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

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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… Click to show full abstract

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: safety incidents; disclosure patient; patient safety; nurses experiences; experiences disclosure

Journal Title: Risk Management and Healthcare Policy
Year Published: 2020

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