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

ABSTRACT

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.

The role of psychological ownership in linking decent work to nurses' vigor at work: A two‐wave study

Abstract

Introduction

Nurses' vigor at work profoundly impacts the quality of patient care. However, the determinants of nurses' vigor remain underexplored in the current nursing literature, and the mechanism through which these determinants exert their effects remains unclear.

Aim

This study aimed to elucidate the mediating role of psychological ownership in linking decent work to nurses' vigor at work.

Methods

A two-wave, time-lagged study was conducted to collect data from 289 nurses working across three hospitals in Port Said, Egypt, between March and June 2023. Data were collected using the Decent Work Scale, the Psychological Ownership Scale, the Shirom–Melamed Vigor Measure, on an Introductory Information Form. Mediation testing was performed using structural equation modeling.

Results

Decent work was significantly associated with psychological ownership and vigor at work. Psychological ownership partially mediated the relationship between decent work and nurses' vigor at work.

Conclusion

Decent work practices are critical in fostering nurses' vigor while working, and psychological ownership plays a mediating role in this relationship.

Clinical relevance

Hospital administrators should value decent work practices, which could enhance psychological ownership, resulting in a potential improvement in nurses' vigor at work.

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