Wrongdoing and whistleblowing in health care. (27th March 2019)

• Record Type: Journal Article
• Authors: Pohjanoksa, Johanna; Stolt, Minna; Suhonen, Riitta; Leino‐Kilpi, Helena
• Is Part Of: Journal of advanced nursing. Volume 75:Number 7(2019)
• Page Start: 1504
• Page End: 1517
• Publication Date: 2019-03-27
• Subjects: ethics -- health care -- healthcare professionals -- inductive content analysis -- nurse -- nursing profession -- process -- qualitative research method -- whistleblowing -- wrongdoing; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.13979
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aim(s): To describe healthcare professionals' experiences of observed wrongdoing and potential whistleblowing acts regarding it. The main goal is to strengthen the whistleblowing process described based on the existing literature and to make it more visible for future research. Design: A descriptive cross‐sectional survey. Methods: Data were collected between 26 June 2015–17 July 2015 from the Finnish trade union's membership register, electronically using one open question. A total of 226 healthcare professionals participated providing written narratives, which were analysed using inductive content analysis. Findings: The whistleblowing process in health care was strengthened, identifying the content of observed wrongdoings and whistleblowing acts regarding them. Three themes were identified: wrongdoing related to patients, healthcare professionals, and healthcare managers. Whistleblowing acts were performed internally, externally, or left undone. Three main paths: internal, external, and no whistleblowing, between an observation of wrongdoing and whistleblowing act were identified. Conclusion: The whistleblowing process should be further developed and ethically effective programmes and interventions should be developed for increasing whistleblowing and preventing wrongdoing in health care. 摘要: 目的: 描述医疗专业人员看到不法行为的经历以及与之相关的潜在举报行为。本文主要目的是基于现有文献加强举报流程描述, 以期对未来研究有所助益。. 设计: 本研究采用描述性现况调查。 方法: 2015年6月26日至2015年7月17日, 通过电子形式采用一个公开问题借助芬兰工会成员名册收集数据。总计226名医疗专业人员参与其中, 提供了书面陈述以供分析, 分析方法采用归纳内容法。 发现: 确认所观察到的不法行为以及与之相关的举报行为内容后, 医疗中的举报流程得到加强。确定了三个主题:与病人相关的不法行为、与医疗专业人员相关的不法行为以及与医疗管理人员相关的不法行为。举报行为主要分为内部举报、外部举报以及不了了之。三个主要途径:在看到不法行为和举报行为之间, 主要有内部、外部以及无举报三种采取方式。 结论: 举报流程还应进一步发展, 道德性有效规划和干预措施应得到发展, 从而促进举报行为, 预防医疗中的不法行为。