Investigation of the Relationship Between Nursing Students’ Teamwork Aptitude and Their Avoidance of Medical Error in Surgical Patient Care

Year 2024, , 446 - 454, 30.08.2024

Perihan Şimşek , Gül Çakır Özmen , Melek Ertürk Yavuz , Dilek Çilingir

https://doi.org/10.38108/ouhcd.1361294

Abstract

Objective: Impaired teamwork between healthcare professionals in the surgical patient care is considered to be one of the major causes of medical errors in perioperative process. However, scientific data on the relationship between teamwork aptitude and ability to avoid medical error in surgical patient care is limited. The aim of this study was to examine the relationship between student nurses' teamwork aptitude and their ability to avoid medical errors in the care of surgical patients.
Methods: This cross-sectional study was conducted with 492 nursing students. They were surveyed using the teamwork aptitude scale and a researcher-designed instrument to assess avoidance of medical errors in surgical care. Correlation analysis was used to assess the relationship between teamwork aptitude and medical error prevention. To identify significant predictors associated with medical error avoidance, multiple linear regression analysis was used.
Results: There was a significant relationship between teamwork aptitude and avoidance of medical errors (r=0.332, p<0.001). Teamwork aptitude (β=0.309, p<0.001), gender (β=0.091, p=0.030) and reason for choosing nursing (β=0.142, p=0.001) were found to significantly predict the level of avoidance of medical errors in surgical patient care.
Conclusions: The development of teamwork skills in nursing students as part of the educational process can contribute to a reduction in medical errors in perioperative process and thus an increase in the quality of surgical patient care.

Keywords

Medical error, nursing, surgical care, teamwork

Hemşirelik Öğrencilerinin Cerrahi Hasta Bakımında Tıbbi Hatalardan Sakınabilme Durumu ile Ekip Çalışmasına Yatkınlıkları Arasındaki İlişkinin İncelenmesi

Abstract

Amaç: Cerrahi hasta bakımında sağlık profesyonellerinin ekip çalışmasında yaşanan aksaklıklar, ameliyat sürecindeki tıbbi hataların önemli nedenlerinden biri olarak kabul edilmektedir. Bununla birlikte ekip çalışmasına yatkınlık ile tıbbi hatalardan sakınabilme durumu arasındaki ilişkiye dair bilimsel veriler sınırlı düzeydedir. Bu çalışmanın amacı, öğrenci hemşirelerin cerrahi hastaların bakımında ekip çalışmasına yatkınlıkları ile tıbbi hatalardan sakınabilme durumları arasındaki ilişkinin incelenmesidir.
Yöntem: Kesitsel nitelikteki bu çalışma 492 hemşirelik öğrencisi ile gerçekleştirildi. Veri toplama aracı olarak ekip çalışmasına yatkınlık ölçeği ve cerrahi bakımda tıbbi hatalardan sakınabilme durumunu değerlendirmek amacıyla araştırmacılar tarafından geliştirilen veri formu kullanıldı. Ekip çalışmasına yatkınlık ile tıbbi hatalardan sakınabilme arasındaki ilişki korelasyon analizi ile değerlendirildi. Tıbbi hatalardan kaçınmayla ilişkili anlamlı yordayıcıları belirlemek için çoklu doğrusal regresyon analizi kullanıldı.
Bulgular: Ekip çalışmasına yatkınlık ile tıbbi hatalardan sakınabilme durumu arasında anlamlı bir ilişki olduğu görüldü (r=0.332, p<0.001). Ekip çalışmasına yatkınlık (β=0.309, p<0.001), cinsiyet (β=0.091, p=0.030) ve hemşirelik mesleğini seçme nedeni (β=0.142, p=0.001) cerrahi hasta bakımında tıbbi hatalardan sakınabilme durumunu anlamlı düzeyde yordayan değişkenler olarak saptandı.
Sonuç: Eğitim sürecinin bir parçası olarak hemşirelik öğrencilerinin ekip çalışması becerilerinin geliştirilmesi, ameliyat sürecinde tıbbi hataların azalmasına dolayısıyla da cerrahi hasta bakımının kalitesinde artışa katkı sağlayabilir.

Keywords

Tıbbi hata, hemşirelik, cerrahi bakım, takım çalışması

References

• Abd El Rahman AI, Ibrahim MM, Diab GM. (2021). Quality of nursing documentation and its effect on continuity of patients’ care. Menoufia Nursing Journal, 6(2), 1-18.
• Abid R, Majeed H, Mohammed T. (2018). Assessment of nurses documentation for nursing care at surgical wards in Baghdad teaching hospitals. Journal of Pharmaceutical Sciences and Research, 10.
• Aktan U, Atay S. (2021). Nurses’ attitudes to medical errors and the ınvestigation of affecting factors. Acıbadem Universitesi Journal of Health Sciences, 12(2), 376-384.
• Al-Hussein R, Ramadhan R. (2018). Nurses' errors during nursing work. Journal of the Bahrain Medical Society = Majallat Jam'īyat al-Atibbā' al-Bahraynīyah, 30, 35-44. https://doi.org/10.26715/jbms.xx.x.2018.xxx
• Bjerkan J, Valderaune V, Olsen RM. (2021). Patient safety through nursing documentation: Barriers identified by healthcare professionals and students. Frontiers in Computer Science, 3, 624555.
• Carver N, Gupta V, Hipskind JE. (2022). Medical error. In StatPearls [Internet]. StatPearls Publishing.
• Cebeci F, Gürsoy E, Tekingündüz S. (2012). Determining the level of tendency in malpractice among nurses. Anatolian Journal of Nursing and Health Sciences, 15(3), 188-196.
• Cullati S, Bochatay N, Maître F, Laroche T, Muller-Juge V, Blondon KS, et al. (2019). When team conflicts threaten quality of care: A study of health care professionals' experiences and perceptions. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 3(1), 43-51.
• Davis LL. (1992). Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 5(4), 194-197.
• De Groot K, Triemstra M, Paans W, Francke AL. (2019). Quality criteria, instruments, and requirements for nursing documentation: A systematic review of systematic reviews. Journal of Advanced Nursing, 75(7), 1379-1393.
• de Mesquita KO, da Silva LCC, Lira RCM, Freitas C, Lira GV. (2016). Patient safety in primary health care: an integrative review. Cogitare Enferm, 21(2), 1-8.
• Durmuş SÇ, Erdem Y, Yilmaz ED. (2022). Tendency of Nurses to make medical error: The case of a public university medical faculty hospital. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 24(1), 153-162.
• Enaam-Al-Hagh C, Maryam Y, Salehinia H, Ali N, Masoud T. (2014). The types and causes of medication errors in nursing students. Science Road Journal, 2(8), 48-54.
• Fain R, Healey B, Sudders M, Palleschi M, Campbell E. (2019). The Financial and Human Cost of Medical Error. Betsy Lehman Center for Patient Safety: Boston, MA, USA.
• Faul F, Erdfelder E, Lang AG, Buchner A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191.
• Henriques AHB, Costa S, Lacerda J. (2016). Nursing care in surgical patient safety: An integrative review. Cogitare Enferm, 21(4), 1-9.
• ISU. (2023). SPSS: Descriptive Statistics. Illinois State University. Retrieved 11.06.2023 from https://psychology.illinoisstate.edu/jccutti/138web/spss/spss3.html
• Kaihlanen AM, Gluschkoff K, Saranto K, Kinnunen UM, Heponiemi T. (2021). The associations of information system’s support and nurses' documentation competence with the detection of documentation-related errors: Results from a nationwide survey. Health Informatics Journal, 27(4), 14604582211054026.
• Kandemir A, Yüksel S. (2020). Determination of surgical nurses’ attitudes and trends towards medical errors. Anatolian Journal of Nursing and Health Sciences, 23(2), 287-297.
• Makary MA, Daniel M. (2016). Medical error-the third leading cause of death in the US. BMJ, 353, i2139. https://doi.org/10.1136/bmj.i2139
• Manias E. (2018). Effects of interdisciplinary collaboration in hospitals on medication errors: An integrative review. Expert Opinion on Drug Safety, 17. https://doi.org/10.1080/14740338.2018.1424830
• NHS. (2020). NRLS national patient safety incident reports: commentary. Retrieved 05.06.2023 from https://www.england.nhs.uk/wp-content/uploads/ 2020/03/NAPSIR-commentary-Sept-2020-FINAL.pdf
• Ojuka DK, Okutoyi L, Otieno FC. (2019). Communication in surgery for patient safety. In Vignettes in Patient Safety- 4, IntechOpen.
• Poorolajal J, Rezaie S, Aghighi N. (2015). Barriers to Medical Error Reporting. International Journal of Preventive Medicine, 6, 97. https://doi.org/10.4103/ 2008-7802.166680
• Rodziewicz TL, Houseman B, Hipskind JE. (2018). Medical error reduction and prevention. StatPearls Publishing LLC. https://www.ncbi.nlm.nih.gov/ books /NBK499956/
• Rosen MA, DiazGranados D, Dietz AS, Benishek LE, Thompson D, Pronovost PJ, et al. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. The American Psychologist, 73(4), 433-450. https://doi.org/10.1037/amp0000298
• San Román C, Gómez-Huelgas R. (2022). Medical errors and communication. Spanish Journal of Medicine, 2. https://doi.org/10.24875/SJMED.22000009
• Singh G, Patel RH, Boster J. (2021). Root cause analysis and medical error prevention. StatPearls Publishing LLC. https://www.ncbi.nlm.nih.gov/books/NBK570 638/
• Sirota RL. (2000). The Institute of Medicine's report on medical error. Implications for pathology. Archives of Pathology and Laboratory Medicine, 124(11), 1674-1678. https://doi.org/10.5858/2000-124-1674-tiomsr
• Sivrikaya SK, Kara AŞ. (2019). Determination the tendency of the nurses to make medical mistake. Balikesir Journal of Health Sciences, 8(1), 7-14.
• Stolic S, Ng L, Southern J, Sheridan G. (2022). Medication errors by nursing students on clinical practice: An integrative review. Nurse Education Today, 112, 105325.
• Sutherland A, Canobbio M, Clarke J, Randall M, Skelland T, Weston E. (2020). Incidence and prevalence of intravenous medication errors in the UK: A systematic review. European Journal of Hospital Pharmacy, 27(1), 3-8.
• Şahin ZA, Özdemir FK. (2015). Examination of the tendency for nursing malpractice and affecting factors. Journal of Education and Research in Nursing, 12(3), 210-214.
• Tiwary A, Rimal A, Paudyal B, Sigdel KR, Basnyat B. (2019). Poor communication by health care professionals may lead to life-threatening complications: Examples from two case reports. Wellcome Open Research, 4, 7.
• Tuncer U. (2008). A study on the evaluation of development programs prepared for the psycho-social development of human resources: The case of man Türkiye AŞ. Gazi University Institute of Social Sciences, Ankara. 2008.
• Uysal A, Karakurt PD. (2020). The effect of nurses’ profession commitment situation to tendency of making medical error. Turkish Journal of Family Medicine and Primary Care, 14(3), 349-361.
• van Dalen ASHM, Jung JJ, van Dijkum EJN, Buskens CJ, Grantcharov TP, Bemelman WA, et al. (2022). Analyzing and discussing human factors affecting surgical patient safety using innovative technology: Creating a safer operating culture. Journal of Patient Safety, 18(6), 617-623.
• Weaver SJ, Benishek LE, Leeds I, Wick EC. (2017). The relationship between teamwork and patient safety. Surgical patient care: improving safety, quality and value, 51-66. Springer International Publishing. https://doi.org/10.1007/978-3-319-44010-1_5
• WHO. (2008). World Allıance For Patıent Safety The Second Global Patıent Safety Challenge Safe Surgery Saves Lives Retrieved 2008. Retrieved 11.06.2023 from https://apps.who.int/iris/bitstream/handle/10665/ 70080/ WHO_IER_PSP_2008.07_eng.pdf;jsessionid=8C1745ABF564CAD9CC60E16CBEA611CC?sequence=1.
• WHO. (2019). World Patient Safety Day. 2019. Retrieved 12.06.2023 from https://www.who.int/campaigns/ world-patient-safety-day/2019