Table 3.
The perception of the reasons for not reporting MAEs among critical care nurses in tertiary hospitals, Kelantan (n = 424).
| Items | Strongly disagree, n (%) | Moderately disagree, n (%) | Slightly disagree, n (%) | Slightly agree, n (%) | Moderately agree, n (%) | Strongly agree, n (%) | Mean ± SD∗ |
|---|---|---|---|---|---|---|---|
| (1) Nurses do not agree with the hospital's definition of a medication error | 109 (25.7) | 88 (20.8) | 106 (25.0) | 80 (18.9) | 27 (6.4) | 14 (3.3) | 2.69 ± 1.37 |
| (2) Nurses do not recognize an error occurred | 134 (31.6) | 87 (20.5) | 80 (18.9) | 77 (18.2) | 33 (7.8) | 13 (3.1) | 2.59 ± 1.44 |
| (3) Filling out an incident report for a medication error takes too much time | 126 (29.7) | 90 (21.2) | 87 (20.5) | 72 (17.0) | 35 (8.3) | 14 (3.3) | 2.63 ± 1.44 |
| (4) Contacting the physician about a medication error takes too much time | 154 (36.3) | 104 (24.5) | 80 (18.9) | 55 (13.0) | 20 (4.7) | 11 (2.6) | 2.33 ± 1.34 |
| (5) Medication error is not clearly defined | 111 (26.2) | 86 (20.3) | 97 (22.9) | 83 (19.6) | 34 (8.0) | 13 (3.1) | 2.72 ± 1.40 |
| (6) Nurses may not think the error is important enough to be reported | 256 (60.4) | 72 (17.0) | 54 (12.7) | 26 (6.1) | 10 (2.4) | 6 (1.4) | 1.77 ± 1.17 |
| (7) Nurses believe that other nurses will think they are incompetent if they make medication errors | 161 (38.0) | 100 (23.6) | 64 (13.4) | 57 (13.4) | 29 (6.8) | 13 (3.1) | 2.37 ± 1.43 |
| (8) The patient or family might develop a negative attitude toward the nurse or may sue the nurse if a medication error is reported | 97 (22.9) | 76 (17.9) | 81 (19.1) | 82 (19.3) | 51 (12.0) | 37 (8.7) | 3.06 ± 1.60 |
| (9) The expectation that medications be given exactly as ordered is unrealistic | 208 (49.1) | 87 (20.5) | 69 (16.3) | 38 (9.0) | 18 (4.2) | 4 (0.9) | 2.02 ± 1.24 |
| (10) Nurses are afraid the physician will reprimand them for the medication error | 165 (38.9) | 97 (22.9) | 77 (18.2) | 44 (10.4) | 24 (5.7) | 17 (4.0) | 2.33 ± 1.43 |
| (11) Nurses fear adverse consequences from reporting medication errors | 144 (34.0) | 79 (18.6) | 67 (15.8) | 56 (13.2) | 51 (12.0) | 27 (6.4) | 2.70 ± 1.63 |
| (12) The response by the nursing administration does not match the severity of the error | 133 (31.4) | 75 (17.7) | 71 (16.7) | 67 (15.8) | 52 (12.3) | 26 (6.1) | 2.78 ± 1.61 |
| (13) Nurses could be blamed if something happens to the patient as a result of the medication error | 70 (16.5) | 47 (11.1) | 62 (14.6) | 83 (19.6) | 88 (20.8) | 74 (17.5) | 3.69 ± 1.70 |
| (14) No positive feedback is given for passing medications correctly | 103 (24.3) | 71 (16.7) | 103 (24.3) | 75 (17.7) | 47 (11.1) | 25 (5.9) | 2.92 ± 1.51 |
| (15) Too much emphasis is placed on med errors as a measure of the quality of nursing care provided | 97 (22.9) | 76 (17.9) | 90 (21.2) | 85 (20.0) | 49 (11.6) | 27 (6.4) | 2.99 ± 1.53 |
| (16) When med errors occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error | 54 (12.7) | 50 (11.8) | 65 (15.3) | 91 (21.5) | 86 (20.3) | 78 (18.4) | 3.80 ± 1.64 |
∗ Min (1); max (6).