Assessment Of The Malpractice Tendencies Of Nurses Working In A Education and Research Hospital In Turkey

Saturday, 16 November 2013: 3:55 PM

Dilek Yildiz, RN, PhD, Ass.Prof.1
Berna Fidanci, RN, PhD, Ass.Prof2
Dilek Konukbay, RN3
Nalan Akbayrak, PhD, RN4
Sevgi Hatipoglu, Prof, PhD, RN4
(1)School of Nursing, Gulhane Military Medical Academy,, Ankara, Turkey
(2)school of nursing, Gulhane military medical academy, ankara, Turkey
(3)School of Nursing Department of Pediatrics, Gulhane Military Medical Academy, Ankara, Turkey
(4)School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey

Learning Objective 1: The learner will be able to think that participants can learn the nurse's medical error-prone areas

Learning Objective 2: The learner will be able to think that participants can learn that especially the medical error tendency of nurses working in surgical clinics is high

To determine the fields that the Education and Research Hospital’s nurses were prone to make medical errors and the factors that cause to make medical errors.


This study was conducted with 115 nurses in Gulhane Military Medical Academy during September - November 2010. Descriptive Data Form and Medical Error Tendency Scale that determine the tendency in medical errors were used to handle the collection of data. The consent to conduct this study was obtained from the Ethics Committee. Data have been analyzed with SPSS-15.0 Program and descriptive statistics such as Chi-square, Mann-Whitney U, Kruskal-Wallis and Cronbach Alpha Reliability tests were used for data analysis.


45.2% of nurses percent two-year education, 42.6% percent baccalaureate and 12.2% had post-graduate level education. 79.1% of nurses are clinical nurse and the average working time in the profession was 10.19 ± 6.35 years.

The total score which taken by nurses from the scale of medical error tendency was 225,46 ± 16,40. According to clinics in which nurses were working, a statistically significance was found at the scale’s sub dimensions of patient monitoring and material security (c2 =1.977, p =0.048) and communication (c2=2.719, p = 0.007). When the total score of the scale was evaluated, the nurses working in internal medical clinics were found to be obtained more points than the nurses working in surgical clinics and the difference was statistically significant (c2:2=2.174; p=0.030).


The medical error tendency of nurses working in our hospital was found to be low. However, arrangements such as regulating the workload and working conditions increase nurses’ fatigue and stress, creating of a corporate culture including written and oral communication and flow of information, ensuring of employees to follow the procedures, providing of staff development should be made in order to minimize the risks that could lead to medical errors.