Impacts of Job Stress and Cognitive Failure on Patient Safety Incidents among Hospital Nurses

Park, Young-Mi; Kim, Souk Young

doi:10.1016/j.shaw.2013.10.003

Cited by 97 publications

(107 citation statements)

References 10 publications

(10 reference statements)

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“…In Park et al's study on 276 nurses having at least 6 months of work experience in general hospitals of Korea, no significant relationship was found between work experience and safety events. In their study, patient safety incidents were classified into incident group and non-incident group (38). A considerable number of patient safety incident reports were due to blemish, while facing patient safety incidents were reported by nurses with low numbers of work experience.…”

Section: Discussionmentioning

confidence: 99%

The Association of Nursing Workloads, Organizational, and Individual Factors with Adverse Patient Outcome

Abadi¹,

Akbari²,

Akbari³

et al. 2016

Iran Red Crescent Med J

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Introduction: Adverse patient outcomes have become a big concern in the quality of healthcare. Different factors can have an impact on the variety and rate of adverse patient outcomes. Objectives: The present study aimed at determining the rate of patient safety during events and evaluating nursing workloads as well as identifying the main factors that affect the incidence rate of patient safety events among nurses. Methods: This cross-sectional study was conducted on 293 nurses working in 24 wards of Baqiyatallah hospital in Tehran, Iran, in 2016. The sampling method was stratified random sampling. Data were collected using a self-administered questionnaire, which was classified into 4 subtitles: Individual and organizational characteristics, perceived subjective, objective workloads, and some patient safety events during the past 6 months. Binary and multiple regressions were used to survey the relationship between variables using the SPSS Version 23 software. Results: Bloodstream infection, pressure ulcer, and patient falls were the most reported adverse outcomes during the past 6 months with 76.1%, 66.2%, and 59%, respectively. At least one of the 6 adverse outcomes was reported by nurses within the range of 45%-77%. Of all individual characteristics, the only significant relationship occurred between work experience and bloodstream infection (P value = 0.28 and 0.32). No significant relationship was detected between adverse patient outcomes and objective workloads. Regression models revealed that the subjective workload of adverse patient outcomes increased with making adjustments in the individual and organizational characteristics. The incidence rates of adverse outcomes were 5.69-9.78 times more than the fixed shifts in all rotational shift works. Conclusions: The nurses reported a high incidence rate of all patient safety events, and the results revealed that the objective workload could not be a predictor for patient adverse events. According to the findings, subjective workload and work shift were significantly related to the incidence rate of adverse patient events. In conclusion, good regulation of sleep-wake cycles can be an important factor for decreasing the rate of adverse patient events.

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Section: Discussionmentioning

confidence: 99%

The Association of Nursing Workloads, Organizational, and Individual Factors with Adverse Patient Outcome

Abadi¹,

Akbari²,

Akbari³

et al. 2016

Iran Red Crescent Med J

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“…As a result, when experiencing stress, nurses may not be able to perform as effectively, due to a diminished cognitive capacity. Workplace cognitive failure refers to motor function, memory and perception failures [51], and there is evidence of an association between patient safety incidents and workplace cognitive failure in nursing [52]. Therefore, in this study we also measured workplace cognitive failure as a daily level outcome.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…Workplace cognitive failure was measured in relation to 'this shift' using an amended version of the Workplace Cognitive Failure Scale (WCFS) [60], which has previously demonstrated favourable psychometric properties [52,61]. Participants were required to respond to 15-items on a 5-point scale (ranging from 0 = never to 4 = very often), and a higher score on this outcome represented more workplace cognitive failure experienced ( = .90).…”

Section: End Of Shift Daily Measuresmentioning

confidence: 99%

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

et al. 2017

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Purpose 2Stress is a significant concern for individuals and organisations. Few studies have explored stress, burnout and patient safety in hospital nursing on a daily basis at the individual level. This study aimed to examine the effects of chronic stress and daily hassles on safety perceptions, the effect of chronic stress on daily hassles experienced, and chronic stress as a potential moderator. MethodsUtilising a daily diary design, 83 UK hospital nurses completed three end of shift diaries, yielding 324 person days. Hassles, safety perceptions and workplace cognitive failure were measured daily, and a baseline questionnaire included a measure of chronic stress. Hierarchical multivariate linear modelling was used to analyse the data. ResultsHigher chronic stress was associated with more daily hassles, poorer perceptions of safety, being less able to practise safely, but not more workplace cognitive failure. Reporting more daily hassles was associated with poorer perceptions of safety, being less able to practise safely and more workplace cognitive failure. Chronic stress did not moderate daily associations. The hassles reported illustrate the wide-ranging hassles nurses experienced. ConclusionThe findings demonstrate in addition to chronic stress, the importance of daily hassles for nurses' perceptions of safety, and the hassles experienced by hospital nurses on a daily basis. Nurses' perceive chronic stress and daily hassles to contribute to their perceptions of safety. Measuring the number of daily hassles experienced could proactively highlight when patient safety threats may arise, and as a result interventions could usefully focus on the management of daily hassles.

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“…Furthermore, there are established associations between safety culture and patient outcomes, [57][58][59][60] and evidence to support the relationship between experiencing a higher level of cognitive failure and a higher rate of patient safety incidents. 34 Hence, there is strong evidence to support focusing on perceived safety and experience of workplace cognitive failure, as potential proxies for more objective safety related indicators.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, focusing on factors at the individual nurse level affords us the opportunity to capture potential proxies of active failures. Measuring cognitive failure, which relates to failures in perception, memory, and motor function, 32 may prove useful here, with associations between job characteristics and workplace cognitive failures, 33 and workplace cognitive failure and rate of patient safety incidents 34 previously established in nursing. Thus, in addition to perceptions of safety, daily workplace cognitive failure experienced was also included as an outcome variable in this study.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

The daily relationships between staffing, safety perceptions and personality in hospital nursing: A longitudinal on-line diary study

Louch

O’Hara

Gardner

et al. 2016

International Journal of Nursing Studies

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Impacts of Job Stress and Cognitive Failure on Patient Safety Incidents among Hospital Nurses

Cited by 97 publications

References 10 publications

The Association of Nursing Workloads, Organizational, and Individual Factors with Adverse Patient Outcome

The Association of Nursing Workloads, Organizational, and Individual Factors with Adverse Patient Outcome

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

The daily relationships between staffing, safety perceptions and personality in hospital nursing: A longitudinal on-line diary study

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