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Learning Objective 1: 1. The learner will be able to understand the hospital nurses’ incident reporting culture as well as their experiences of reporting in Taiwan.
Learning Objective 2: 2. The learner will be able to understand the factors influencing the incident reporting culture among Taiwanese nurses.
Method: A mail survey with self-administered questionnaires was conducted in 3 medical centers and 6 regional hospitals in Taiwan. In total, 1109 frontline nurses (response rate: 83%) were participated from 2008 to 2009. Data was collected by using the Incident Reporting Culture Questionnaire (20 items; Cronbach’sα0.83), Safety Organizing Behavior Scale (9 items; Cronbach’sα0.92), levels of perceived stress and being blame, and experiences of failures in reporting.
Results: The participants had mean age of 31.85 (SD=5.20) and 65.3% of them (n=723) held baccalaureate degree and above. Their average tenure of present work was 6.13 years and 38.8% (n=430) of them had failures in reporting. The nurses perceived low to moderate stress and sometimes received administrator’s blame attitude from reporting incidents. The IRC was significantly correlated with the perceived stress (r = -0.15), administrator’s blame attitude (r = -0.18), WBPS (r = 0.44), willingness of reporting (r = 0.31) and work tenure (r = 0.19). The stepwise regression of the IRC on these five factors accounted for 26.1% of the variance (p < 0.001). The nurse’s WBPS accounted for 17.9% variance in the IRC (p=0.001).
Conclusions: The reporting culture is substantially influenced by the work behaviors related to patient safety and reporting willingness among nurses. In addition, hospital administrators and safety specialists need to pay attentions on nurses’ perceptions of stress and being blame while building a positive incident reporting culture.