Fear of Repercussions: Nurses may fear punitive actions such as job loss, disciplinary measures, or negative evaluations. Lack of Awareness: Nurses may not be fully aware of what constitutes a reportable incident or may underestimate the importance of reporting. Time Constraints: High workloads and staff shortages can limit the time available for proper documentation. Cultural Barriers: In some healthcare settings, there may be a culture of silence or a tendency to normalize minor errors.