Academic Journal

Perceived barriers to whistle blowing in healthcare amongst healthcare professionals: An integrative review.

Bibliographic Details
Title: Perceived barriers to whistle blowing in healthcare amongst healthcare professionals: An integrative review.
Authors: Ekpenyong, Mandu Stephene, Nyashanu, Mathew, Ibrahim, Amina, Serrant, Laura
Source: International Journal of Human Rights in Healthcare; 2021, Vol. 14 Issue 1, p10-27, 18p
Abstract: Purpose: Whistleblowing is a procedure where an existing or past participant of an establishment reveals actions and practices believed to be illegal, immoral or corrupt, by individuals who can influence change. Whistleblowing is an important means of recognising quality and safety matters in the health-care system. The aim of this study is to undergo a literature review exploring perceived barriers of whistleblowing in health care among health-care professionals of all grades and the possible influences on the whistleblower. Design/methodology/approach: An integrative review of both quantitative and qualitative studies published between 2000 and 2020 was undertaken using the following databases: CINAHL Plus, Embase, Google Scholar, Medline and Scopus. The primary search terms were "whistleblowing" and "barriers to whistleblowing". The quality of the included studies was appraised using the Critical Appraisal Skills Programme criteria. The authors followed preferred reporting items for systematic review and meta-analysis (Prisma) in designing the research and also reporting. Findings: A total of 11 peer-reviewed articles were included. Included papers were analysed using constant comparative analysis. The review identified three broad themes (cultural, organisational and individual) factors as having a significant influence on whistleblowing reporting among health-care professionals. Originality/value: This study points out that fear is predominantly an existing barrier causing individuals to hesitate to report wrongdoing in care and further highlights the significance of increasing an ethos of trust and honesty within health care. [ABSTRACT FROM AUTHOR]
Subject Terms: CINAHL database, CORRUPTION, CULTURE, FEAR, MEDICAL information storage & retrieval systems, LEADERSHIP, MEDLINE, ORGANIZATIONAL behavior, PUBLIC health laws, TRUST, WHISTLEBLOWING, WORK environment, SYSTEMATIC reviews, HEALTH care industry
Geographic Terms: AUSTRALIA, EUROPE, UNITED States
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ISSN: 20564902
DOI: 10.1108/IJHRH-08-2020-0064
Database: Complementary Index