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Aim/objective <p>To explore how nurses in university-affiliated polyclinics interpret incident-analysis findings and translate them into feasible, sustainable practice changes.</p> Background <p>Incident reporting and analysis are widespread, yet the “audit-to-action” gap persists. Little is known about how frontline nurses in ambulatory services convert recommendations into reliable routines amid workload and resource constraints.</p> Design <p>Qualitative process evaluation with a focused ethnographic orientation, reported according to COREQ.</p> Methods <p>Conducted across King Faisal University–affiliated polyclinics in Al-Ahsa, Saudi Arabia. Purposive sampling recruited registered nurses across roles. Data sources included semi-structured interviews, non-participant observation of safety huddles/quality meetings, and document review. Data were analyzed using reflexive thematic analysis, then mapped to implementation constructs to specify barrier→strategy pairings.</p> Results <p>Seventeen nurses participated. Four interrelated themes described the translation pathway: (1) From analysis to actionability—“taskifying” recommendations and using simple artefacts (checklists, prompts, brief scripts); (2) Feasibility in real time—uptake hinged on workflow fit, clear ownership, and minimal added paperwork under peak load; (3) Social infrastructure for change—leadership follow-through, psychologically safe huddles, and peer champions enabled adoption; and (4) Making change stick—balancing fidelity with local fit, maintaining regular feedback, and aligning resources/policies secured sustainment.</p> Conclusions <p>Translating incident analyses into safer care requires small, engineered steps that protect feasibility and provide predictable feedback. Codifying core tasks, embedding prompts in existing workflows, and modest resourcing/policy alignment are practical levers for durable improvement in ambulatory nursing services. Findings provide practical guidance for nurse leaders on embedding safety recommendations into outpatient workflows through taskification, leadership follow-through, and psychologically safe huddles.</p> Patient or public contribution <p>Two patient partners and one caregiver reviewed the interview guide and contributed to theme interpretation on communication, safety, and experience.</p> Trial registration <p>Not applicable (qualitative study).</p>

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From audit to action: nurses’ experiences turning incident analyses into practice change—a qualitative process evaluation

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月30日

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  • Abdulrhman Khaled Al Abdulqader,
  • Sayed Ibrahim Ali,
  • Fatmah Ahmed Alamoudi,
  • Mostafa Shaban

摘要

Aim/objective

To explore how nurses in university-affiliated polyclinics interpret incident-analysis findings and translate them into feasible, sustainable practice changes.

Background

Incident reporting and analysis are widespread, yet the “audit-to-action” gap persists. Little is known about how frontline nurses in ambulatory services convert recommendations into reliable routines amid workload and resource constraints.

Design

Qualitative process evaluation with a focused ethnographic orientation, reported according to COREQ.

Methods

Conducted across King Faisal University–affiliated polyclinics in Al-Ahsa, Saudi Arabia. Purposive sampling recruited registered nurses across roles. Data sources included semi-structured interviews, non-participant observation of safety huddles/quality meetings, and document review. Data were analyzed using reflexive thematic analysis, then mapped to implementation constructs to specify barrier→strategy pairings.

Results

Seventeen nurses participated. Four interrelated themes described the translation pathway: (1) From analysis to actionability—“taskifying” recommendations and using simple artefacts (checklists, prompts, brief scripts); (2) Feasibility in real time—uptake hinged on workflow fit, clear ownership, and minimal added paperwork under peak load; (3) Social infrastructure for change—leadership follow-through, psychologically safe huddles, and peer champions enabled adoption; and (4) Making change stick—balancing fidelity with local fit, maintaining regular feedback, and aligning resources/policies secured sustainment.

Conclusions

Translating incident analyses into safer care requires small, engineered steps that protect feasibility and provide predictable feedback. Codifying core tasks, embedding prompts in existing workflows, and modest resourcing/policy alignment are practical levers for durable improvement in ambulatory nursing services. Findings provide practical guidance for nurse leaders on embedding safety recommendations into outpatient workflows through taskification, leadership follow-through, and psychologically safe huddles.

Patient or public contribution

Two patient partners and one caregiver reviewed the interview guide and contributed to theme interpretation on communication, safety, and experience.

Trial registration

Not applicable (qualitative study).