Evidence map›Paper›PMID 41131514›Full record

ArticleBMC nursing2025

Predictors of adverse event reporting intention among primary care nurses: a multi-center study in China.

Jing Jiang, Jun Wang, Fangfang Xiong, Jian Zhai, Tong Liu, Qinghua Zhao, Mingzhao Xiao

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Jing JiangDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jun WangDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Fangfang XiongDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jian ZhaiDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Tong LiuDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Qinghua ZhaoDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Mingzhao XiaoDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. xmz.2004@163.com.

Funding

the Chinese Hospital Association KX2025-KYC0337-01
6 · The paper itself

Abstract

backgroundThe reporting of adverse events (AEs) is essential for improving patient safety. However, there is limited evidence regarding the reporting intentions of nurses in primary healthcare institutions, particularly in resource-constrained settings. This study aimed to investigate the predictors of AE reporting intention among nurses in China’s primary care sector.

methodsA multi-centre, cross-sectional survey was conducted from December 2023 to August 2024 with 607 nurses from 48 primary healthcare institutions in Chongqing, China. Validated instruments were used to assess AE reporting intention, reporting cognition, and perceived barriers to reporting. Data were analysed using descriptive statistics, non-parametric tests, Spearman correlation, and multiple linear regression.

resultsNurses demonstrated a high overall intention to report AEs (mean = 13.44 ± 3.32, on a scale of 0–15). However, nurses reported a significantly higher intention to use informal reporting channels (e.g., reporting to a supervisor) than formal, written mechanisms. The final multiple linear regression model (Adjusted R² = 0.333, p < 0.001) identified reporting cognition as the strongest positive predictor of reporting intention (β = 0.522, p < 0.001). A cumbersome reporting process was a significant negative predictor (β = -0.107, p = 0.005), whereas a punitive culture was not a statistically significant predictor in the final model.

conclusionIn the context of China’s primary healthcare system, nurses’ intention to report adverse events is driven more by their cognitive ability to identify an event and the simplicity of the reporting process than by the fear of punishment. To enhance patient safety, institutional strategies should prioritise improving nurses’ cognitive skills for event recognition and streamlining reporting systems to reduce procedural burdens.

Indexed as

Adverse eventsNursing managementPatient safetyPrimary healthcareReporting intention

Identifiers

PMID41131514
PMCPMC12551212

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LicenceCC BY-NC-ND
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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.