ERIC Number: ED650360
Record Type: Non-Journal
Publication Date: 2022
Pages: 132
Abstractor: As Provided
ISBN: 979-8-3584-9325-4
ISSN: N/A
EISSN: N/A
Available Date: N/A
Recognizing a Medical Error and Medical Error Recovery: A Qualitative Study of BSN Students' Experience
Cassundra Forbes-Jewell
ProQuest LLC, Ph.D. Dissertation, Capella University
Medical error is the cause of an estimated 98,000 to 210,000 deaths in the United States each year. Medical error recovery involves the application of clinical judgment to recognize, identify, and implement the actions needed to prevent patient injury or mitigate patient harm. This basic qualitative study explored senior BSN students' experience with medical error recovery. The central research question was "What is the experience of pre-licensure senior BSN students who recognized a medical error or who were involved with medical error recovery?" Ausubel's assimilation theory of meaningful learning provided the theoretical framework wherein learning occurs as a process of integrating new knowledge into what is already understood and given unique meaning by the learner. The sample consisted of 12 senior BSN students in the Northeastern United States. The data were obtained from semi-structured audio-recorded interviews and organized and categorized using MaxQDA data analysis software. A reflective thematic analysis was used to develop the four themes from the data: (a) nursing education, (b) the error experience, (c) power dynamics, and (d) error recovery. The findings indicated that senior BSN students, as a result of their education, can recognize medical mistakes but can experience a range of negative emotions, including shock, surprise, anger, confusion, and fear. Clinical faculty and staff nurses' responses ranged from supporting students in speaking up and intervening to actively discouraging students from taking action. Although power discrepancies often discouraged students from taking action, seven students were undeterred and did intervene and attempt to recover the error. Recommendations for future research include the following: examining the experience of the clinical faculty and examining the curriculum design, including communication strategies about medical errors, medical error recovery, and managing the power dynamics in the clinical setting. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com.bibliotheek.ehb.be/en-US/products/dissertations/individuals.shtml.]
Descriptors: Error Correction, Nursing Students, Bachelors Degrees, Medical Education, Medical Services, Psychological Patterns, Power Structure
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Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: Higher Education; Postsecondary Education
Audience: N/A
Language: English
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