Incident reporting in the nursing home sector: an interpretative phenomenological analysis study
IntroductionPatient safety is a cause for concern across health-care systems worldwide with data suggesting that approximately 10% of patients experience harm whilst receiving care. Today, incident reporting systems are well established in the NHS in England and are used to identify risks so that clinical practice can be improved.BackgroundIn the NHS in England, there is a national incident reporting system to support the process, however despite there being more beds in the nursing home sector compared to the NHS, there are limited requirements for the care sector to report incidents, resulting in a wealth of data specific to the care sector not being collated. A scoping review was conducted which highlighted limited studies in relation to the registered nurses’ lived experience of incident reporting, particularly in the nursing home sector. Significantly, no studies were identified in the United Kingdom which explore the registered nurses’ lived experience of incident reporting in the nursing home sector, indicating a substantial gap within the field.MethodsInterpretative phenomenological analysis (IPA) was used to conduct the study. The use of IPA enabled the essence of the phenomenon to be exposed, with the interpretative element of IPA enabling a deeper, more holistic understanding of the phenomenon. ResultsSeveral themes were identified relating to three specific areas: system level facilitation, local engagement, and individual accountability. Furthermore, the researcher has questioned the accuracy of double hermeneutics, proposing that multiple hermeneutics is more reflective of the hermeneutic elements of IPA.
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