and there is growing evidence that this poor care may also occur in nursing homes. Based on hospital studies, we know that incidents are only reported to a limited extent and that there may be a high number of unrecorded cases. Moreover, little is known about the barriers to incident reporting in nursing homes compared to hospitals. Consequently, the aim of this study was to explore the barriers to incident reporting in nursing homes. Thematic analysis of 13 semi-structured interviews with nurses revealed that unclear outcomes, lack of support and culture, fear of vilification and conflicts, unclear routines, technological knowledge and confidence, time and degree of severity were the main drivers of not reporting incidents. These findings may be important in planning quality and safety improvement interventions in nursing homes.
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- Authors
- Winsvold Prang, I., & Jelsness-Jørgensen, L.-P.
- Venue
- Geriatric Nursing
- Publisher
- Elsevier BV
- Published
- 2014-11
- Volume
- 35
- Issue
- 6
- Pages
- 441-447
- ISSN
- 0197-4572 (ISSN-L)
- OpenAlex
- W2049715187
- Cited by
- 70
- References
- 3
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 5 · 2023: 8 · 2022: 13 · 2021: 7 · 2020: 9 · 2019: 4 · 2018: 4 · 2017: 5 · 2016: 7
- FWCI
- 6.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Geriatric Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Keywords
- incident reporting, barriers to reporting, nursing homes, nurses, adverse events, patient safety, quality of care, organizational culture
- MeSH terms
- Nursing Homes, Nursing Staff, Qualitative Research
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