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The Association between Mental Health Symptoms and Quality and Safety of Patient Care before and during COVID-19 among Canadian Nurses

1
School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada
2
Department of Educational and Counselling Psychology, and Special Education, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
3
Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada
4
The Institute for Work & Health, Toronto, ON M5G 1S5, Canada
5
School of Nursing, McMaster University, Hamilton, ON L8S 4K1, Canada
*
Author to whom correspondence should be addressed.
Academic Editor: Robbert Gobbens
Healthcare 2022, 10(2), 314; https://doi.org/10.3390/healthcare10020314
Received: 21 December 2021 / Revised: 17 January 2022 / Accepted: 31 January 2022 / Published: 7 February 2022
(1) Background: While the association between nurse mental health and quality and safety of patient care delivery was well documented pre-pandemic, fewer research studies have examined this relationship in the context of COVID-19. This study examines the impact of various mental health symptoms experienced by nurses on quality and safety before and during the COVID-19 pandemic; (2) Methods: A secondary analysis of cross-sectional survey data from 4729 and 3585 nurses in one Canadian province between December 2019 and June-July 2020 was conducted. Data were analyzed using between group difference tests and logistic regression; (3) Results: Compared to pre-COVID-19, during COVID-19 nurses reported a higher safety grade, a greater likelihood of recommending their units for care and lower quality of nursing care. Most mental health symptoms were higher during COVID-19 and higher levels of mental health symptoms were correlated with lower ratings of quality and safety both pre- and during COVID-19; (4) Conclusion: Mental health symptoms have implications for nurses’ quality and safety of patient care delivery, with the association between mental health symptoms and quality and safety following a dose–response relationship before and during COVID-19. These findings suggest that it is worthwhile for nurse mental health symptoms to be included as hospital level performance metrics. View Full-Text
Keywords: nurses; care delivery; mental health; quality and safety; COVID-19 nurses; care delivery; mental health; quality and safety; COVID-19
MDPI and ACS Style

Havaei, F.; Tang, X.; Smith, P.; Boamah, S.A.; Frankfurter, C. The Association between Mental Health Symptoms and Quality and Safety of Patient Care before and during COVID-19 among Canadian Nurses. Healthcare 2022, 10, 314. https://doi.org/10.3390/healthcare10020314

AMA Style

Havaei F, Tang X, Smith P, Boamah SA, Frankfurter C. The Association between Mental Health Symptoms and Quality and Safety of Patient Care before and during COVID-19 among Canadian Nurses. Healthcare. 2022; 10(2):314. https://doi.org/10.3390/healthcare10020314

Chicago/Turabian Style

Havaei, Farinaz, Xuyan Tang, Peter Smith, Sheila A. Boamah, and Caroline Frankfurter. 2022. "The Association between Mental Health Symptoms and Quality and Safety of Patient Care before and during COVID-19 among Canadian Nurses" Healthcare 10, no. 2: 314. https://doi.org/10.3390/healthcare10020314

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