Outcomes of professional misconduct by nurses: a qualitative study

Abstract Background Professional misconduct by nurses is a critical challenge in providing safe quality care, which can lead to devastating and extensive outcomes. Explaining the experiences of clinical nurses and nursing managers in this regard using an in-depth qualitative method can be beneficial...

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Main Authors: Shokoh Varaei, Nahid Dehghan Nayeri, Leila Sayadi, Mehraban Shahmari, Akram Ghobadi
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-024-01859-3
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author Shokoh Varaei
Nahid Dehghan Nayeri
Leila Sayadi
Mehraban Shahmari
Akram Ghobadi
author_facet Shokoh Varaei
Nahid Dehghan Nayeri
Leila Sayadi
Mehraban Shahmari
Akram Ghobadi
author_sort Shokoh Varaei
collection DOAJ
description Abstract Background Professional misconduct by nurses is a critical challenge in providing safe quality care, which can lead to devastating and extensive outcomes. Explaining the experiences of clinical nurses and nursing managers in this regard using an in-depth qualitative method can be beneficial. This study was conducted with the aim of explaining the experiences of nurses regarding the outcomes of professional misconduct. Methods The present study used a qualitative descriptive with a conventional content analysis approach. A total of 22 clinical nurses and nursing managers were selected through purposive sampling until data saturation was reached. Data were collected using semi-structured in-depth interviews and analyzed using Graneheim and Lundman’s approach. Results Analyzed data were categorized into four main themes and 11 subthemes: (1) Physical outcomes: critical threat and weakening patients’ safety; (2) Psychological outcomes: psycho-emotional responses of patients and their families, moral distress, and cautionary tale of nurses; (3) Financial outcomes: imposing costs on the patient and financial loss of the nurse; (4) Organizational outcomes: the normalization of misconduct, chaos in the organization, waste of the organization’s resources, and reputational damage to the organization. Conclusion Professional misconduct by nurses can have adverse outcomes for patients in physical, mental, and financial dimensions, their families, nurses, and healthcare organizations. Therefore, it is indispensable to adopt management strategies to reduce the rate of professional misconduct.
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spelling doaj.art-4d0a5b3d58c749f285032157c4c387fe2024-03-31T11:14:28ZengBMCBMC Nursing1472-69552024-03-012311810.1186/s12912-024-01859-3Outcomes of professional misconduct by nurses: a qualitative studyShokoh Varaei0Nahid Dehghan Nayeri1Leila Sayadi2Mehraban Shahmari3Akram Ghobadi4School of Nursing and Midwifery, Tehran University of Medical SciencesNursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical SciencesSchool of nursing & midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical SciencesDepartment of Medical-Surgical, School of Nursing and Midwifery, Ardabil University of Medical SciencesSchool of Nursing and Midwifery, Kermanshah University of Medical SciencesAbstract Background Professional misconduct by nurses is a critical challenge in providing safe quality care, which can lead to devastating and extensive outcomes. Explaining the experiences of clinical nurses and nursing managers in this regard using an in-depth qualitative method can be beneficial. This study was conducted with the aim of explaining the experiences of nurses regarding the outcomes of professional misconduct. Methods The present study used a qualitative descriptive with a conventional content analysis approach. A total of 22 clinical nurses and nursing managers were selected through purposive sampling until data saturation was reached. Data were collected using semi-structured in-depth interviews and analyzed using Graneheim and Lundman’s approach. Results Analyzed data were categorized into four main themes and 11 subthemes: (1) Physical outcomes: critical threat and weakening patients’ safety; (2) Psychological outcomes: psycho-emotional responses of patients and their families, moral distress, and cautionary tale of nurses; (3) Financial outcomes: imposing costs on the patient and financial loss of the nurse; (4) Organizational outcomes: the normalization of misconduct, chaos in the organization, waste of the organization’s resources, and reputational damage to the organization. Conclusion Professional misconduct by nurses can have adverse outcomes for patients in physical, mental, and financial dimensions, their families, nurses, and healthcare organizations. Therefore, it is indispensable to adopt management strategies to reduce the rate of professional misconduct.https://doi.org/10.1186/s12912-024-01859-3Professional misconductNursesQualitative research
spellingShingle Shokoh Varaei
Nahid Dehghan Nayeri
Leila Sayadi
Mehraban Shahmari
Akram Ghobadi
Outcomes of professional misconduct by nurses: a qualitative study
BMC Nursing
Professional misconduct
Nurses
Qualitative research
title Outcomes of professional misconduct by nurses: a qualitative study
title_full Outcomes of professional misconduct by nurses: a qualitative study
title_fullStr Outcomes of professional misconduct by nurses: a qualitative study
title_full_unstemmed Outcomes of professional misconduct by nurses: a qualitative study
title_short Outcomes of professional misconduct by nurses: a qualitative study
title_sort outcomes of professional misconduct by nurses a qualitative study
topic Professional misconduct
Nurses
Qualitative research
url https://doi.org/10.1186/s12912-024-01859-3
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