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Koskiniemi S, Syyrilä T, Hämeen-Anttila K, Manias E, Härkänen M. Health professionals' perceptions of the development needs of incident reporting software: A qualitative systematic review. J Adv Nurs 2024; 80:3533-3546. [PMID: 38366716 DOI: 10.1111/jan.16106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 01/29/2024] [Accepted: 02/06/2024] [Indexed: 02/18/2024]
Abstract
AIM To systemically identify and synthesize information on health professionals' and students' perceptions regarding the development needs of incident reporting software. DESIGN A systematic review of qualitative studies. DATA SOURCES A database search was conducted using Medline, CINAHL, Scopus, Web of Science and Medic without time or language limits in February 2023. REVIEW METHODS A total of 4359 studies were identified. Qualitative studies concerning the perceptions of health professionals and students regarding the development needs of incident reporting software were included, based on screening and critical appraisal by two independent reviewers. A thematic synthesis was conducted. RESULTS From 10 included studies, five analytical themes were analysed. Health professionals and students desired the following improvements or changes to incident reporting software: (1) the design of reporting software, (2) the anonymity of reporting, (3) the accessibility of reporting software, (4) the classification of fields and answer options and (5) feedback and tracking of reports. Wanted features included suitable reporting forms for various specialized fields that could be integrated into existing hospital information systems. Rapid, user-friendly reporting software using multiple reporting platforms and with flexible fields and predefined answer options was preferred. While anonymous reporting was favoured, the idea of reporting serious incidents with both patient and reporter names was also suggested. CONCLUSION Health professionals and students provided concrete insights into the development needs for reporting software. Considering the underreporting of healthcare cases, the perspectives of healthcare professionals must be considered while developing user-friendly reporting tools. Reporting software that facilitates the reporting process could reduce underreporting. REPORTING METHOD The ENTREQ reporting guideline was used to support the reporting of this systematic review. PATIENT OR PUBLIC CONTRIBUTION There was no patient or public contribution. PROTOCOL REGISTRATION The protocol is registered in the International Prospective Register of Systematic Reviews with register number CRD42023393804.
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Affiliation(s)
- Saija Koskiniemi
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Tiina Syyrilä
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | | | - Elizabeth Manias
- School of Nursing and Midwifery, Monash University, Melbourne, Australia
| | - Marja Härkänen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
- Research Centre for Nursing Science and Social and Health Management, Kuopio University Hospital, Wellbeing Services County of North Savo, Kuopio, Finland
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Safavi HP, Bouzari M. Fading Focus: Addressing the Association Between Challenge Stressors, Role Blurring, Insomnia, Fatigue, and Workplace Cognitive Failure. Eval Health Prof 2024; 47:304-318. [PMID: 39025828 DOI: 10.1177/01632787241264597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/20/2024]
Abstract
The primary goal of the present study is to inspect the plausible job-related (i.e., challenge stressors and role blurring) and individual factors (i.e., fatigue and insomnia) that potentially lead to work-related cognitive failures among healthcare staff. Through the judgmental sampling technique, data was collected from healthcare personnel in Iran. The results revealed that challenge stressors in the form of time pressure, job responsibility, and work overload are significantly related to role blurring. Moreover, role blurring increases fatigue and insomnia among medical staff, and both insomnia and fatigue cause workplace cognitive failure. The results also confirm the mediation effect of role blurring in the association between challenge stressors, insomnia, and fatigue. According to the results, insomnia and fatigue similarly mediate the role blurring on workplace cognitive failure association. Theoretical implications, useful suggestions for practitioners, and prospective research avenues are debated in the study.
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Poku CA, Bayuo J, Kwashie AA, Ofei AMA. Intervention to improve adverse event reporting in the emergency department: Protocol of a systematic review and meta-analysis. PLoS One 2024; 19:e0306885. [PMID: 39172963 PMCID: PMC11340945 DOI: 10.1371/journal.pone.0306885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2024] [Accepted: 06/25/2024] [Indexed: 08/24/2024] Open
Abstract
BACKGROUND Adverse event reporting is crucial for improving patient safety and identifying areas for improvement in the emergency department. Many interventions have been employed in that regard, and have been found to increase adverse event reporting rates in various settings. All published research that studied the various interventions and their effectiveness on adverse event reporting in the Emergency Department will be reviewed in this paper. METHODS CINAHL, PubMed, Medline, Cochrane Reviews Library, EMBASE, Scopus, OVID, Science Direct and Web of Science will all be searched. Studies published since January 2000 that investigated the interventions to improve adverse event reporting will be included. Two independent reviewers will execute the selection and extraction process, and we will carry out a qualitative synthesis. A meta-analysis, if possible, will be undertaken. DISCUSSION The present study will summarize interventions to improve adverse event reporting. It will also determine effective approaches to enhancing adverse event reporting in the emergency department. The outcome of the study will provide novel dimensions into possible interventions to improve patient safety through adverse event reporting. SYSTEMATIC REVIEW REGISTRATION Protocol registration and reporting: PROSPERO CRD42023414795.
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Affiliation(s)
- Collins Atta Poku
- School of Nursing and Midwifery, University of Ghana, Accra, Legon
- School of Nursing and Midwifery, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
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Albelbeisi AH, Al‐amoudi SM, Anabri A, Obaid HA, Alijla F, Kakemam E. Occupational stress and associated sources and risk factors among nurses in Gaza strip, Palestine: A cross-sectional survey. Nurs Open 2024; 11:e70004. [PMID: 39166300 PMCID: PMC11336378 DOI: 10.1002/nop2.70004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 04/13/2024] [Accepted: 08/04/2024] [Indexed: 08/22/2024] Open
Abstract
AIM To determine the occurrence of occupational stress among Palestinian nurses, and their associated sources and risk factors. DESIGN A cross-sectional descriptive design. METHODS A total of 250 registered nurses from eight governmental hospitals, using a convenience sampling method. Data collection were conducted using the 30-items self-reported Occupational Stress Scale from December 2022 to March 2023. Descriptive statistics, independent sample t-test, one-way ANOVA, and multiple linear regression analysis were applied to analysis data. Data analysis included descriptive statistics, independent sample t-test, one-way ANOVA, and multiple linear regression analysis. RESULTS The prevalence of high occupational stress levels was 64.8% (Mean = 3.9 out of 5). The main sources of stress are too much responsibility and work, understaffing, lack of promotion and recognition, inadequate pay, time pressure, and management style. The results regression analysis demonstrated that male nurses with a Masters or PhD degree and those working in fixed shifts experienced higher occupational stress. Moreover, participants who worked overtime hours were more susceptible to stress. CONCLUSIONS The research indicates that occupational stress presents a notable challenge for nurses in the Gaza Strip, Palestine. It suggests that in order to alleviate this stress, decision-makers in healthcare policy and hospital management should prioritize the execution of strategies aimed at addressing the primary stressors and risk factors identified. REPORTING METHOD This study adhered to the STROBE guidelines. PUBLIC CONTRIBUTION A total of 250 registered nurses were taken part in this study by answering a self-administered study survey.
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Affiliation(s)
- Ahmed Hassan Albelbeisi
- Medical Services Directorate, College of Health ProfessionsIsraa UniversityGaza StripPalestine
| | | | - Azadeh Anabri
- Department of Public Health, School of HealthYasuj University of Medical SciencesYasujIran
| | - Hassan Abu Obaid
- School of Public HealthTehran University of Medical SciencesTehranIran
- Faculty of Intermediate StudiesIsraa UniversityGaza StripPalestine
- Indonesian Hospital, Ministry of HealthGaza StripPalestine
| | | | - Edris Kakemam
- Social Determinants of Health Research Center, Research Institute for Prevention of Non‐Communicable DiseasesQazvin University of Medical SciencesQazvinIran
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Liu B, Zhang L, Cai Y, Zhang M, Huang W, Yan X, Chen H. Correlation analysis of occupational stress and metabolic syndrome among employees of a power grid enterprise in China. Work 2024:WOR240234. [PMID: 39093109 DOI: 10.3233/wor-240234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/04/2024] Open
Abstract
BACKGROUND Being in a state of high occupational stress may disrupt the metabolic balance of the body, thus increasing the risk of metabolic diseases. However, the evidence about the relationship between occupational stress and metabolic syndrome was limited. OBJECTIVES To explore the association between occupational stress and metabolic syndrome (MetS) in employees of a power grid enterprise. METHODS A total of 1091 employees were recruited from a power grid enterprise in China. Excluding those who failed to complete the questionnaire and those who had incomplete health check-ups, 945 subjects were included in the study. Assessment of occupational stress was used by job demand-control (JDC) and effort-reward imbalance (ERI) questionnaires, respectively. The information on body mass index (BMI), systolic blood pressure (SBP), and diastolic blood pressure (DBP) were collected. The levels of high-density lipoprotein cholesterol (HDL-C), triglycerides (TG), and fasting blood glucose (FBG) in the fasting venous blood samples were measured. Logistic regression analysis and multiple linear regression methods were used to analyze the correlation between JDC and ERI models of occupational stress, metabolic syndrome, and its components, respectively. RESULTS The prevalence of MetS was 8.4% and 9.9% in JDC and ERI model high occupational stress employees, respectively. ERI model occupational stress and smoking are significantly associated with the risk of MetS. ERI ratio was significantly associated with lower HDL-C levels. Gender, age, marital status, smoking, high-temperature and high-altitude work were significantly associated with metabolic component levels. CONCLUSION Our study revealed a high detection rate of occupational stress in both JDC and ERI models among employees of a power grid enterprise. ERI model occupational stress, demanding more attention, was associated with the risk of MetS as well as its components such as HDL-C.
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Affiliation(s)
- Bin Liu
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, Guangzhou, Guangdong, China
- Department of Preventive Medicine, Shenzhen Luohu People's Hospital, Shenzhen, Guangdong, China
| | - Lingyu Zhang
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, Guangzhou, Guangdong, China
- School of Public Health, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Yashi Cai
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, Guangzhou, Guangdong, China
| | - Min Zhang
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, Guangzhou, Guangdong, China
| | - Weixu Huang
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, Guangzhou, Guangdong, China
| | - Xuehua Yan
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, Guangzhou, Guangdong, China
| | - Huifeng Chen
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, Guangzhou, Guangdong, China
- School of Public Health, Guangzhou Medical University, Guangzhou, Guangdong, China
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Arnetz JE, Baker N, Arble E, Arnetz BB. Workplace violence, work-related exhaustion, and workplace cognitive failure among nurses: A cross-sectional study. J Adv Nurs 2024. [PMID: 38712618 DOI: 10.1111/jan.16217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Revised: 03/28/2024] [Accepted: 04/24/2024] [Indexed: 05/08/2024]
Abstract
AIM To examine the relationships between nurses' exposure to workplace violence and self-reports of workplace cognitive failure. DESIGN A cross-sectional study. METHODS An online questionnaire was administered in April 2023 to nurses in Michigan, US. Structural equation modelling was used to examine effects of physical and non-physical workplace violence (occupational stressors) and work efficiency and competence development (occupational protective factors) on workplace cognitive failure. RESULTS Physical violence was a significant predictor of the action subscale of cognitive failure. There were no direct effects of non-physical violence, workplace efficiency, or competence development on any of the workplace cognitive failure dimensions. Both types of violence and efficiency had significant indirect effects on workplace cognitive failure via work-related exhaustion. Work-related exhaustion predicted significantly higher scores for workplace cognitive failure. CONCLUSION Workplace violence and work efficiency exhibited primarily indirect effects on workplace cognitive failure among nurses via work-related exhaustion. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE Nurses experiencing workplace violence may be at increased risk for workplace cognitive failure, especially if they are also experiencing work-related exhaustion. Workplaces that nurses perceive as more efficient can help to mitigate the effects of violence on nurses' cognitive failure. IMPACT This study addressed the possible effects of workplace violence as well as work efficiency and competence development on nurses' cognitive failure at work. Analyses revealed primarily indirect effects of workplace violence, and indirect protective effects of work efficiency, on nurses' cognitive failure via work-related exhaustion. This research has implications for healthcare organizations and suggests that efforts made by healthcare workplaces to prevent violence and work-related exhaustion, and to enhance work efficiency, may help to mitigate workplace cognitive failure among nurses. REPORTING METHOD We have followed the STROBE checklist in reporting this study. PATIENT OR PUBLIC CONTRIBUTION No Patient or public contribution.
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Affiliation(s)
- Judith E Arnetz
- Department of Family Medicine, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA
| | - Nathan Baker
- Department of Psychology, Michigan State University, East Lansing, Michigan, USA
| | - Eamonn Arble
- Department of Psychology, Eastern Michigan University, Ypsilanti, Michigan, USA
| | - Bengt B Arnetz
- Department of Family Medicine, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA
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Kang J, Kwon SS, Lee Y. Clinical nurses' work-life balance prediction due to patient safety incidents using classification and regression tree analysis: a secondary data analysis. BMC Nurs 2024; 23:70. [PMID: 38267902 PMCID: PMC10809596 DOI: 10.1186/s12912-024-01719-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Accepted: 01/07/2024] [Indexed: 01/26/2024] Open
Abstract
BACKGROUND Patient safety incidents lead to performance difficulties for nurses when providing nursing practice. This affects work-life balance and causes second and third-victimization. This study predicts factors affecting clinical nurses' work-life balance due to patient safety incidents using classification and regression tree analysis techniques. METHODS This study was a secondary analysis of data from a cohort research project, which used a descriptive survey for data collection. Participants comprised 372 nurses. Data were collected using SurveyMonkey, a mobile-based survey software solution, from January to September 2021. Data included the general characteristics of clinical nurses, second damage, second damage support, third damage, and work-life balance. The specific variables included in the analysis chosen through rigorous Lasso analysis form the foundation for predicting work-life balance. Variables with low explanatory power were excluded, thereafter, the variables selected by Lasso were analyzed with a classification and regression tree model to predict work-life balance. RESULTS A regression tree was applied to predict work-life balance using seven variables-education level, marital status, position, physical distress, second-victim support, turnover intentions, and absenteeism (selected through Lasso analysis). After pruning, at tree size four, when turnover intentions were < 4.250, physical distress < 2.875, and second-victim support < 2.345, the predicted work-life balance was 3.972. However, when turnover intentions were < 4.250, physical distress < 2.875, and second-victim support ≥ 2.345, then the predicted work-life balance was 2.760. CONCLUSIONS This study's insights offer crucial groundwork for crafting targeted workforce risk management strategies and fostering a conducive organizational culture to mitigate nursing occupational stress, potentially curbing the recurrence of patient safety incidents and improving nursing practice while enhancing patient outcomes. Future research should explore second and third victim experiences across various healthcare settings globally to understand their impact on WLB and patient safety outcomes.
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Affiliation(s)
- Jiwon Kang
- Department of Family, Health and Wellbeing, University of Minnesota Extension, 1420 Eckles Ave, St Paul, MN, 55108, US
- College of Nursing, Ajou University, 164 World Cup-Ro, Yeongtong-Gu, Suwon, 16499, South Korea
| | - Soon-Sun Kwon
- Departments of Mathematics and Department of Artificial Intelligence, College of Natural Sciences, Ajou University, 164 World Cup-Ro, Yeongtong-Gu, Suwon, 16499, South Korea
| | - Youngjin Lee
- College of Nursing, Ajou University, 164 World Cup-Ro, Yeongtong-Gu, Suwon, 16499, South Korea.
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Jadidi A, Irannejad B, Salehi M, Safarabadi M. Effect of stachys lavandulifolia on occupational stress in emergency medical technicians. Explore (NY) 2023; 19:803-805. [PMID: 37061348 DOI: 10.1016/j.explore.2023.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 04/06/2023] [Accepted: 04/09/2023] [Indexed: 04/17/2023]
Abstract
OBJECTIVE According to studies, occupational stress is quite prevalent among Emergency Medical Technicians (EMTs). On the other hand, it has been shown that Stachys lavandulifolia, also known as the Mountain Tea in Iran, has anxiolytic properties. Considering the current increasing trend of using remedies based on alternative medicine for stress management, the present clinical trial intended to investigate the effect of Stachys lavandulifolia on occupational stress in EMTs METHODS: The present study included 60 EMTs working in Arak, Markazi province, Iran, who were randomly divided into study and control groups. The study group was treated with tea made of Stachys lavandulifolia (2 g daily) for 2 months, while the control group was treated with black tea. Moreover, the level of occupational stress in the study participants was assessed using the Hospital Stress Scale (HSS-35) before and after the intervention. Data analysis was performed using the SPSS software version 22. RESULTS According to our results, the mean occupational stress score was significantly decreased in the study group after the intervention (p < 0.05). Moreover, the post-intervention scores were significantly lower in the study group compared to the control group (p < 0.05). However, there was no significant change in occupational stress in the control group after the intervention (p > 0.05). CONCLUSION In combination with other stress-relieving options, the tea made of Stachys lavandulifolia can be used as a complementary therapy for alleviating occupational stress in EMTs.
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Affiliation(s)
- Ali Jadidi
- School of Nursing, Arak University of Medical Sciences, Arak, Iran; Department of Traditional medicine, School of Medicine, Arak University of Medical Sciences, Arak, Iran
| | - Behrooz Irannejad
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mehdi Salehi
- Traditional and Complementary Medicine Research Center (TCMRC), Arak University of Medical Sciences, Arak, Iran; Department of Traditional medicine, School of Medicine, Arak University of Medical Sciences, Arak, Iran
| | - Mehdi Safarabadi
- School of Nursing, Arak University of Medical Sciences, Arak, Iran; Department of Medical Surgical Nursing, Khomein University of Medical Sciences, Khomein, Iran.
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Taipale M, Herttalampi M, Muotka J, Mauno S, Feldt T. Stress of conscience in healthcare in turbulent times: A longitudinal study. Nurs Ethics 2023:9697330231204949. [PMID: 37888885 DOI: 10.1177/09697330231204949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2023]
Abstract
BACKGROUND Healthcare workers frequently face ethically demanding situations in their work, potentially leading to stress of conscience. Long-term work intensification (more and more effort demanded year after year), organizational change and COVID-19 may be risk factors concerning stress of conscience. AIMS The main aim was to investigate the relationship between long-term work intensification and stress of conscience among the personnel in a healthcare organization. Organizational change management was considered a mediator and COVID-19-related work stress a moderator in the association between work intensification and stress of conscience. RESEARCH DESIGN, PARTICIPANTS AND CONTEXT A total of 211 healthcare district employees participated in a longitudinal survey using questionnaires collected in 2019 (major organizational change in the planning stage) and 2021 (organizational change completed). ETHICAL CONSIDERATIONS The study was implemented according to the guidelines of the Finnish National Board on Research Integrity. The Finnish instructions were that no review by an ethics committee was necessary because participation was voluntary, informed consent was requested, participants were assured that they were free to withdraw from the longitudinal study at any time and no health data were collected. FINDINGS Long-term work intensification was associated with more severe stress of conscience. Long-term work intensification was partially mediated through change management to stress of conscience. High COVID-19 stress strengthened the association between long-term work intensification and stress of conscience. CONCLUSIONS Long-term work intensification must be addressed to reduce stress of conscience in healthcare, otherwise the healthcare system will be vulnerable to changes and crisis. Extra resources for personnel and management should be allocated because of work intensification during organizational change and health crises like the COVID-19 pandemic to alleviate stress of conscience.
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Affiliation(s)
| | | | | | - Saija Mauno
- University of Jyväskylä, Finland
- Tampere University, Finland
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Kim SA, Lee T. Impact of patient-safety incidents on Korean nurses' quality of work-related life: A descriptive correlational study. Nurs Open 2023; 10:3862-3871. [PMID: 36812029 PMCID: PMC10170948 DOI: 10.1002/nop2.1644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 12/02/2022] [Accepted: 02/04/2023] [Indexed: 02/24/2023] Open
Abstract
AIM We investigated the impact of patient safety incidents on the quality of nurses' work-related lives, based on the Culture-Work-Health model. DESIGN Descriptive correlational study. METHODS An online survey was administered between March 10 and 18, 2020 to 622 nurses in South Korea who had experienced patient safety incidents within the past year. Descriptive analysis was performed along with inferential statistics, including one-way ANOVA, correlation, and multiple linear regression (p < 0.05). RESULTS A multiple linear regression analysis was used to identify factors affecting participants' quality of work-related life. Significantly influential factors were resonant leadership, just culture, organizational support, organizational health, and overall work experience. CONCLUSIONS Resonant leadership and culture positively affects nurses' quality of work-related life. Therefore, it is critical to evaluate nurses' perceptions of these factors and use these factors in creating administrative interventions to assist nurses in improving their work experiences.
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Affiliation(s)
- Sun Aee Kim
- Management Planning Team, CHA Bundang Medical Center, Seongnam, South Korea
| | - Taewha Lee
- Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, South Korea
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Arble E, Manning D, Arnetz BB, Arnetz JE. Increased Substance Use among Nurses during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2674. [PMID: 36768040 PMCID: PMC9915151 DOI: 10.3390/ijerph20032674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 01/27/2023] [Accepted: 01/30/2023] [Indexed: 06/18/2023]
Abstract
There is growing evidence that the COVID-19 pandemic has had a severe impact on the nursing profession worldwide. Occupational strain has disrupted nurses' emotional wellbeing and may have led to negative coping behaviors, such as increased substance use, which could impair cognitive functioning. The aim of this study was to examine whether increased substance use in a sample of U.S. nurses during the pandemic was related to greater workplace cognitive failure. An online questionnaire was administered in May 2020 to Michigan nurses statewide via three nursing organizations (n = 695 respondents). A path model was used to test the direct effects of reported increased substance use on workplace cognitive failure and via parallel psychological mediators. The model had excellent fit to the observed data, with statistically significant, unique mediating effects of greater symptoms of anxiety (b = 0.236, z = 2.22, p = 0.027), posttraumatic stress disorder (b = 0.507, z = 4.62, p < 0.001) and secondary trauma (b = 1.10, z = 2.82, p = 0.005). Importantly, the direct effect of increased substance use on workplace cognitive failure was not statistically significant independent of the mediators (b = 0.133, z = 0.56, p = 0.576; 95% confidence interval: -0.33, 0.60). These results point to the importance of further delineating the mechanistic pathways linking adverse stress to workplace cognitive failure. As we emerge from the pandemic, healthcare systems should focus resources on supporting cognitive health by addressing the psychological and emotional welfare of nurses, many of whom may be struggling with residual trauma and increased substance use.
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Affiliation(s)
- Eamonn Arble
- Department of Psychology, Eastern Michigan University, Ypsilanti, MI 48197, USA
| | - Dana Manning
- Department of Psychology, Eastern Michigan University, Ypsilanti, MI 48197, USA
| | - Bengt B. Arnetz
- Department of Family Medicine, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA
| | - Judith E. Arnetz
- Department of Family Medicine, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA
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Song Q, Tang J, Wei Z, Sun L. Prevalence and associated factors of self-reported medical errors and adverse events among operating room nurses in China. Front Public Health 2022; 10:988134. [PMID: 36568794 PMCID: PMC9772881 DOI: 10.3389/fpubh.2022.988134] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 11/14/2022] [Indexed: 12/13/2022] Open
Abstract
Background In recent decades, the prominence of medical errors (MEs) and adverse events (AEs) is fueled by several studies performed across the world. Correspondingly, a high prevalence of medical errors and adverse events have been reported. Operating room nurses (ORNs) were indispensable members of the operating process, and any kind of MEs or AEs from ORNs may cause serious results and even death to the patients. However, to the best of our knowledge, the prevalence and associated factors of MEs and AEs were never reported among ORNs in China, which is the largest country in population and health services quantity in the world. Methods This is a cross-sectional study, which was conducted among ORNs in China, and 787 valid questionnaires were analyzed in this study. MEs, AEs, gender, age, married status, religious belief, academic degree, manager or not, working years, working hours/week, physical disease, and mental health were evaluated in this study. MEs were evaluated by eight questions about the occurrence of eight kinds of MEs for the ORNs. For ORNs with MEs, further questions about clinical harm to the patients were interviewed, which analyzed AEs. Kessler 10 was used to evaluate the ORNs' mental health. Logistic regression was conducted to examine the factors associated with MEs and AEs. Results The prevalence of MEs and AEs was 27.7 and 13.9% among ORNs, respectively. The most frequent MEs that occurred among ORNs were from surgical instruments (9.1%), disinfection (9.0%), equipment and consumables (8.9%), and specimen management (7.8%). MEs were positively associated with lower working years, poor mental health, and physical disease. The physical disease was positively associated with AEs. Conclusion The prevalence of perceived MEs and AEs was at a higher level than other kinds of nurses. Fresh ORNs with physical and mental health problems were the risk population for MEs, and ORNs with physical disease were at a higher risk for AEs. All the findings implied that MEs and AEs were an important issue for ORNs, and ORNs with physical and mental health problems should be paid attention to control MEs and AEs.
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Affiliation(s)
- Qi Song
- Department of Operating Room, Qilu Hospital of Shandong University, Shandong University, Jinan, China
| | - Juan Tang
- Department of Operating Room, Qilu Hospital of Shandong University, Shandong University, Jinan, China
| | - Zhen Wei
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China,National Health Commission of China, Key Laboratory of Health Economics and Policy Research, Shandong University, Jinan, China
| | - Long Sun
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China,National Health Commission of China, Key Laboratory of Health Economics and Policy Research, Shandong University, Jinan, China,*Correspondence: Long Sun
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The relationship between patient safety culture and patient safety competency with adverse events: a multicenter cross-sectional study. BMC Nurs 2022; 21:292. [PMID: 36319970 PMCID: PMC9628064 DOI: 10.1186/s12912-022-01076-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 10/20/2022] [Indexed: 11/07/2022] Open
Abstract
Background Patient safety culture and patient safety competency could be associated with adverse events (AEs). This study aimed to investigate the associations between nurses’ perceptions of patient safety culture, patient safety competency, and AEs. Methods A cross-sectional study was carried out among 338 nurses employed in three university hospitals in Qom, Iran between 17 August 2021 and 12 November 2021. Data were collected using three questionnaires: patient safety culture, patient safety competency, and AEs. Data were analyzed using SPSS-21 software. A multiple logistic regression model was used to analyze the data. Results The results of this study showed that medication errors were significantly associated with “frequency of events reported” (OR = 0.706, P = 0.012), “supervisor/manager expectations and actions promoting patient safety” (OR = 0.733, P = 0.048), and “management support for patient safety” (OR = 0.755, P = 0.012). Pressure ulcers were significantly associated with “supervisor/manager expectations and actions promoting patient safety” (OR = 0.729, P = 0.039), “handoffs and transition” (OR = 0.707, P = 0.034), and “comfort speaking up about patient safety” (OR = 0.614, P = 0.016). Falls were significantly associated with “teamwork within units” (OR = 0.735, P = 0.031), “feedback and communication about error” (OR = 0.756, P = 0.046), and “handoffs and transition” (OR = 0.660, P = 0.012). The use of restraints for ≥8 hr. was significantly associated with “management support for patient safety” (OR = 0.701, P = 0.021). Conclusions According to the results of this study, AEs are associated with some dimensions of patient safety culture and patient safety competency. Further research is needed to confirm these findings and identify interventions to reduce the occurrence of AEs.
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İzci SM, Çetinkaya B. The effect of work stress, workload and social support on nurses' self-perceptions of parenting roles during the Covid-19 pandemic. J Nurs Manag 2022; 30:4322-4329. [PMID: 36192809 DOI: 10.1111/jonm.13838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 09/15/2022] [Accepted: 09/29/2022] [Indexed: 12/30/2022]
Abstract
AIMS This study aims to investigate the effects of workload, work stress and social support on nurses' self-perceptions regarding their parenting roles in the Covid-19 pandemic and to examine the effect of nurse parents' sociodemographic characteristics on work stress and workload during the Covid-19 pandemic. BACKGROUND The Covid-19 pandemic has brought many challenges in the lives of nurses who are fighting at the forefront of the pandemic. METHODS One hundred ninety-eight nurse parents participated in the study conducted with a relational study design using an online questionnaire spread through social networks. 'The Nurse Parents Descriptive Information Form', 'The Swedish Demand-Control-Support Questionnaire (DCSQ)' and 'The Self-Perception of Parental Role Scale (SPPR)' were used for the study data. RESULTS A total of 90.9% of the participants are women. A significant difference was found between the spouse's job and the work stress and the work stress and workload (p < .05). CONCLUSIONS Participants working during the day experienced less work stress and workload than those working at night. Working in the pandemic unit has increased work stress and workload. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers need to plan supportive approach activities so that nurses can use effective methods to manage work stress and heavy workload. In addition, nurse managers should pay attention to developing qualified care and treatment skills in crises such as pandemics, where the workload increases tremendously.
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Affiliation(s)
- Selver Mete İzci
- Department of Pediatric Nursing, Institute of Health Sciences, Pamukkale University, Denizli, Turkey
| | - Bengü Çetinkaya
- Department of Pediatric Nursing, Faculty of Health Sciences, Pamukkale University, Denizli, Turkey
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15
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Sun Y, Yin Y, Wang J, Ding Z, Wang D, Zhang Y, Zhang J, Wang Y. Critical thinking abilities among newly graduated nurses: A cross-sectional survey study in China. Nurs Open 2022; 10:1383-1392. [PMID: 36210506 PMCID: PMC9912453 DOI: 10.1002/nop2.1388] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Revised: 08/10/2022] [Accepted: 09/14/2022] [Indexed: 11/06/2022] Open
Abstract
AIM The aim of this study is to describe critical thinking dispositions among newly graduated nurses with different educational background in China and to explore related factors. DESIGN A cross-sectional questionnaire survey. METHODS The data were collected using the Chinese Version of Critical Thinking Dispositions Inventory (CTDI-CV). Overall, 588 newly graduated nurses finally completed the survey. Spearman and Pearson's correlation coefficients were used to examine the correlation between the CDTI-CV and nurses' general characteristics. RESULTS In terms of open-mindedness, analysis and inquisitiveness subscales, significant differences were found among nurses based on three educational level. When dichotomizing total CTDI scores into high and low, nearly 80% of the respondents fell into low score group. Pressure from workplace was high for 68.4% of them. Significant correlation was found among the new graduated nurses' critical thinking ability and their age, education level, reading habit and attitude towards nursing profession.
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Affiliation(s)
- Yongfang Sun
- Nursing DepartmentLanzhou University Second HospitalLanzhouChina
| | - Yuhuan Yin
- School of NursingGansu University of Chinese MedicineLanzhouChina
| | - Jiancheng Wang
- Geriatrics DepartmentGansu Provincial HospitalLanzhouChina
| | - Zhaohong Ding
- Nursing DepartmentGansu Provincial HospitalLanzhouChina
| | - Dongping Wang
- Clinical Educational DepartmentGansu Provincial HospitalLanzhouChina
| | - Yiyin Zhang
- School of NursingGansu University of Chinese MedicineLanzhouChina
| | - Juxia Zhang
- Clinical Educational DepartmentGansu Provincial HospitalLanzhouChina
| | - Yuan Wang
- Physical Examination CenterThe First People’s Hospital of Lanzhou CityLanzhouChina
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16
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Mehri F, Babaei-pouya A, Karimollahi M. Intensive Care Unit Nurses in Iran: Occupational Cognitive Failures and Job Content. Front Public Health 2022; 10:786470. [PMID: 35570927 PMCID: PMC9099024 DOI: 10.3389/fpubh.2022.786470] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 04/08/2022] [Indexed: 11/19/2022] Open
Abstract
Background Nurses in intensive care units (ICU) are under a lot of stress because of special conditions caused by the work environment and the high level of knowledge and skills required to work in these units, which can lead to cognitive failures. This study aimed to investigate the relationship between occupational cognitive failures (OCF) and job content (JC) in nurses in the ICU of Ardabil hospitals in 2020. Methods The present study was a descriptive-analytical cross-sectional study that was conducted in 2020. The study population included nurses working in the ICU of hospitals in Ardabil, from which 267 people who were eligible to enter the study were selected. OCF and JC questionnaires were used to collect data. Data were analyzed using SPSS software 23. Results OCF with work records in the ICU, total work records, and work records in the COVID-19 and non-COVID-19 units are significantly associated. OCF was inversely related to the JC subscales of skill discretion and decision authority. And directly related to other subscales of JC. Conclusions Develop job ability, reduce repetitive tasks, create diversity in work, create opportunities for creativity, have the authority and freedom to make decisions, facilitate work with new technologies, have enough time to do work, have a friendly work environment with colleagues, support by the supervisor, improving posture, especially for the upper body, feeling job security can help to reduce the cognitive failure of nurses.
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Affiliation(s)
| | | | - Mansoureh Karimollahi
- Department of Intensive Care Unit, Ardabil University of Medical Sciences, Ardabil, Iran
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17
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Kakemam E, Navvabi E, Albelbeisi AH, Saeedikia F, Rouhi A, Majidi S. Psychometric properties of the Persian version of Depression Anxiety Stress Scale-21 Items (DASS-21) in a sample of health professionals: a cross-sectional study. BMC Health Serv Res 2022; 22:111. [PMID: 35078477 PMCID: PMC8789546 DOI: 10.1186/s12913-022-07514-4] [Citation(s) in RCA: 22] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Accepted: 01/18/2022] [Indexed: 12/21/2022] Open
Abstract
Background Although the Depression Anxiety Stress Scale-21 Items (DASS-21) has been used in different countries and translated into different languages, the Persian version of this scale has not been validated for healthcare professions in Iran. Therefore, the purpose of this study was to examine the psychometric properties of the Persian version of DASS-21 for nurses. Methods This cross-sectional study was conducted among 1135 nurses working in public hospitals, who were selected through convenience sampling. DASS-21, which consists of 21 items and three dimensions (depression, anxiety, and stress), has been translated into Persian, and there is an online version available. A confirmatory factor analysis (CFA) was performed to examine the factor structure of this scale. Cronbach’s alpha coefficient was also measured to establish internal consistency. Besides, the intraclass correlation coefficient (ICC) was calculated to assess the test-retest reliability. Results The Cronbach’s alpha coefficient was acceptable for anxiety (0.79), stress (0.91), and depression (0.93). An acceptable test-retest reliability (0.740-0.881, P < 0.01) was also reported for DASS-21 and its three dimensions. The results of CFA showed acceptable model fit (χ2/(df) = 1457/(186), P < 0.001), root mean square error of approximation (RMSEA = 0.078), Tucker-Lewis index (TLI = 0.906), comparative fit index (CFI = 0.917), and standardized root mean square residual (SRMR = 0.047). Fifty-seven nurses were included in the test-retest. The ICCs for all dimensions ranged from 0.75 to 0.86, indicating the acceptable test-retest reliability of the scale. Conclusion The Persian version of DASS-21 showed good psychometric characteristics, and it was confirmed as a valid and reliable tool for evaluating depression, anxiety, and stress among Iranian nurses. However, further validation studies of the Persian DSASS-21 are needed among other healthcare professionals, including physicians, midwives, and allied health professionals.
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Affiliation(s)
- Edris Kakemam
- Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Elahe Navvabi
- Imam Hussein Hospital, Shahid Beheshti University of Medical sciences, Tehran, Iran
| | | | - Faeze Saeedikia
- Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Amin Rouhi
- Deputy of Treatment, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Soheila Majidi
- District Health Center of Hamadan City, Health Center of Hamadan City, Hamadan University of Medical Sciences, Hamadan, Iran.
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18
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Hwang JI, Kim SW, Park HA. Relationships Between Nurses' Work System, Safety-Related Performance, and Outcomes: A Structural Equation Model. J Patient Saf 2021; 17:e1638-e1645. [PMID: 34852419 PMCID: PMC8612905 DOI: 10.1097/pts.0000000000000866] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES We examined relationships between nurses' work system, safety-related performance, and outcomes based on a modified Systems Engineering Initiative for Patient Safety model. METHODS A cross-sectional survey was conducted with 408 nurses from 2 general hospitals. Data on work system factors (person, organization, environment, tools, and task), processes (safety-related performance), and outcomes (staff and clinical outcomes) were collected. Structural equation modeling was used to determine the relationships between nurses' work system factors, safety-related processes, and outcomes. RESULTS Structural equation modeling yielded a comparative fit index of 0.918, standardized root mean square residual of 0.055, and root mean square error of approximation of 0.054, indicating an acceptable model fit. The person factor had a significant positive direct effect on nurses' safety-related performance, and significant negative direct and indirect effects on the clinical outcome. The organization factor had significant positive direct effects on nurses' safety-related performance and staff outcome, and a negative indirect effect on the clinical outcome. The task factor had a significant positive direct effect on staff outcome. However, the environment and tools factors had no significant effects on safety-related performance or outcomes. CONCLUSIONS The findings demonstrated the usefulness of the Systems Engineering Initiative on Patient Safety model to explain safety-related performance and outcomes, indicating differential effects of work system factors. Although the person factor significantly affected safety performance and clinical outcomes, the organization factor was the most influential component for promoting safety-related performance and staff and clinical outcomes. These results can be used to prioritize activities for patient safety.
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Affiliation(s)
| | - Sung Wan Kim
- Department of ORL-HNS, College of Medicine, Kyung Hee University
| | - Hyeoun-Ae Park
- College of Nursing and Research Institute of Nursing Science, Seoul National University, Seoul, Republic of Korea
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19
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Kakemam E, Albelbeisi AH, Davoodabadi S, Azarmi M, Zolghadr F, Mamene M. The impact of nurses' perceptions of systems thinking on occurrence and reporting of adverse events: a cross-sectional study. J Nurs Manag 2021; 30:482-490. [PMID: 34817095 DOI: 10.1111/jonm.13524] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 11/08/2021] [Accepted: 11/18/2021] [Indexed: 11/28/2022]
Abstract
AIMS To assess systems thinking level and its relationship with occurrence and reporting of adverse events in Iranian nurses. BACKGROUND Systems thinking has recently emerged important element of patient safety and quality improvement in health care systems. It helps healthcare professionals to understand the different elements of healthcare systems, the interrelatedness, and interdependencies of these elements in the healthcare systems. METHODS This cross-sectional survey was carried out in ten teaching hospitals in Tehran, Iran. A total of 511 nurses were selected using simple random sampling. Systems thinking was measured using the validated Systems Thinking Scale. Data analysis was performed by descriptive analyses, independent t-test, and logistic regression analysis. RESULTS The average score for total systems thinking was a mean of 49.45 (SD = 12.10; range 0-80). In total, 67.5% of participants reported the experience of the occurrence of adverse events leading to harm to patients and 65.2% of them responded as having appropriate adverse events reporting behaviors. Nurses who had higher scores in systems thinking were found to be more likely to report adverse events (Odds ratio = 1.07; 95% CI = 1.05 - 1.09), whereas they were less prone to experience adverse events (Odds ratio = 0.97; 95% CI = 0.95 - 0.98). CONCLUSION Our results indicated that the nurses' systems thinking level was moderate. Systems thinking had a significant role in preventing the occurrence of adverse events as well as improving the reporting of adverse events. Therefore, it is recommended to enhance the competency of nurses' thinking systems to prevent the occurrence of adverse events and to improve the reporting of adverse events. IMPLICATIONS FOR NURSING MANAGEMENT Nursing managers need to focus on the systems thinking weaknesses and the occurrence and the reporting of adverse events in policymaking, practice, and research. Also, systems thinking should be integrated with the health care system for preventing the occurrence of adverse events and improving reporting of adverse events. They should support, lead, and allocate the essential pragmatic strategies and resources for the involvement of all health care members in policymaking.
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Affiliation(s)
- Edris Kakemam
- Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Ahmed Hassan Albelbeisi
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, International Campus (TUMS-IC), Tehran, Iran
| | - Samane Davoodabadi
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mina Azarmi
- Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Fatemeh Zolghadr
- Department of Medical-Surgical Nursing, School of Nursing & Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mehdi Mamene
- Department of Nursing, Faculty of Nursing & Midwifery, Ilam University of Medical sciences, Ilam, Iran
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20
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Emami P, Boozari Pour M, Zahednezhad H, Khanali Mojen L, Naseri V. Investigating the relationship between workplace stressors and caring behaviours of nursing staff in inpatient wards: A cross-sectional study. J Adv Nurs 2021; 78:1066-1074. [PMID: 34642973 DOI: 10.1111/jan.15080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 09/13/2021] [Accepted: 09/30/2021] [Indexed: 02/03/2023]
Abstract
AIM The present study aimed to investigate the effects of various job stressors on caring behaviours of nursing staff. DESIGN A cross-sectional nationwide study. METHODS This cross-sectional, descriptive-correlational study was conducted on 260 nurses employed in the inpatient wards of seven teaching hospitals in Tehran, Iran during December 2019-February 2020. The participants were selected via convenience sampling. Data were collected using a demographic questionnaire, the nursing stress scale and the caring behaviours inventory. Data analysis was performed in SPSS version 20 using descriptive statistics and linear regression analysis. RESULTS The results of regression analysis indicated that job stress is correlated with nurses' caring behaviours (β = -.36; p = .001). Factors such as workload (β = -.27; p = .001), uncertainty about patient treatment (β = -.26; p = .017) and lack of emotional preparation (β = -.20; p = .017) were the important stressors associated with nurses' caring behaviours. CONCLUSIONS According to the results, high levels of perceived job stress due to workload, uncertainty about patient treatment and lack of emotional preparation are associated with lower levels of nurses' caring behaviours. IMPACTS The findings of this study showed that to provide patients with optimal caring behaviours, hospital and nursing managers should design interventions to reduce nurses' job stressors, especially in terms of their interactions with their colleagues and physicians.
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Affiliation(s)
- Payam Emami
- Department of Medical-Surgical Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mahsa Boozari Pour
- Department of Medical-Surgical Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hosein Zahednezhad
- Department of Psychiatric Nursing and Management, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Leila Khanali Mojen
- Department of Medical-Surgical Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.,Pediatric Congenital Hematologic Disorders Research Center, Mofid Children's Hospital, Tehran, Iran
| | - Vahid Naseri
- Department of Medical-Surgical Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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21
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Workplace Cognitive Failure among Nurses during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph181910394. [PMID: 34639695 PMCID: PMC8508323 DOI: 10.3390/ijerph181910394] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Revised: 09/29/2021] [Accepted: 09/30/2021] [Indexed: 12/20/2022]
Abstract
Numerous studies provide evidence of the physical and emotional strain experienced by nurses during the COVID-19 pandemic. However, little is known regarding the impact of this occupational strain on nurses’ cognitive function at work. The aim of this study was to identify factors associated with workplace cognitive failure in a sample of U.S. nurses during the COVID-19 pandemic. An online questionnaire was administered in May 2020 to Michigan nurses statewide via three nursing organizations (n = 695 respondents). Path analysis was conducted to test the parallel effects of frequency of contact with COVID patients and personal protective equipment (PPE) supply on workplace cognitive failure scores. Mediation effects of stress, sleep quality, secondary trauma, and work-related exhaustion were examined for each exposure. Results revealed significant indirect effects of all mediators except sleep quality of contact with COVID patients (cumulative indirect effect = 1.30, z = 6.33, p < 0.001) and PPE (cumulative indirect effect = −2.10, z = −5.22, p < 0.001) on cognitive failure. However, 58% of the PPE effect was direct. To reduce the risk of cognitive failure, healthcare organizations need to provide nurses with protective equipment and work environments that allow nurses to strengthen their resilience to extreme working conditions.
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22
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Lyyra E, Roos M, Suominen T. The workplace culture in addiction psychiatry in Finland as described by healthcare personnel. ADVANCES IN DUAL DIAGNOSIS 2021. [DOI: 10.1108/add-11-2020-0024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
The purpose of this study is to describe the workplace culture and factors associated with it from the viewpoint of the personnel providing care to patients with dual diagnosis.
Design/methodology/approach
Data were collected from six organizations using an electronic survey in 2019. The respondents (n = 75) worked in addiction psychiatry in specialized health care and provided care to patients. The data were statistically analyzed.
Findings
Workplace culture was evaluated as positive. Stress was experienced occasionally (Md = 2.58, Q1 = 1.96, Q3 = 3.03), job satisfaction levels were moderate (Md = 4.83, Q1 = 4.28, Q3 = 5.44) and the practice environment was evaluated as neutral (Md = 4.46, Q1 = 4.00, Q3 = 5.04). Gender, age in years, employment relationship, work time, staffing, number of patients and the participants’ experience in health care and experience in their current workplace had statistically significant associations with workplace culture.
Originality/value
In Finland, there have been attempts to reform service structures that also influence mental health and substance addiction services. Workplace culture is one approach to promote service development. Yet, there has been no research on workplace culture in the context of the care of patients with dual diagnosis. The results of this study bring knowledge about how health-care personnel perceives stress, job satisfaction and their practice environment in addiction psychiatry, which can be used to further develop services and workplace culture.
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23
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Kakemam E, Chegini Z, Rouhi A, Ahmadi F, Majidi S. Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: A cross-sectional online survey among nurses. J Nurs Manag 2021; 29:1974-1982. [PMID: 33966312 PMCID: PMC8237033 DOI: 10.1111/jonm.13359] [Citation(s) in RCA: 66] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 04/27/2021] [Accepted: 05/05/2021] [Indexed: 12/19/2022]
Abstract
AIMS To assess nurses' burnout and its association with their perceived quality of patient care and occurrence of adverse events (AEs) during COVID-19. BACKGROUND Burnout is a serious problem among nursing staff internationally with negative impacts on the quality of care and patient safety. METHODS We conducted a cross-sectional online study among 1,004 Iranian nurses through the convenience sampling technique. Data were collected using the Maslach Burnout Inventory, five items of questions related to self-reported poor patient care quality and estimated occurrence of AEs. RESULTS Prevalence of high burnout among nurses was 31.5%. The risk of AEs ranged from 26.1% to 71.7%. Self-reported quality of patient care was found to be poor. A positive correlation was found between emotional exhaustion and depersonalization scores and patient care quality, whereas a negative correlation was found between personal accomplishment scores and all poor care item scores. Depersonalization was found to increase the risk of the onset of all AEs (odds ratio [OR] = 1.06-1.08). Also, Personal accomplishmentreduced the risk of occurrence of 'medication errors' (OR = 0.99) and the onset of 'patient and their family verbal abuse' (OR = 0.97). CONCLUSIONS Our findings confirmed the hypothesis that a higher degree of burnout is correlated with a perceived higher number of AEs and reduced perceived patient care quality. IMPLICATIONS FOR NURSING MANAGEMENT Reducing burnout among nurses through implementing interventions may be an effective strategy to enhance patient care quality and reduce the number of AEs in Iranian public hospitals. Therefore, in order to minimize work burnout, primary approaches include access to psychosocial support, including Web-based services, psychological first aid, mental support hotlines and self-care techniques during the COVID-19 pandemic.
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Affiliation(s)
- Edris Kakemam
- Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Zahra Chegini
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Amin Rouhi
- Department of Educational Sciences and Psychology, Hamadan Science and Research Branch, Islamic Azad University, Hamadan, Iran
| | - Forouzan Ahmadi
- Deputy of Treatment, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Soheila Majidi
- District Health Center of Hamadan City, Hamadan University of Medical Sciences, Hamadan, Iran
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24
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Kakemam E, Gharaee H, Rajabi MR, Nadernejad M, Khakdel Z, Raeissi P, Kalhor R. Nurses' perception of patient safety culture and its relationship with adverse events: a national questionnaire survey in Iran. BMC Nurs 2021; 20:60. [PMID: 33845822 PMCID: PMC8042945 DOI: 10.1186/s12912-021-00571-w] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 03/16/2021] [Indexed: 01/02/2023] Open
Abstract
Background Patient safety culture is an important factor in determining hospitals’ ability to address and reduce the occurrence of adverse events (AEs). However, few studies have reported on the impact of nurses’ perceptions of patient safety culture on the occurrence of AEs. Our study aimed to assess the association between nurses’ perception of patient safety culture and their perceived proportion of adverse events. Methods A cross-sectional survey was carried out among 2295 nurses employed in thirty-two teaching hospitals in Iran. Nurses completed the Persian version of the hospital survey of patients’ safety culture between October 2018 and September 2019. Results Positive Response Rates of overall patient safety culture was 34.1% and dimensions of patient safety culture varied from 20.9 to 43.8%. Also, nurses estimated that the occurrence of six adverse events varied from 51.2–63.0% in the past year. The higher nurses’ perceptions of “Staffing”, “Hospital handoffs and transitions”, “Frequency of event reporting”, “Non-punitive response to error”, “Supervisor expectation and actions promoting safety”, “Communication openness”, “Organizational learning continuous improvement”, “Teamwork within units”, and “Hospital management support patient safety” were significantly related to lower the perceived occurrence at least two out of six AEs (OR = 0.69 to 1.46). Conclusions Our findings demonstrated that nurses’ perception regarding patient safety culture was low and the perceived occurrence of adverse events was high. The research has also shown that the higher level of nurses’ perception of patient safety culture was associated with lowered occurrence of AEs. Hence, managers could provide prerequisites to improve patient safety culture and reduce adverse events through different strategies, such as encouraging adverse events’ reporting and holding training courses for nurses. However, further research is needed to assess how interventions addressing patient safety culture might reduce the occurrence of adverse events. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-021-00571-w.
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Affiliation(s)
- Edris Kakemam
- Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Hojatolah Gharaee
- District Health Center of Hamadan City, Hamadan University of Medical Sciences, Hamadan, Iran
| | | | - Milad Nadernejad
- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Zahra Khakdel
- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.,Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Pouran Raeissi
- Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Rohollah Kalhor
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran. .,Health Services Management Department, School of Public Health, Qazvin University of Medical Sciences, Shahid Bahonar Blv, Qazvin, Iran.
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25
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Jachan DE, Müller‐Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. Nurs Open 2021; 8:755-765. [PMID: 33570279 PMCID: PMC7877149 DOI: 10.1002/nop2.678] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 09/22/2020] [Accepted: 10/23/2020] [Indexed: 11/10/2022] Open
Abstract
AIM To identify factors for and perceived consequences of nursing errors by nursing staff in home care services in correlation with qualification, work experience, working hours and trainings. BACKGROUND Patient safety has increasingly been brought into focus of politics and care practices over the past few years. However, little evidence has been provided yet on nursing errors in out-of-hospital settings. DESIGN A cross-sectional study. METHODS Randomized sample of 107 home care services and 656 nurses and nursing assistants recruited from all 16 federal states in Germany. RESULTS Missing trainings on error management within the past 2 years were identified to be an important factor for mistakes regarding hygienic measures and medication administration. However, most errors arose in documentation without any significant differences in qualification, work experience, training and working hours. CONCLUSION Findings indicate that insufficient hygiene and medication administration might be reduced by implementing error management trainings on a regular basis in home care services.
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Affiliation(s)
- Deborah Elisabeth Jachan
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt‐Universität zu Berlin, and Berlin Institute of HealthDepartment of Geriatric MedicineNursing Research Group in GeriatricsCharitéplatz 1Berlin10117Germany
| | - Ursula Müller‐Werdan
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt‐Universität zu Berlin, and Berlin Institute of HealthDepartment of Geriatric MedicineNursing Research Group in GeriatricsCharitéplatz 1Berlin10117Germany
| | - Nils Axel Lahmann
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt‐Universität zu Berlin, and Berlin Institute of HealthDepartment of Geriatric MedicineNursing Research Group in GeriatricsCharitéplatz 1Berlin10117Germany
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Hu S, Dai Q, Wang T, Zhang Q, Li C, He H. Relationship between work stressors and mental health in frontline nurses exposed to COVID-19: A structural equation model analysis. ANNALES MEDICO-PSYCHOLOGIQUES 2021; 180:412-418. [PMID: 33612844 PMCID: PMC7885667 DOI: 10.1016/j.amp.2021.02.015] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Accepted: 02/10/2021] [Indexed: 11/19/2022]
Abstract
The current cross-sectional study aimed to explore the relationship between work stressors and mental health in frontline nurses exposed to COVID-19. Participants were recruited from 16 general hospitals in Anhui province from February 2020 to March 2020. The general sociodemographic questionnaire, Nurse Job Stressors Scale, Simplified Coping Style Questionnaire, NEO Five-Factor Inventory, Perceived Social Support Scale, and Kessler Psychological Distress Scale were used in this study. Based on 723 valid questionnaires retrieved (100%), the total mean scores of work stressors and mental health of frontline nurses were (94.38±23.42) and (22.81±7.16), respectively. The results of the structural equation model showed that work stressors had an indirect positive effect (β=0.484, P<0.01), social support had a direct negative effect (β=-0.934, P<0.01), personality traits had a direct positive effect (β=0.209, P<0.01), and positive coping style had both direct positive (β=0.246, P<0.01) and indirect negative effects (β=-0.873, P<0.01) on frontline nurses' mental health. In conclusion, nursing staff can reinforce positive influences by accepting social support, adopting positive coping methods, and weakening negative influences factors to reduce or buffer their negative mental states and further reduce work stress.
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Affiliation(s)
- Shaohua Hu
- Department of Nursing, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, 230022 Hefei, China
| | - Qing Dai
- Department of Nursing, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, 230022 Hefei, China
| | - Ting Wang
- Department of Nursing, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, 230022 Hefei, China
| | - Qianqian Zhang
- Department of Nursing, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, 230022 Hefei, China
| | - Chaoqun Li
- Department of Nursing, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, 230022 Hefei, China
| | - Hongye He
- Department of Nursing, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, 230022 Hefei, China
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Kakemam E, Hajizadeh A, Azarmi M, Zahedi H, Gholizadeh M, Roh YS. Nurses' perception of teamwork and its relationship with the occurrence and reporting of adverse events: A questionnaire survey in teaching hospitals. J Nurs Manag 2021; 29:1189-1198. [PMID: 33480125 DOI: 10.1111/jonm.13257] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Revised: 10/31/2020] [Accepted: 01/15/2021] [Indexed: 11/26/2022]
Abstract
AIMS To identify the levels of teamwork and its relationship with the occurrence and reporting of adverse events among Iranian nurses. BACKGROUND Strengthening teamwork is emphasized worldwide for enhancing quality care and patient safety. METHODS This study applied a cross-sectional survey design. A total of 327 Iranian nurses from eight teaching hospitals participated in a self-administered survey using simple random sampling. The Teamwork Perceptions Questionnaire was used to measure the teamwork. The frequency of occurrence and reporting of adverse events were measured with two questions. Data were analysed using descriptive analyses, independent t tests and logistic regression analysis. RESULTS The mean teamwork score was 3.81 out of 5. Among the nurses, 48.0% had experienced adverse events in the past 6 months and 79.8% reported having an appropriate performance in adverse events reporting. Teamwork was significantly associated with lower occurrences of adverse events and better adverse events reporting. Specifically, nurses with higher situation monitoring (odds ratio (OR) = 0.47), mutual support (OR = 3.18) and team leadership (OR = 2.09) scores were more likely to report adverse events. Nurses with higher situation monitoring scores were less likely to experience the occurrence of adverse events (OR = 0.38). CONCLUSIONS Nurses' perception of teamwork was moderate to high. Teamwork was associated with the occurrence and reporting of adverse events. Further study is needed to identify the effects of teamwork training on the learning outcomes, including teamwork, occurrence and the reporting of adverse events among nurses. IMPLICATIOS FOR NURSING MANAGEMENT Nursing managers should consider multiple educational strategies including structured teamwork training to improve staff nurses' teamwork competency. Administrative initiatives and quality improvement projects are needed to increase nurses' performance in the reporting of adverse events through an accreditation process.
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Affiliation(s)
- Edris Kakemam
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Alireza Hajizadeh
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mina Azarmi
- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Hamideh Zahedi
- Department of Community Health Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Masoumeh Gholizadeh
- Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Young Sook Roh
- Red Cross College of Nursing, Chung-Ang University, Seoul, Korea
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Yao X, Shao J, Wang L, Zhang J, Zhang C, Lin Y. Does workplace violence, empathy, and communication influence occupational stress among mental health nurses? Int J Ment Health Nurs 2021; 30:177-188. [PMID: 32808483 DOI: 10.1111/inm.12770] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Revised: 06/28/2020] [Accepted: 07/16/2020] [Indexed: 12/30/2022]
Abstract
Workplace violence is a major cause of occupational stress among mental health nurses, particularly those working in acute care. This study investigated the occurrence of occupational stress among mental health nurses in psychiatric hospitals and explored whether workplace violence, empathy, and communication skills influenced occupational stress levels in this population. A socio-demographic questionnaire and the Chinese Nursing Work Stress Scale, Workplace Violence Scale, Jefferson Scale of Empathy - Health Professions version, and Nurses' Clinic Communication Competence Scale were administered to 539 mental health nurses from three top-grade tertiary research hospitals in the Beijing-Tianjin-Hebei region. The analysis revealed a high level of job stress (3.06 ± 0.69) and a moderate prevalence of workplace violence (6.21 ± 2.94) existed among participants when compared with among other nurses. Meanwhile, participants' empathy (114.78 ± 15.99) and communication (4.31 ± 0.60) abilities were similar to or higher than those of other nursing populations. Mental health nurses with varying years of practice experience distinct levels of job stress. A linear regression analysis revealed that, while practice years (β = 0.104; P < 0.05) and workplace violence (β = 0.264; P < 0.01) aggravated occupational stress levels, empathy (β = -0.147; P < 0.01) facilitated reductions in stress. Results suggest that reducing workplace violence and improving empathy in therapeutic relationships can limit the pervasiveness of occupational stress among mental health nurses. Having both psychological support and organizational support after a violent incident is essential, and the importance of professional education should be stressed.
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Affiliation(s)
- Xiuyu Yao
- School of Nursing, Peking Union Medical College, Beijing, China
| | - Jing Shao
- Department of Nursing, Beijing Huilongguan Hospital, Beijing, China
| | - Lina Wang
- Department of Nursing, Hebei sixth people's Hospital, Baoding, China
| | - Jing Zhang
- Department of Nursing, Tianjin Anding Hospital, Tianjin, China
| | - Chang Zhang
- School of Nursing, Peking Union Medical College, Beijing, China
| | - Yujie Lin
- School of Nursing, Peking Union Medical College, Beijing, China
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Willman A, Bjuresäter K, Nilsson J. Insufficiently supported in handling responsibility and demands: Findings from a qualitative study of newly graduated nurses. J Clin Nurs 2020; 30:83-92. [PMID: 32889729 PMCID: PMC7891354 DOI: 10.1111/jocn.15483] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Revised: 08/11/2020] [Accepted: 08/13/2020] [Indexed: 12/15/2022]
Abstract
Aims and objectives To explore newly graduated registered nurses' experiences and how they manage complex patient situations. Background Newly graduated registered nurses' working in acute care hospital settings are challenged by managing complex patient situations in rapidly changing clinical contexts involving increased patient acuity, comorbidities and staffing shortages. Design Qualitative study design. Methods Data were collected using focus groups interviews of a total of 16 newly graduated registered nurses with clinical work experience of 6 months of direct patient care in an acute care hospital setting. Analyses were conducted using qualitative content analysis. COREQ reporting guidelines were used. Results The analysis resulted in the overarching theme “Not being sufficiently prepared and supported to meet responsibilities and demands.” The theme included three categories: “Responsibility is not in proportion to competence,” “Lack of medical competence and experience complicates patient safety” and “Strives for control to manage and organise nursing care.” Conclusion The results show that newly graduated registered nurses' are not sufficiently supported for the level of responsibility and the demands placed on them when providing nursing in complex patient situations in acute care hospital settings. If they are given sole responsibility for multiple complex patient situations, patient safety may be compromised. Relevance to practice Special attention need to be paid to NGRNs support to medical competence in the areas of assessing, planning, prioritizing, leading, and distributing nursing care in daily clinical settings for at least their first year of professional work.
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Affiliation(s)
- Anna Willman
- Department of Health Sciences, Karlstad University, Karlstad, Sweden
| | - Kaisa Bjuresäter
- Department of Health Sciences, Karlstad University, Karlstad, Sweden
| | - Jan Nilsson
- Department of Health Sciences, Karlstad University, Karlstad, Sweden.,Department of Health Promotion Sciences, Sophiahemmet University, Stockholm, Sweden
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Cambier R, Van Laethem M, Vlerick P. Private life telepressure and workplace cognitive failure among hospital nurses: The moderating role of mobile phone presence. J Adv Nurs 2020; 76:2618-2626. [PMID: 32803902 DOI: 10.1111/jan.14496] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 06/17/2020] [Accepted: 07/15/2020] [Indexed: 11/29/2022]
Abstract
AIM To examine whether the presence of a mobile phone has a moderating role in the relationship between nurses' private life telepressure and workplace cognitive failure. DESIGN Cross-sectional quantitative study using self-report questionnaires. METHODS Data were collected between December 2019 - January 2020. In total, 849 Registered Nurses from three Belgian hospitals completed the online survey. Data were analysed with hierarchical regression analyses and simple slope tests. RESULTS Overall, the positive relationship between private life telepressure and workplace cognitive failure was moderated by mobile phone presence. Specifically, the experience of private life telepressure did only relate to higher workplace cognitive failure when nurses kept their mobile phone nearby (i.e. in their pockets). Additional exploratory analyses revealed that this moderation effect only held among nurses in young adulthood and regardless of the notification settings of their mobile phone. CONCLUSIONS The present findings indicate the unintended risk of mobile phone presence at work as it relates to higher workplace cognitive failure in nurses who experience private life telepressure. Ensuring there are clear organizational policies and practises in place to store away personal belongings of healthcare personnel during work hours would therefore seem beneficial for hospitals. IMPACT Considering the increased presence of mobile phones nowadays, a more detailed understanding is necessary on how these devices might distract personnel in a healthcare setting. The present study gives further insight into this topic and shows that in particular nurses in young adulthood who experience telepressure towards personal messages report more cognitive failure when their personal mobile phones are present, even when they do not actually use these devices. This furnishes additional evidence in support of hospitals' formal policy to forbid personal mobile phones of healthcare personnel when at work.
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Affiliation(s)
- Ruben Cambier
- Department of Work, Organisation and Society, Ghent University, Ghent, Belgium
| | - Michelle Van Laethem
- Department of Work and Organizational Psychology, University of Amsterdam, Amsterdam, The Netherlands
| | - Peter Vlerick
- Department of Work, Organisation and Society, Ghent University, Ghent, Belgium
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