Nurses’ intention and behavior in reporting adverse event: Application of theory of planned behavior

Data show that globally, patient safety incident reporting remains low, as is also the case at Baptis Batu Hospital, East Java. This study aimed to determine the influence of attitude, subjective norm and perceived behavioral control (PBC) on the intention to report and determine relation between PBC and nurses’ behavior in reporting adverse event. This study used cross sectional approach and was conducted at Baptis Batu Hospital from March 16^th to March 31^th, 2016. Data were obtained with questionnaires that were distributed to 82 (of 85) nurses working at Baptis Batu Hospital. Data were analyzed using multiple linear regression and Spearman correlation. The results showed that attitude (B = 0.496; p value = 0.000) and PBC (B = 0.766; p = 0.037) significantly influenced the intention to report adverse events, while subjective norm (B = -0.087; p value = 0.540) did not influence the intention to report adverse events. There was no relation found between PBC (r = 0.037; p = 0.739) and intention (r = 0.031; p value = 0.783) to behavior of reporting adverse event. These findings indicated that nurses’ intention in reporting adverse event was influenced by attitude and PBC, but not by subjective norms. In contrast, intention and PBC did not relate to adverse event reporting behavior.