Barriers and motivating factors associated with patient incident reporting among nurses at Kigali University Teaching Hospital

Abstract

Background: Incident is an unintentional and often destructive event that interrupts the development and continuation of the work. Institute of Medicine´s record an annual death of about 44000 to 98000 individuals who die due to incidents. In addition, literature found that 5%-15% of hospital admission patients encounter incidents. Aim: the aim of this study was to assess barriers and motivating factors associated with patient incident reporting among nurses at Kigali University Teaching Hospital (KUTH) Research methods: This study used quantitative approach. A descriptive cross-sectional design was used to identify the motivating factors and barriers associated with patient incident report. A proportionate stratified random sampling was performed to select participants. The simple size comprised 182 nurses working at KUTH in hospitalizing department. SPSS software version 20 was used to describe data and inferential statistic was used to determine association between level of incident reporting and motivating factors and barriers associated with patient incident reporting. Results: Patient falls and medication errors were found to be the common incidents for nurses at this facility. The results of this study found that 35% reports incident to minimize repetition of incident, and 54% of the respondent strongly agreed to report incident to develop a culture of learning from mistakes as motivating factors associated with patient incident reporting. The findings revealed that the barriers associated with patient-incident reporting among nurses includes 51% nurses do not want to appear as incompetent. The association between level of incident reporting and nurse knowledge was significant as p value was0.000.The results show that there is high association between level of incident reporting and not want to appear as incompetent (p value is 0.000). Conclusion: this study revealed that common types of incidents encountered by nurse and shows a high association between level of incident and motivating factors and barriers associated with patient incident reporting. Recommendations: It is recommended that the hospital needs to train nurses about the knowledge, and the benefits of incident reporting with regard to ensuring and promoting patient safety and to increase the level of incident reporting.