Izvorni znanstveni članak
https://doi.org/https://doi.org/10.65241/wh.9.1.6
Nurses’ perceptions, knowledge, and experiences of adverse events in clinical practice
Andrea Andrasek Sebek
; Zavod za ortopediju, Klinika za ortopediju i traumatologiju, Klinička bolnica Dubrava, Zagreb, Hrvatska
Sladjana Rezic
orcid.org/0000-0002-2360-8508
; Služba za osiguranje i unapređenje kvalitete zdravstvene zaštite, Klinički bolnički centar Zagreb,Zagreb, Hrvatska
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* Dopisni autor.
Sažetak
Background: Patient safety is a fundamental component of
high-quality healthcare, and the reporting of adverse events
is a crucial mechanism for risk identification and preventing
error recurrence in clinical practice.
Methods: A cross-sectional study was conducted among
nurses and nursing technicians in clinical practice in Croatia
between March 4 and April 7, 2025. Data were collected using
a structured, author-designed questionnaire distributed
via Google Forms, applying a snowball sampling method.
Participation was voluntary and anonymous, and only fully
completed questionnaires from eligible respondents were
included in the analysis. The questionnaire comprised four
sections: sociodemographic characteristics, perceptions of
adverse events, knowledge of adverse event definitions and
reporting systems, and personal experiences with adverse
events, including reporting practices and preventive measures.
Results: Statistically significant differences in knowledge of
adverse events were observed with respect to age (p = 0.021),
level of education (p = 0.004), and job position (p = 0.014), with
higher knowledge levels more frequently identified among
older participants, those with graduate or postgraduate
education, and those in managerial roles. Higher knowledge
levels were significantly associated with key aspects of clinical
practice, including more frequent reporting of adverse events
(p = 0.010), greater exposure to adverse events (p = 0.030),
witnessing unreported events (p = 0.015), implementation of
preventive measures (p = 0.013), and perceived pressure not
to report (p = 0.034). Additionally, a significant association
was found between the frequency of education and reporting
behavior (p = 0.007), indicating that repeated participation
in educational programs contributes to increased reporting
of adverse events.
Conclusions: The findings highlight the need for ongoing
education for healthcare professionals, strengthened
institutional support, and a work environment that encourages
reporting without fear of sanction. Improving reporting
systems and promoting a culture of safety may contribute to
more effective prevention of adverse events, enhanced patient
safety, and improved overall healthcare quality.
Ključne riječi
education; nurses; adverse events; reporting; patient safety
Hrčak ID:
349704
URI
Datum izdavanja:
31.5.2026.
Posjeta: 1 *