Evidence map›Paper›PMID 40890699›Full record

ArticleBMC nursing2025

Awareness of reporting practices and barriers to incident reporting among nurses in Mogadishu, Somalia.

Abdullahi Hassan Elmi, Rayaan Abdirahman Hassan, Ahmed Omar Abdi, Fathi Yasiin Yusuf, Khadar HassanIbrahim, Amal Abdullahi Abdi

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Abdullahi Hassan ElmiDepartment of Nursing and Midwifery, Dr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia. aarrkaa@simad.edu.so.ORCID http://orcid.org/0009-0006-5038-8017
Rayaan Abdirahman HassanDr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.ORCID http://orcid.org/0009-0003-0718-3911
Ahmed Omar AbdiDepartment of Nursing and Midwifery, Dr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.ORCID http://orcid.org/0009-0005-1338-1732
Fathi Yasiin YusufDepartment of Nursing and Midwifery, Dr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.ORCID http://orcid.org/0009-0001-0975-156X
Khadar HassanIbrahimDepartment of Nursing and Midwifery, Dr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.ORCID http://orcid.org/0009-0002-2415-5210
Amal Abdullahi AbdiDepartment of Nursing and Midwifery, Dr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.ORCID http://orcid.org/0009-0002-3672-7095

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnsuring patient safety is a major concern in healthcare, particularly in low-resource contexts. Nurses, as frontline caregivers, play a pivotal role in identifying and reporting clinical incidents. However, underreporting remains a persistent issue. Understanding nurses’ awareness of incident reporting systems and the barriers they face is essential for improving safety outcomes.

objectiveThis study aimed to assess nurses’ awareness of incident reporting practices, explore their self-perceived reporting behaviors, and identify barriers to effective reporting within Somali hospitals.

methodsA descriptive cross-sectional study was conducted among 300 nurses from public and private hospitals across Somalia. Data were collected using a structured questionnaire adapted from a previously validated instrument. The questionnaire covered socio-demographic characteristics, awareness of incident reporting systems, self-perceived reporting behaviors, and perceived barriers. Descriptive statistics, t-tests, and ANOVA were employed to analyze the data.

resultsAwareness of incident reporting systems was notably low; only 12% of nurses confirmed the presence of such systems in their workplace, and just 26% had ever completed an incident report. Critical incidents such as medication errors and breaches of confidentiality were frequently underreported, with over 40% of nurses admitting they had never reported such events. The gap between nurses’ belief in the importance of reporting and their actual practices was significant. Major barriers included fear of disciplinary action, lack of feedback, heavy workloads, and overly complex reporting procedures. Notably, nurses with longer professional experience and those working in accredited hospitals demonstrated significantly higher awareness and reporting behaviors (p < 0.001).

conclusionThe study identified substantial deficiencies in nurses’ awareness and incident reporting practices in Somali healthcare facilities. Targeted interventions such as training programs, simplified and anonymous reporting mechanisms, and a non-punitive culture are urgently needed to strengthen the patient safety framework and promote consistent incident reporting.

Indexed as

AwarenessBarriersHealthcare qualityIncident reportingNursesPatient safetySomalia

Identifiers

PMID40890699
PMCPMC12400675

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.