A phenomenological study on nurses' perceptions of participating in a root cause analysis process

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dc.contributor.advisorFreysteinson, PhD, Wyona
dc.contributor.committeeMemberPaula Clutter
dc.contributor.committeeMemberRebecca Aulbach
dc.creatorAbreu, Tamu M 06/27/1979-
dc.creator.orcid0000-0001-7608-7761
dc.date.accessioned2023-06-26T16:27:22Z
dc.date.available2023-06-26T16:27:22Z
dc.date.created2023-05
dc.date.issuedMay 2023
dc.date.submittedMay 2023
dc.date.updated2023-06-26T16:27:23Z
dc.description.abstractThe purpose of this study was to explore registered nurses' experiences of participating in a Root Cause Analysis (RCA) meeting because of their involvement in an adverse event. An RCA is the most common strategy used by organizations for adverse event investigations and nursing healthcare professionals directly involved in an adverse event may be asked to participate in the RCA. Semi-structured audio-taped interviews were held with 13 registered nurses who participated in an RCA. Ricoeur's hermeneutic phenomenology guided data analysis. Two structural elements represented the world of the nurses: 1) Learning about an RCA, and 2) Being on the other side of the RCA table. Three phenomenological themes emerged: 1) anticipatory and embodied fear, 2) To speak or not to speak, and 3) the aftermath. Nurses want to participate in RCA meetings, but desire education, and preparation on what to expect before, during, and after the RCA. Healthcare organizations must create safe and collaborative environments to empower nurses to speak up and have their voices heard during the RCA process. However, leaders must provide support for them throughout the process.
dc.format.mimetypeapplication/pdf
dc.identifier.uri
dc.identifier.urihttps://hdl.handle.net/11274/15116
dc.subjectHealth Sciences, Nursing
dc.subject.otherAdverse event
dc.subject.otherSecond victim
dc.subject.otherRoot cause analysis
dc.subject.otherPatient safety investigation
dc.titleA phenomenological study on nurses' perceptions of participating in a root cause analysis process
dc.typeThesis
dc.type.materialtext
thesis.degree.collegeCollege of Nursing
thesis.degree.departmentNursing
thesis.degree.disciplineNursing Science
thesis.degree.grantorTexas Woman's University
thesis.degree.nameDoctor of Philosophy
thesis.degree.programAPA 7th edition
thesis.degree.schoolTexas Woman's University

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