Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors

Etsuko Okamoto; Satsuki Shiratoi

doi:doi:10.11648/j.ajns.20211003.17

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Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors

Etsuko Okamoto, Satsuki Shiratoi

Published in American Journal of Nursing Science (Volume 10, Issue 3)

Received: 21 May 2021 Accepted: 15 June 2021 Published: 22 June 2021

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Abstract

In recent years, good communication and non-technical skills are recognized as critical to the delivery of high-quality patient care and to improving patient safety and clinical outcomes. The purpose of this study is to investigate the acquisition of non-technical skills by nurses and clarify the factors influencing nurses’ behavior while pointing to the multi-professional errors in health care teams in relation to non-technical skills such as communication and leadership. A mail-in questionnaire survey was administered to 1,834 nurses who work for advanced treatment hospitals throughout Japan. The questionnaire consisted of 84 items, including a scale for measuring the nurses’ attitude toward pointing out problems and non-technical skills. Multiple regression analyses were conducted, with the score on the scale for attitude toward pointing out problems as the objective variable and personal attributes, such as years of experience and job titles, and personality traits of individuals, such as non-technical skills, as separate explanatory variables (simultaneous forced entry). The number of responses to the questionnaire was 412. As a result of the multiple regression analyses, factors that affect nurses’ attitudes toward pointing out problems were affected more strongly by “assertiveness” and “leadership,” which fell under non-technical skills that are personality traits of individuals, than by basic attributes, which include years of experience and job titles. Nurses’ non-technical skills, such as “assertiveness” and “leadership,” which are personality traits of individuals, had an effect on their attitudes whereby they pointed out problems. These findings will be used in future intervention studies to improve these non-technical skills of leadership and self-assertion, improve communication and, as a result, reduce errors.

Published in	American Journal of Nursing Science (Volume 10, Issue 3)
DOI	10.11648/j.ajns.20211003.17
Page(s)	174-181
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Nurse, Medical Accident, Error, Attitudes Toward Pointing out Problems, Non-technical Skills

References

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[2]	Japan Council for Quality Health Care Website. (2012). Medical Accident Information Collection Project. Retrieved from http://jcqhc.or.jp/ (accessed September 27, 2015).
[3]	The American Board of Health Care Quality/Institute of Medicine/Medical Journalists Association (2002): Tokyo, Japan Commentary, aiming at a safer healthcare system where everyone makes mistakes.
[4]	Rothschild, J. M., Hurley, A. C., & Landrigan, C. P. (2006). Recovery from medical errors: the critical care nursing safety net. Jt Comm J Qual Patient Saf, 32 (2), 63–72.
[5]	Yang, Y. T., Henry, L., & Dellinger, M. (2012). The circulating nurse’s role in error recovery in the cardiovascular OR. AORN J, 95 (6), 755–776.
[6]	Okuyama, A., Wagner, C., & Bijnen, B. (2014). Speaking up for patient safety by hospital-based healthcare professionals: a literature review. BMC Health Serv Res, 14 (61).
[7]	Okuyama, A., Nakagami-Yamaguchi, E., Hayakawa, K. (2014). Development of an Attitude Toward Pointing Out Problems Scale (Japanese version). Journal of the Japanese Society for Quality and Safety in Healthcare, 9 (4), 326–340.
[8]	Flin, R., O’Connor, P., Crichton, M. (2008)/Komatsubara, A., Sogame, H., Nakanishi, M. (trans.) (2012). Genba anzen no gijutsu: nontekunikaru sukiru gaidobukku (2nd edition), Kaibundo, Tokyo.
[9]	Soma, T. (2014). All you need to know: a beginner’s introduction to non-technical skills for patient safety: based on the WHO multi-professional patient safety curriculum guide (1st edition), Medicus Shuppan, Osaka.
[10]	Team STEPPS Home. (2014). Agency for Healthcare Research and Quality. Retrieved from https://www.ahrq.gov/teamstepps/index.html/ (accessed September 27, 2017).
[11]	Ochiai, K., & Kaito, K. (2013). Team STEPPS Japanese version: medical Safety: working as a team to prevent human error (1st edition), Medical View, Tokyo.
[12]	Shimizu, T., Morita, S., & Takezawa, M. (2003). Creation and reliability and validity testing of a Japanese version of the Rathus Assertiveness Schedule (J-RAS). Journal of UEOH, 25 (1), 35–42.
[13]	Hiraki, N., Sawazaki, T., & Nozue, K. (2000). Assertion for nurses (first edition), Kaneko Shobo, Tokyo.
[14]	Yokono, S., Tokuda, Y., & Tabuchi, H. (2015). Status of communication and communication error prevention strategies at our hospital, Medical Journal of Kyoto Second Red Cross Hospital, 36, 2-13.
[15]	Jason M Etchegaray, Madelene J Ottosen, Theresa Dancsak, Eric J Thomas. (2019). Barriers to Speaking Up About Patient Safety Concerns. J Patient Saf, Dec; 16 (4): e230-e234.
[16]	Alissa S Chen, Bernice Yau, Lee Revere, Jennifer Swails. (2019). Implementation, evaluation, and outcome of TeamSTEPPS in interprofessional education: a scoping review, 33 (6): 795-804.
[17]	Pattni N, Arzola C, Malavade A, Varmani S, Krimus L, Friedman Z. Pattni N, et al. (2014). Challenging authority and speaking up in the operating room environment: a narrative synthesis．Br J Anaesth. Feb; 122 (2): 233-244.
[18]	Kodate, N., Ross, J., & Aderson, J. (2012). Non-technical skills for enhancing patient safety: achievements and future directions. Journal of the Japanese Society for Quality and Safety in Healthcare, 7 (4), 348–359.

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APA Style

Etsuko Okamoto, Satsuki Shiratoi. (2021). Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors. American Journal of Nursing Science, 10(3), 174-181. https://doi.org/10.11648/j.ajns.20211003.17

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ACS Style

Etsuko Okamoto; Satsuki Shiratoi. Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors. Am. J. Nurs. Sci. 2021, 10(3), 174-181. doi: 10.11648/j.ajns.20211003.17

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AMA Style

Etsuko Okamoto, Satsuki Shiratoi. Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors. Am J Nurs Sci. 2021;10(3):174-181. doi: 10.11648/j.ajns.20211003.17

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@article{10.11648/j.ajns.20211003.17,
  author = {Etsuko Okamoto and Satsuki Shiratoi},
  title = {Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {3},
  pages = {174-181},
  doi = {10.11648/j.ajns.20211003.17},
  url = {https://doi.org/10.11648/j.ajns.20211003.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211003.17},
  abstract = {In recent years, good communication and non-technical skills are recognized as critical to the delivery of high-quality patient care and to improving patient safety and clinical outcomes. The purpose of this study is to investigate the acquisition of non-technical skills by nurses and clarify the factors influencing nurses’ behavior while pointing to the multi-professional errors in health care teams in relation to non-technical skills such as communication and leadership. A mail-in questionnaire survey was administered to 1,834 nurses who work for advanced treatment hospitals throughout Japan. The questionnaire consisted of 84 items, including a scale for measuring the nurses’ attitude toward pointing out problems and non-technical skills. Multiple regression analyses were conducted, with the score on the scale for attitude toward pointing out problems as the objective variable and personal attributes, such as years of experience and job titles, and personality traits of individuals, such as non-technical skills, as separate explanatory variables (simultaneous forced entry). The number of responses to the questionnaire was 412. As a result of the multiple regression analyses, factors that affect nurses’ attitudes toward pointing out problems were affected more strongly by “assertiveness” and “leadership,” which fell under non-technical skills that are personality traits of individuals, than by basic attributes, which include years of experience and job titles. Nurses’ non-technical skills, such as “assertiveness” and “leadership,” which are personality traits of individuals, had an effect on their attitudes whereby they pointed out problems. These findings will be used in future intervention studies to improve these non-technical skills of leadership and self-assertion, improve communication and, as a result, reduce errors.},
 year = {2021}
}

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TY  - JOUR
T1  - Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors
AU  - Etsuko Okamoto
AU  - Satsuki Shiratoi
Y1  - 2021/06/22
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N1  - https://doi.org/10.11648/j.ajns.20211003.17
DO  - 10.11648/j.ajns.20211003.17
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 174
EP  - 181
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211003.17
AB  - In recent years, good communication and non-technical skills are recognized as critical to the delivery of high-quality patient care and to improving patient safety and clinical outcomes. The purpose of this study is to investigate the acquisition of non-technical skills by nurses and clarify the factors influencing nurses’ behavior while pointing to the multi-professional errors in health care teams in relation to non-technical skills such as communication and leadership. A mail-in questionnaire survey was administered to 1,834 nurses who work for advanced treatment hospitals throughout Japan. The questionnaire consisted of 84 items, including a scale for measuring the nurses’ attitude toward pointing out problems and non-technical skills. Multiple regression analyses were conducted, with the score on the scale for attitude toward pointing out problems as the objective variable and personal attributes, such as years of experience and job titles, and personality traits of individuals, such as non-technical skills, as separate explanatory variables (simultaneous forced entry). The number of responses to the questionnaire was 412. As a result of the multiple regression analyses, factors that affect nurses’ attitudes toward pointing out problems were affected more strongly by “assertiveness” and “leadership,” which fell under non-technical skills that are personality traits of individuals, than by basic attributes, which include years of experience and job titles. Nurses’ non-technical skills, such as “assertiveness” and “leadership,” which are personality traits of individuals, had an effect on their attitudes whereby they pointed out problems. These findings will be used in future intervention studies to improve these non-technical skills of leadership and self-assertion, improve communication and, as a result, reduce errors.
VL  - 10
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Author Information

Etsuko Okamoto

Nursing Department, Aichi Medical University College of Nursing, Nagakute, Japan
Satsuki Shiratoi

Nursing Department, Nagoya University of Arts and Sciences, Nagoya, Japan

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APA Style

Etsuko Okamoto, Satsuki Shiratoi. (2021). Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors. American Journal of Nursing Science, 10(3), 174-181. https://doi.org/10.11648/j.ajns.20211003.17

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ACS Style

Etsuko Okamoto; Satsuki Shiratoi. Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors. Am. J. Nurs. Sci. 2021, 10(3), 174-181. doi: 10.11648/j.ajns.20211003.17

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AMA Style

Etsuko Okamoto, Satsuki Shiratoi. Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors. Am J Nurs Sci. 2021;10(3):174-181. doi: 10.11648/j.ajns.20211003.17

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@article{10.11648/j.ajns.20211003.17,
  author = {Etsuko Okamoto and Satsuki Shiratoi},
  title = {Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {3},
  pages = {174-181},
  doi = {10.11648/j.ajns.20211003.17},
  url = {https://doi.org/10.11648/j.ajns.20211003.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211003.17},
  abstract = {In recent years, good communication and non-technical skills are recognized as critical to the delivery of high-quality patient care and to improving patient safety and clinical outcomes. The purpose of this study is to investigate the acquisition of non-technical skills by nurses and clarify the factors influencing nurses’ behavior while pointing to the multi-professional errors in health care teams in relation to non-technical skills such as communication and leadership. A mail-in questionnaire survey was administered to 1,834 nurses who work for advanced treatment hospitals throughout Japan. The questionnaire consisted of 84 items, including a scale for measuring the nurses’ attitude toward pointing out problems and non-technical skills. Multiple regression analyses were conducted, with the score on the scale for attitude toward pointing out problems as the objective variable and personal attributes, such as years of experience and job titles, and personality traits of individuals, such as non-technical skills, as separate explanatory variables (simultaneous forced entry). The number of responses to the questionnaire was 412. As a result of the multiple regression analyses, factors that affect nurses’ attitudes toward pointing out problems were affected more strongly by “assertiveness” and “leadership,” which fell under non-technical skills that are personality traits of individuals, than by basic attributes, which include years of experience and job titles. Nurses’ non-technical skills, such as “assertiveness” and “leadership,” which are personality traits of individuals, had an effect on their attitudes whereby they pointed out problems. These findings will be used in future intervention studies to improve these non-technical skills of leadership and self-assertion, improve communication and, as a result, reduce errors.},
 year = {2021}
}

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TY  - JOUR
T1  - Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors
AU  - Etsuko Okamoto
AU  - Satsuki Shiratoi
Y1  - 2021/06/22
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211003.17
DO  - 10.11648/j.ajns.20211003.17
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 174
EP  - 181
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211003.17
AB  - In recent years, good communication and non-technical skills are recognized as critical to the delivery of high-quality patient care and to improving patient safety and clinical outcomes. The purpose of this study is to investigate the acquisition of non-technical skills by nurses and clarify the factors influencing nurses’ behavior while pointing to the multi-professional errors in health care teams in relation to non-technical skills such as communication and leadership. A mail-in questionnaire survey was administered to 1,834 nurses who work for advanced treatment hospitals throughout Japan. The questionnaire consisted of 84 items, including a scale for measuring the nurses’ attitude toward pointing out problems and non-technical skills. Multiple regression analyses were conducted, with the score on the scale for attitude toward pointing out problems as the objective variable and personal attributes, such as years of experience and job titles, and personality traits of individuals, such as non-technical skills, as separate explanatory variables (simultaneous forced entry). The number of responses to the questionnaire was 412. As a result of the multiple regression analyses, factors that affect nurses’ attitudes toward pointing out problems were affected more strongly by “assertiveness” and “leadership,” which fell under non-technical skills that are personality traits of individuals, than by basic attributes, which include years of experience and job titles. Nurses’ non-technical skills, such as “assertiveness” and “leadership,” which are personality traits of individuals, had an effect on their attitudes whereby they pointed out problems. These findings will be used in future intervention studies to improve these non-technical skills of leadership and self-assertion, improve communication and, as a result, reduce errors.
VL  - 10
IS  - 3
ER  -

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