Table 3 Illustration of categories and the theme developed in the study

Importance and speed in implementing immediate (STAT) orders.

Running orders without rechecking.

Custom implementation of pro re nata (PRN) orders.

Self-administration of medications.

Treatment according to the doctor’s order to maintain legal immunity.

Different procedures in obtaining and registering telephone orders.

Implementation of orders based on the protocol.

Hiding incorrect implementation of orders.

Untruth recording and separation of the registrant from the agent.

Pursuing error correction without documentation.

Rechecking documented orders.

Accuracy in controlling orders.

Endangering patient safety and quality of care.

Nurse’s conscience and psychological damage.

The inefficiency of managers’ supervision over the implementation of orders.

Punitive treatment of the nurse making a mistake in the process of implementing orders.

Conflicts between the doctor and nurse in documenting orders.

Denial of verbal orders by the doctor.

Failure to accept the nurse’s therapeutic suggestions.

Selective and tasteful implementation of orders.

Unprofessional documentation.

Accuracy in controlling documented orders.

Physical and mental injury.

Instability in management interactions.

Inappropriate professional interaction between the doctor and the nurse.

A strategic approach where nurses chose some specific aspects of medical orders to implement, exercising personal discretion and clinical judgment based on the context and patient needs. It involved a thoughtful and careful selection of elements within the orders influenced by workload, resources, or the overall patient condition.

Improper or inadequate recording of information related to patient care and nursing procedures. It involved incomplete, inaccurate, or inconsistent documentation that failed to meet professional standards, potentially compromising the quality of patient records and overall healthcare practices.

Meticulous and precise oversight of recorded medical orders as a thorough and vigilant review of documented instructions to ensure they are correct, complete, and align with the prescribed medical orders.

Harm or damage affecting both the physical well-being and mental health of patients and nurses.

Lack of consistency and inability to engage nurses within the organization. It involved fluctuations in leadership styles and decision-making processes, leading to a potentially challenging work environment.

Interactions that do not conform to established standards of professional conduct in a healthcare setting. It involved disrespect, ineffective communication, or failure to collaborate that undermine the quality of patient care.

Selective and tasteful implementation to avoid legal and organizational accountability