Designing a Nursing Risk Management System

Context: Risk management identifies, assesses, and controls threats to an organization's goals. These risks stem from various sources, including financial uncertainties, legal liabilities, technology issues, strategic management errors, healthcare incidents, and natural disasters. Aim: The present study aimed to design a nursing risk management system and assess the effect of the designed nursing management system on the nurses' knowledge and performance regarding risk management. Methods: This study used a quasi-experimental (pre/post-test) design on 61 nurses working in critical care units and a 30-member jury group composed of four hospital nursing managers and 11 academic staff from the faculties of nursing and 15 physicians from the hospital and academic staff from the faculties of medicine. The study was conducted at critical care units in El-Demerdash Hospital. Two tools were used to collect data for this study: A knowledge assessment questionnaire, a nurses’ performance observation checklist, and a jury opinionnaire sheet. Results: The study reveals that 47.5% of the studied nurses were between 25-35 years of age, 63.9% were females, 63.9 had secondary school diplomas, and 44.3% had between 10 to 20 years of experience in nursing. There was a highly statistically significant improvement in nurses' knowledge of the risk overview dimensions, nurses’ knowledge related to nursing practice dimensions, and hospital infection and patient safety dimension and total mean knowledge score at p=0.00. A highly statistically significant difference was revealed between pre and post-test regarding the nurses’ performance regarding nursing risk management at p <0.05. Conclusion: Nurses' knowledge and performance in risk management are enhanced after designing and implementing a nursing risk management system. The study recommends conducting continuous training programs on all aspects of nursing risk management and establishing an orientation program for all new nurses about risk management.