Nurses' Experiences of the Incident Reporting in Taiwan: A Qualitative Study

Monday, 22 July 2013

Hsin-Pei Feng, RN, MS
School of Nursing, National Defense Medical Center, Taipei, Taiwan
Wen-Chii Tzeng, PhD
Department of Nursing, Tri-Service General Hospital, Taipei, Taiwan

Learning Objective 1: The learner will be able to explore the experiences of nurses involved in reported incidents.

Learning Objective 2: The learner will be able to understand how they reacted after these events.


The purpose of this study was to explore the experiences of nurses involved in reported incidents, including adverse events and near-misses, and describe how they reacted after these reported incidents.


A qualitative descriptive design using critical incident technique was used. Nineteen nurses from a medical center in Taipei, Taiwan participated in this study between June and December 2011. All were conducted with face-to-face interviews. Data were transcribed verbatim and analysed.


  An important factor, whether or not the incident being reported by nurses themselves, determined the nurse’s experiences towards the incident reporting process. When nurses reported the incident by themselves, they appreciated that the incident was discovered, so that they could immediately stop any adverse events or near-misses occurring or prevent patients from further harm. On the other hand, nurses experienced fear, shock and shame when they were notified that they were related to an incident, thus making them feel in doubt about their professional competencies.


Nurse administrators need to understand nurses’ perceptions when they encounter an incident report. A counseling program should be available for those nurses who are involved in incidents.