Authors: Hafisa Ally, W.E. Nel and Wanda Jacobs
Nurse related adverse events occur not because nurses intentionally hurt patients, but rather that the health care environment is so complex that outcomes for each patient are affected by a range of factors and not just the competence of an individual nurse. Hughesasserts that the effects of the “sharp end’ where nurses find themselves being vulnerable to errors occurring must be removed from nurses and put squarely on the shoulders of the nursing leadership who must focus on systems factors, not individuals, as a strategy to constructively manage nurse related adverse events.The purpose of this study is to explore and describe the experiences of operational managers (Unit Managers) regarding the management of nurse related adverse events by their line managers in a specific hospital in South Africa. A qualitative, exploratory, descriptive and contextual research design was used. A purposive sample of operational managers (Unit Managers) working in the specific hospital who had experienced the management of nurse related adverse events by their line managers was selected for the study. Data collection was by means of in depth individual interviews and data were analysed by an independent coder using Tesch’s open coding method . The findings revealed four themes which articulated that operational managers experienced(during the management of these events) a culture of blame, second victim experiences, ineffective management practices ,but also expressed a personal sense of responsibility and resilience with suggestions of measures that should be implemented for the constructive management of nurse related adverse events
Keywords: experiences ,operational managers,management, nurse related adverse events .