Keywords

nursing practice, near misses, patient safety, pressure ulcer assessment

 

Authors

  1. Jeffs, Lianne MSc, RN
  2. MacMillan, Kathleen PhD, RN
  3. Maione, Maria MN, RN

Abstract

The purpose of this study was to elicit perceptions and experiences of nurses associated with a recovery process (near miss) intervention (wound care management). From the content analysis of interview data involving 12 registered nurses, 2 key themes emerged. Both themes illuminated the links among pattern recognition, alignment of care processes and practice guidelines, and nurses' accountability for safe pressure ulcer care.