Association of Working Hours and Patient Safety Competencies with Adverse Nurse Outcomes: A Cross-Sectional Study

Son, Youn‐Jung; Lee, Eun Kyoung; Ko, Yu Kyung

doi:10.3390/ijerph16214083

Cited by 35 publications

(42 citation statements)

References 33 publications

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“…The findings of our study add to the growing body of literature evidencing that one of the most reported barriers nurses encounter in performing their roles is the “lack of time” due to understaffing. Several studies conducted in several countries have proved that the shortage of nurses is associated with higher mortality rates and increases adverse patients' events (Fagerstrom et al, 2018; Griffiths et al., 2019; Son et al., 2019,). The question is that, although understaffing in the nursing profession remains an issue in many countries, the quality of nursing care and the potential for poor nursing care to do patients great harm has been the focus of numerous reports in the past (Care Quality Commission, 2011; Health Service Ombudsman, 2011).…”

Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to the provision of type 1 diabetes inpatient care: An interpretive phenomenological analysis

et al. 2020

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Aim The aim and objective of this study was to understand how non‐specialized nurses understand the possible barriers and facilitators of inpatient care for type 1 diabetes. Design An interpretative phenomenology approach was conducted. Methods The sample consisted of non‐specialized nurses ( N = 24) working in medical, surgical and nephrology wards in the state hospitals in Cyprus. The data were collected during 2016‐2018 from one focus group with nurses ( N = 6) and individual semi‐structured interviews with nurses ( N = 18) conducted. The Standards for Reporting Qualitative Research checklist used to ensure the quality of the study. Results It is evident from the study findings that nurses experience several barriers in diabetes inpatient care reported which are of great concern since this could have adverse effects on patients' outcomes. Only one facilitator has been reported by few nurses.

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Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to the provision of type 1 diabetes inpatient care: An interpretive phenomenological analysis

et al. 2020

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“…These findings are in line with those of previous studies that linked long/irregular working hours to emotional and mental fatigue, disruptions of normal sleeping and waking hours, depression and various illnesses such as musculoskeletal disorders (Harris et al, 2015). In addition, the health and safety of the patients decreased as the nurses’ working hours (P Griffiths et al, 2014; Son et al, 2019; A. Trinkoff et al, 2011).…”

Section: Disussionmentioning

confidence: 99%

“…To work as a nurse -either as a qualified nurse or nursing aide -individuals need to be responsive and highly accountable 24/7 in order to fullfill the health service requirements (Rosa et al, 2018). Therefore, nurses need to have worked for an adequate amount of time in the health sector to be able to provide high-quality care (Rosa et al, 2018 (Son et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have shown that such prolonged/irregular working hours can results in nurses having a lower ability to detect adverse changes in their patients or address them in a timely manner (A. M. Trinkoff et al, 2011), reduced or lacking patient safety, fair to poor quality of care offered, more care activities left undone (Peter Griffiths et al, 2014), or adverse nursing outcomes such as complaints from patients or families (Son et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Influence of nursing staff working hours on the stress level during the COVID-19 pandemic: a cross-sectional online survey

Hoedl

Bauer

Eglseer

2020

Preprint

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Background: Working as a nurse means being responsive and highly accountable 24/7 and to be able to offer high-quality care, specifically during pandemics. Studies have shown that the average number of working hours per week is a significant predictor of stress and that the severity of the COVID-19 pandemic has increased the nurses stress levels. Objective: Therefore, we investigated (1) if a change had occurred in the nurses working hours during the COVID-19 pandemic as compared to the hours employed and (2) the influence of the nursing staffs working hours during COVID-19 pandemic on the perceived level of stress. Design: We used an online survey in this Austrian cross-sectional study, distributed using a snowball sampling method. Participants and methods: In the online survey, we asked the nurses many relevant questions, including how many hours they are employed per week and how many hours they had worked on average per week since the outbreak of COVID-19. We used the Perceived Stress scale to measure stress level among these nurses. Data were collected between mid-May and mid-July 2020. Results: Three-quarters of the 2600 participating nurses reported changes in their working hours during the COVID-19 pandemic. The nursing staffs hours of employment were statistically significantly associated with their average number of working hours during the COVID-19 pandemic. About two-thirds of the nurses who were employed either less than 10 hours or for 31-40 hours worked for more than 40 hours. Most of the nurses experienced a moderate level of stress. We identified a statistically significant association between increasing the number of working hours per week and the nurses perceived stress level. In addition, 15% of the nurses who had worked more than 40 hours reported experiencing a high level of stress. In addition, we found that nurses who worked more hours during the pandemic experienced higher stress than nurses who reduced their working hours or kept the same working hours. Conclusions: We found a statistically significant association between an increase in the nursing staffs working hours and their level of stress. We believe that these results reflect the negative consequences of prolonged working hours. For this reason, a (inter-)national discussion is needed on the topic of restricting the working hours of healthcare workers during such pandemics. This discussion can improve the health and safety of the health care workers, the patients, as well as members of the general population.

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“…A problem linked with staffing issues is having to perform overtime with frequently being on call. Staff is working extended hours, which is linked to increased incident reports (Son, Lee, & Ko, 2019). Staff making errors are likely to be affected by burnout, dissatisfaction with the profession, poor quality of care, and leaving the job (Dewa, Loong, Bonato, & Trojanowski, 2017).…”

Section: Structure Issues: Human Capital and Manpowermentioning

confidence: 99%

Patient Safety Culture in Perspective of Millennials: Case Study in a Malaysian Private Hospital

Singh¹,

Nasruddin

2020

IJIM

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This case study investigated the nature of patient safety culture in a Malaysian private hospital. This was accomplished by studying the general perception of patient safety with a survey questionnaire and insights from open comments. The Donabedian framework of quality was used to further analyse the nature of patient safety culture from the perspective of millennials. Findings from the interviews were triangulated with data from observations and document reviews, which were interpreted based on the High Reliability Organisation (HRO) principles. They revealed that the structures and concerns in the practice environment regard the artificial intelligence (AI) system, human capital management, and manpower, while processes such as communication, teamwork and collaboration issues, and training and improvements are vital. Patient safety culture outcomes which depend on structures and processes indicated the need for improvements in the frequency of events reported. The main implication of this study is that to raise standards of care to those in an HRO and in a complex care environment, a paradigm shift from current reactive standards towards a more proactive safety system, based on flexibility and stability, would be necessary. This requires a strong case organisation to note appropriate structures and processes affecting eventual outcomes.

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Association of Working Hours and Patient Safety Competencies with Adverse Nurse Outcomes: A Cross-Sectional Study

Cited by 35 publications

References 33 publications

Facilitators and barriers to the provision of type 1 diabetes inpatient care: An interpretive phenomenological analysis

Facilitators and barriers to the provision of type 1 diabetes inpatient care: An interpretive phenomenological analysis

Influence of nursing staff working hours on the stress level during the COVID-19 pandemic: a cross-sectional online survey

Patient Safety Culture in Perspective of Millennials: Case Study in a Malaysian Private Hospital

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