Consequences of Inadequate Staffing Include Missed Care, Potential Failure to Rescue, and Job Stress and Dissatisfaction

Simpson, Kathleen Rice; Lyndon, Audrey; Ruhl, Catherine

doi:10.1016/j.jogn.2016.02.011

Cited by 61 publications

(54 citation statements)

References 17 publications

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“…Some of the participants described how inadequate staffing could place workers at high risk for occupational accidents because it does not cover response to emergencies in the rotating shifts. This finding is in line with the responses from participants in a secondary analysis of data from the 2016 AWHONN nurse staffing survey, consequences of inadequate staffing can be quite serious and put patients at risk for preventable harm due to missed care [71]. The results of a Korean cross-sectional survey suggested that nurses were overloaded at least in part by a high patient-to-nurse ratio.…”

Section: Discussionsupporting

confidence: 74%

Factors associated with unsafe work behaviours in an Iranian petrochemical company: perspectives of workers, supervisors, and safety managers

et al. 2020

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Background: The petrochemical industry is hazardous, in part because of the inherently dangerous nature of the work conducted, and incidents frequently result in significant financial and social losses. The most common immediate cause of incidents and injuries in this industry is unsafe worker behaviour. Identifying the factors encouraging unsafe work behaviours is the first step in taking action to discourage them. The aim of this study was to (a) explore workers', supervisors' and safety managers' attitudes and perceptions of safety in a petrochemical company in Iran, and (b) identify the factors that discourage safe work behaviours. Methods: A qualitative study was conducted by applying the steps described by Graneheim and Lundman (2004). Twenty participants were recruited from an Iranian petrochemical company using a multi-stage approach, with initial purposive sampling followed by snowball sampling to enhance recruitment. Individual face-to-face and semistructured interviews were conducted to gain an in-depth understanding of factors acting as barriers to safe behaviour. The interviews were recorded and transcribed in Persian and then translated into English. Conventional content analysis was performed. Results: The main themes emerging from the interviews were: (i) poor direct safety management and supervision; (ii) unsafe workplace conditions; (iii) workers' perceptions, skills and training; and (iv) broader organisational factors. Conclusions: The findings give insights into practical organisational measures that can be implemented by management to promote workers' commitment to safety and engage in safe behaviours in their workplace. Trial registration: Iranian Registry of Clinical Trials: IRCT20170515033981N2. Retrospectively registered 19 June 2018.

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Section: Discussionsupporting

confidence: 74%

Factors associated with unsafe work behaviours in an Iranian petrochemical company: perspectives of workers, supervisors, and safety managers

et al. 2020

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“…Some of the participants described how inadequate sta ng could place workers at high risk for occupational accidents because it does not cover response to emergencies in the rotating shifts. This nding is in line with the responses from participants in a secondary analysis of data from the 2016 AWHONN nurse sta ng survey, consequences of inadequate sta ng can be quite serious and put patients at risk for preventable harm due to missed care [70]. The results of a Korean cross-sectional survey suggested that nurses were overloaded at least in part by a high patient-to-nurse ratio.…”

Section: Discussionsupporting

confidence: 70%

Factors associated with unsafe work behaviours in an Iranian petrochemical company: Perspectives of workers, supervisors, and safety managers

Harsini

Ghofranipour

Sanaeinasab

et al. 2020

Preprint

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Background: The petrochemical industry is hazardous, in part because of the inherently dangerous nature of the work conducted, and incidents frequently result in significant financial and social losses. The most common immediate cause of incidents and injuries in this industry is unsafe worker behaviour. Identifying the factors encouraging unsafe work behaviours is the first step in taking action to discourage them. The aim of this study was to (a) explore workers', supervisors' and safety managers' attitudes and perceptions of safety in a petrochemical company in Iran, and (b) identify the factors that discourage safe work behaviours. Methods: A qualitative study was conducted by applying the steps described by Graneheim and Lundman (2004). Twenty participants were recruited from an Iranian petrochemical company using a multi-stage approach, with initial purposive sampling followed by snowball sampling to enhance recruitment. Individual face-to-face and semi-structured interviews were conducted to gain an in-depth understanding of factors acting as barriers to safe behaviour. The interviews were recorded and transcribed in Persian and then translated into English. Conventional content analysis was performed. Results: The main themes emerging from the interviews were: (i) poor direct safety management and supervision; (ii) unsafe workplace conditions; (iii) workers' perceptions, skills and training; and (iv) broader organisational factors. Conclusions: The findings give insights into practical organisational measures that can be implemented by management to promote workers’ commitment to safety and engage in safe behaviours in their workplace. Trial registration: Iranian Registry of Clinical Trials: IRCT20170515033981N2. Registered 19 June 2018.

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“…These results are inconsistent with Li and Liu's findings in 2000. [16] Simpson et al [22] also found that nurses had high levels of occupational stress because of inadequate nursing staffing. In China, a standard 1:4 nurse-patient ratio was reached; however, they included nurses on sick leave and nurse interns.…”

Section: Discussionmentioning

confidence: 99%

The association between occupational stress and psychosomatic wellbeing among Chinese nurses

Tan

Zhao

2019

Medicine

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Occupational stress impairs nurses’ psychosomatic wellbeing, which includes anxiety, depression, sleep quality, and somatic symptoms; however, few studies have focused on the associations between the subdimensions of occupational stress [workload and time pressure (WTP), professional and career issues (PC), patient care and interaction (PCI), interpersonal relationships and management problems (IRMP), resource and environment problem (REP)] and psychosomatic wellbeing among nurses in China. This study thus examined these associations using a cross-sectional survey in Sichuan, China. An online application was devised to collect data, with the scales of sociodemographic and occupational variables, Nurse Job Stressor Questionnaire, the 9- and 15-item Patient Health Questionnaires, the 7-item Generalized Anxiety Disorder scale, and the Pittsburgh Sleep Quality Index. Investigation was completed by 2889 nurses (96.7% women; mean age = 31.20 ± 6.72 years). Relationships were identified by correlation and multivariate regression analyses. Most (68.3%) nurses had high levels of occupational stress. The multivariate analyses revealed that WTP was correlated with anxiety ( P = .003). PC was associated with depression ( P = .033) and sleep quality ( P = .078). PCI was correlated with anxiety ( P = .031) and somatic symptoms ( P = .005). IRMP was associated with anxiety ( P = .018), depression ( P = .001), and somatic symptoms ( P = .025). Lastly, REPs had nonsignificant relationships with depression, anxiety, sleep quality, and somatic symptoms. In sum, nurses had high levels of occupational stress; therefore, a series of strategies should be implemented to help nurses cope with the above issues, which could promote nurses’ psychosomatic wellbeing, and have a buffering effect on nurses’ depression, anxiety, poor sleep quality, and somatic symptoms.

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Consequences of Inadequate Staffing Include Missed Care, Potential Failure to Rescue, and Job Stress and Dissatisfaction

Cited by 61 publications

References 17 publications

Factors associated with unsafe work behaviours in an Iranian petrochemical company: perspectives of workers, supervisors, and safety managers

Factors associated with unsafe work behaviours in an Iranian petrochemical company: perspectives of workers, supervisors, and safety managers

Factors associated with unsafe work behaviours in an Iranian petrochemical company: Perspectives of workers, supervisors, and safety managers

The association between occupational stress and psychosomatic wellbeing among Chinese nurses

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