Discussion week seven


This article goes into depth on a research study that was done in 2018, interviewing healthcare workers on if they would report a medical error or not and what their understanding of a medical error was. This method of research, was compatible with the purpose of this research in that they got a response out of most of the healthcare workers. The people that were asked these questions were appropriate for this study as the nurses are the ones giving the medications to the patients. The data from this research is also focused on human response as it asks the nurses in what situations they work report a medical error. I would say that there is a clear description of the findings as it is laid out under each question in this research. The discussion and conclusion for this research study wrapped up on how most nurses had a positive attitude on reporting the medical errors but how some had a negative attitude. Those nurses with a negative attitude will most likely not report any medical error unless it is major and affecting the patient.

I think that this study was straight forward and gave you what you were looking for, with the responses from the nurses. I think that this data gives us a look into the attitudes from the nurses about MERs. Given that some nurses admitted that they do not report a medical error if it does not stem into a big problem can still become bad. This patient could possibly have a reaction or issue the next day and the next nurse would not be aware of the medical error. I think in healthcare this is a really important thing to do because you, as a nurse, are taking care of someone and need to be responsible for your actions and if you made a mistake. To me, this research method was straightforward and effective.

The article is a Qualitative Research that focuses on medical error and lack of medical error reporting in Malaysia. The interview process was used to question 23 actively working nurses. Four questions were the focus for these interviews. “What do nurses know about the ME and MER system? 2. What are the nurses’ attitudes toward MER? What are the barriers which could hinder nurses from reporting their MEs? What are the factors which could facilitate MER among nurses?” A few of the strengths that were applied to this study were the use of individual interview methods and the assurance of confidentiality and anonymity. This allows participants to be truthful in their responds. They won’t be fear of an investigation, jobs lost, or negative reaction from their peers. The blameless and anonymous reporting does strengthen the research’s results. Something I felt may have weakened the study is the language barrier. I understand that English was primarily spoken but I’m assuming that English is not the participants first language. No matter how well another language is transcribed, it’s never quite the exact same as the original quote. There are gestures and signs that would be missed by a foreigner when communicating with a native. The interviewer may have missed so social queue that could hint at dishonesties. This would make the research less valid. The research being done in another country can’t be applied to other countries because medical practice and standards are different. What is considered a medical error in American could be an alright practice in Maylasia. I also believe that medical error and medical error research should be researched separately. I understand that they are quite similar topics, but I feel they are two separate matters best investigated apart in order to get a well-rounded answer as to why medical errors occur and why they are not reported.

Can I get one replay for each one and each of them have to be 150 words or more.

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Nursing Standards

Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx

Clinical Guidelines

Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf

Living Guideline

Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E

Evidence-based practice

BMJ Best Practice

Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/

Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com

Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf

JBI: Evidence summary

Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global

JBI: Best practice information sheet

Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.

Cochrane Database of Systematic Reviews

Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2

Drug Information

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Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis

Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia

Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367

NCBI Bookshelf

Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/

Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au



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