Perspectiva de los estudiantes de Enfermería sobre la comunicación y disculpa de los eventos adversos a los pacientesestudio descriptivo

  1. Priscila Giraldo
  2. Trespaderne Beracierto, María Isabel
  3. Díaz Fernández, Cristina
  4. Bardallo Bardallo, María Dolores
Journal:
Enfermería clínica

ISSN: 1130-8621

Year of publication: 2015

Volume: 25

Issue: 5

Pages: 262-266

Type: Article

DOI: 10.1016/J.ENFCLI.2015.04.004 DIALNET GOOGLE SCHOLAR

More publications in: Enfermería clínica

Abstract

Objectives To describe the approach to the communication and blame of an adverse by nursing students. Method A descriptive study on disclosure and apologies for adverse events by nursing students in the academic years 2011-12 and 2012-13. The study included group discussion and drafting a written communication to the injured patient about adverse events during hospitalization. An ad hoc checklist was used and an analysis was performed on items related to the disclosure and apologies issues. Results A total of 126 nursing students were involved, and they created 21 written The facts about adverse events were reported in 81% of written communications, and 47.1% chose an abbreviated disclosure of the facts with no detailed explanation of adverse events. The facts were accurately reproduced in only 9.5% of written communications to the patients. One third (33.3%) apologized for the mistakes, and 47.6% required that the communication was signed by the Management. All (100%) of the nursing students chose not to report the health professionals who had participated during the events. Conclusions There is a fear to acknowledge errors within health centers. It is recommended that tools are developed for these future nursing professionals to make an open and honest disclosure of adverse events, as well as the apologies for them.

Bibliographic References

  • Kohn L., Corrigan J., Donaldson M. To Err is Human: Building a safer health system 1999, Institute of Medicine, Washington.
  • De Vries E.N., Ramrattan M.A., Smorenburg S.M., Gouma D.J., Boermeester M.A. The incidence and nature of in-hospital adverse events: A systematic review. Qual Saf Health Care 2008, 21:216-223.
  • Aranaz-Andres J.M., Aibar-Remon C., Vitaller-Burillo J., Ruiz P. Estudio Nacional sobre los efectos adversos ligados a la hospitalizacion. ENEAS 2005 2006, Ministerio de Sanidad y Consumo, Madrid.
  • Berlinger N., Wu A.W. Subtracting insult from injury addressing cultural expectations in the disclosure of medical error. J Med Ethics 2005, 31:106-108.
  • Wu W.A., Steckelberg C. Medical error, incident investigation and the second victim: Doing better but feeling worse. BMJ QualSaf 2010, 267-270.
  • Henriksen K., Oppenheimer C., Leape L.L., Hamilton K., Bates D.W., Sheridan S., et al. Enviosining Patient safety in the year 2025: Eight perspectives. Advances in Patient Safety: New Directions and Alternative Approaches 2008, 1. Agency for Healthcare Research and Quality, Rockville (MD), Assessment.
  • O'Connor E., Coates H.M., Yardley I.A., Wu A.W. Disclosure of patient safety incidents: A comprehensive review. Int J Qual Health Care 2010, 22:371-379.
  • Okuyama A., Wagner C., Bijnen B. Speaking up for patient safety by hospital-based health care professionals: A literature review. BMC Health Serv Res 2014, 14:61.
  • McLennan S.R., Diebold M., Rich L.E., Elger B.S. Nurses' perspectives regarding the disclosure of errors to patients: A qualitative study. Int J Nurs Stud 2014, 13.
  • Harrison R., Birks Y., Hall J., Bosanquet K., Harden M., Ledema R. The contribution of nurses to incident disclosure: A narrative review. Int J Nurs Stud. 2014, 51:334-345.