Association of Nurse Managers' Anger Expression and Nurses' Intention to Report Medication Errors: The Role of Perceived Uncertainty.

Background: Although medication errors pose life‐threatening risks to patients, and reporting them can help prevent future incidents, our understanding of the factors influencing nurses' intentions to report such errors remains incomplete. Furthermore, the underlying mechanisms driving this associat...

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Publicado en:Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 22; no. 3; pp. 1 - 12
Autores principales: El‐Gazar, Heba Emad, Shawer, Mona, Alenazi, Aqeel M., Zoromba, Mohamed Ali
Formato: research tables/charts Journal Article
Publicado: John Wiley & Sons, Inc. Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
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        atl: Association of Nurse Managers' Anger Expression and Nurses' Intention to Report Medication Errors: The Role of Perceived Uncertainty.
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          El‐Gazar, Heba Emad
          Shawer, Mona
          Alenazi, Aqeel M.
          Zoromba, Mohamed Ali
        affil: Nursing Administration Department, Faculty of Nursing, Port Said University, Port Said, Egypt
      sug:
        subj:
          Nurse Managers Psychosocial Factors
          Anger Evaluation
          Nursing Staff, Hospital Psychosocial Factors
          Intention Evaluation
          Voluntary Reporting
          Medication Errors
          Uncertainty Evaluation
          Funding Source
          Egypt
          Human
          Hospitals, Public
          Tertiary Health Care
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          Confidence Intervals
          Nursing Leaders
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          Audiorecording
          Thematic Analysis
          Summated Rating Scaling
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          Content Validity
          Factor Analysis
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      ab: Background: Although medication errors pose life‐threatening risks to patients, and reporting them can help prevent future incidents, our understanding of the factors influencing nurses' intentions to report such errors remains incomplete. Furthermore, the underlying mechanisms driving this association have yet to be fully identified. Aims: The study aimed to explore the association between nurse managers' anger expression and nurses' intentions to report medication errors and to examine the mediating role of perceived uncertainty in this association. Methods: Two separate studies were conducted. In Study 1, a methodological study was carried out between January and February 2024 to develop and validate a scale assessing nurses' intentions to report medication errors. This study involved 209 clinical nurses from two tertiary governmental hospitals in Mansoura, Egypt. In Study 2, a cross‐sectional survey was conducted between April and June 2024 to test the study hypotheses. A total of 286 clinical nurses from three different tertiary governmental hospitals in Mansoura, Egypt, completed a questionnaire measuring leader anger expression, perceived uncertainty, and intentions to report medication errors. Data were analyzed using structural equation modeling. Results: In Study 1, the findings provided evidence for the reliability and validity of the Medication Errors Reporting Intention Scale. In Study 2, nurse managers' anger expression was negatively associated with nurses' intentions to report medication errors (β = −0.77, p < 0.001). Perceived uncertainty mediated this association (β = −0.62, 95% CI [−2.80, −0.96]). Linking Evidence to Action: Nurse managers should implement strategies to regulate their expressions of anger, thereby alleviating uncertainty among nurses and potentially enhancing their intention to report medication errors.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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