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KMID : 0614820140200050481
Journal of Korean Academy of Nursing Administration
2014 Volume.20 No. 5 p.481 ~ p.491
Perioperative Nurse¡¯s Experience of Nursing Errors and Emotional Distress, Coping Strategies, and Changes in Practice
Jun Joo-Yeon

Lee Nam-Ju
Abstract
Purpose: This study was done to examine perioperative nurses¡¯ perception of the definitions and causes of nursing errors; the relationships among emotional distress, coping strategies, and changes in practice as a result of errors.

Methods: A descriptive, correlative design was used with a sample of 146 nurses working in the operating room of a university hospital. Data were collected using a self-report questionnaire with 4 point Likert scales. For the analysis, t-test, ANOVA, Scheffe.¡¯s post hoc test and multiple regression analysis were used.

Results: Most nurses recognized themajority of the items as perioperative nursing errors. Job overload was perceived as the cause of errors. Emotional distress was significantly related with nurses¡¯ age, position and years of work experience. The coping strategies used most frequently were ¡®accepting responsibility¡¯ and ¡®planful problem solving¡¯. The coping strategies of ¡®accepting responsibility¡¯, ¡®planful problem solving¡¯, ¡®seeking social support¡¯, and ¡®using self-control¡¯ were significant predictors in constructive practice change. Defensive changes were related to the strategy of escape/avoidance and emotional distress.

Conclusion: The results of this study suggest that intervention strategies should be developed to decrease perioperative nurses¡¯distress and improve their coping strategies resulting in constructive change in practice after committing an error.
KEYWORD
Perioperative nursing, Medical errors, Coping, Stress
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