Crisis Management Policies and Programs to Prevent Nursing-Related Medical Disputes in Taiwanese Hospitals

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Executive Summary▸ Directors of nursing were surveyed regarding their perceptions of the comprehensiveness and necessity of crisis management policies and activities related to nursing practice-related medical disputes.▸ The questionnaire assessed five aspects of the policies and practices within their respective institutions: strategic/technical/structural, assessment, public communication, and psychological/cultural.▸ The findings revealed significant differences between medical centers and regional hospitals in their perceptions of various aspects within their plans.▸ Respondents from medical centers noted psychological/cultural aspects of their policies and practices as the most comprehensive and important and public communication to be the least comprehensive and important.▸ Respondents from regional hospitals found technical/structural aspects to be the most comprehensive and important while assessment was the least comprehensive and important.▸ The survey also gathered information on the perceived problems associated with disputes; the three most commonly reported issues were poor nursing attitudes (88%), poor nursing skills (53%), and medication errors (71%).

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