Relationship of Adverse Events and Support to RN Burnout

Abstract

Registered nurse (RN) "second victims" are RNs who are harmed from their involvement in medical errors. This study used the conceptual model nurse experience of medical errors and found a relationship between RN involvement in preventable adverse events and 2 domains of burnout: emotional exhaustion (P = .009) and depersonalization (P = .030). Support to RNs involved in preventable adverse events was inversely related to RN emotional exhaustion (P < .001) and depersonalization (P = .003) and positively related to personal accomplishment (P = .002).

Psychological responses, coping and supporting needs of healthcare professionals as second victims

“…An association between involvement in AE and two burnout domains, higher emotional exhaustion and depersonalization, was established among nurses, indicating that responses are greater than a mere emotional reaction (Lewis et al. ). Additionally, second victim support was inversely related to nurses' emotional exhaustion and depersonalization, and positively related to personal accomplishment, suggesting that distress could be mitigated with appropriate support (Prins et al.…”

“…However, as cross‐sectional data were employed, cause‐and‐effect relationships were inconclusive (Lewis et al. ). Second victims' fears were directed at several aspects.…”

Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors

“…58–62 The support systems for second victims remain underdeveloped in many practice settings, and our findings suggest that increased support may be needed for physicians involved in medical errors. 19,58,59 Conversely, depression and suicidality are well described among physicians in general and conceptually likely to affect job performance and predispose toward subsequent errors. 10,11 Depression among internal medicine residents and surgeons has been linked to a 90% to 220% increase in the odds of subsequent self-reported medical error in longitudinal studies.…”

Occupational Burnout Syndrome in the nursing context: an integrative literature review

“…Studies in recent years have explored the occurrence of OBS, measured their levels and correlated them with sociodemographic and occupational variables, psychosocial risks and other constructs in order to understand its genesis (29) . However, further studies seem necessary to analyze the relationship between the occurrence of OBS and occupational conditions and work organization (23,52,57,68,101) , and to investigate the mediation that teamwork and organizational support may play in the onset of the syndrome (37,49,83,86) .…”

“…Studies rely on samples ranging from 11 to 11,000 participants, and because there is no standard for measuring the syndrome, it is not possible to conduct a more categorical assessment of the results. However, by analyzing the mean scores of some studies, in most cases it can be noticed that nursing professionals manifest low-moderate EE, low DS and moderate PA (2)(3)17,19,23,(27)(28)30,34,36,(49)(50)(51)(52)(53)(54)57,(59)(60)(62)(63)(64)(73)(74)(75)(76)(77)(78)(79)(81)(82)(83)(84)(85)(86)91,(93)(94)101,105) . Nursing technicians and assistants have higher levels of the syndrome compared to nurses, although this difference is small (10,13,50,91) .…”