Investigation of Mental and Physical Health of Nurses Associated with Errors in Clinical Practice
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Data Collection
2.3. Instruments
2.4. Data Analysis
3. Results
Demographic Characteristics
4. Discussion
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Garrouste-Orgeas, M.; Philippart, F.; Bruel, C.; Max, A.; Lau, N.; Misset, B. Overview of medical errors and adverse events. Ann. Intensiv. Care 2012, 2, 2. [Google Scholar] [CrossRef] [PubMed]
- Crigger, N.J. Always Having to Say You’re Sorry: An ethical response to making mistakes in professional practice. Nurs. Ethic 2004, 11, 568–576. [Google Scholar] [CrossRef] [PubMed]
- Hashemi, F.; Nikbakht Nasrabadi, A.; Asghari, F. Nurses perceived worries from error disclosure: A qualitative study. Iran. J. Nurs. Res. 2011, 20, 30–43. [Google Scholar]
- Schwappach, D.L.; Boluarte, T.A. The emotional impact of medical error involvementon physicians: A call for leadership and organisational accountability. Swiss Med. Wkly. 2009, 139, 9–15. [Google Scholar]
- De Vries, E.N.; Ramrattan, M.A.; Smorenburg, S.M.; Gouma, D.J.; Boermeester, M.A. The incidence and nature of in-hospital adverse events: A systematic review. BMJ Qual. Saf. 2008, 17, 216–223. [Google Scholar] [CrossRef] [PubMed]
- Valiee, S.; Peyrovi, H.; Nasrabadi, A.N. Critical care nurses’ perception of nursing error and its causes: A qualitative study. Contemp. Nurse 2014, 46, 206–213. [Google Scholar] [CrossRef] [PubMed]
- World Health Organization. World Alliance for Patient Safety: Forward Programme; WHO: Geneva, Switzerland, 2004.
- Johnstone, M.-J.; Kanitsaki, O. The ethics and practical importance of defining, distinguishing and disclosing nursing errors: A discussion paper. Int. J. Nurs. Stud. 2006, 43, 367–376. [Google Scholar] [CrossRef]
- Washington State Nurses’ Association. Medical Errors and Patient Safety; Paper; WSNA Board of Directors: Tukwila, WA, USA, 2005. [Google Scholar]
- Aiken, L.H.; Clarke, S.; Sloane, D.M. Hospital staffing, organization, and quality of care: Cross-national findings. Int. J. Qual. Health Care 2002, 14, 5–14. [Google Scholar] [CrossRef]
- Aiken, L.H.; Clarke, S.; Sloane, D.M.; Sochalski, J.A.; Busse, R.; Clarke, H.; Giovannetti, P.; Hunt, J.; Rafferty, A.M.; Shamian, J. Nurses’ Reports on Hospital Care in Five Countries. Health Aff. 2001, 20, 43–53. [Google Scholar] [CrossRef]
- Delamont, A. How to avoid the top seven nursing errors. Nurs. Made Incred. Easy 2013, 11, 8–10. [Google Scholar] [CrossRef]
- Shim, J.Y.; Seo, N.S.; Kim, M.A.; Park, J.S. Influence of Job Stress, Sleep Quality and Fatigue on Work Engagement in Shift Nurses. Korean J. Stress Res. 2019, 27, 344–352. [Google Scholar] [CrossRef]
- Jørgensen, J.T.; Karlsen, S.; Stayner, L.; Andersen, J.; Andersen, Z.J. Shift work and overall and cause-specific mortality in the Danish nurse cohort. Scand. J. Work Environ. Health 2017, 43, 117–126. [Google Scholar] [CrossRef] [PubMed]
- Vetter, C.; Devore, E.E.; Wegrzyn, L.R.; Massa, J.; Speizer, F.E.; Kawachi, I.; Rosner, B.; Stampfer, M.J.; Schernhammer, E. Association Between Rotating Night Shift Work and Risk of Coronary Heart Disease Among Women. JAMA 2016, 315, 1726–1734. [Google Scholar] [CrossRef]
- Wang, Y.; Gu, F.; Deng, M.; Guo, L.; Lu, C.; Zhou, C.; Chen, S.; Xu, Y. Rotating shift work and menstrual characteristics in a cohort of Chinese nurses. BMC Women’s Health 2016, 16, 24. [Google Scholar] [CrossRef] [PubMed]
- Fujishiro, K.; Hibert, E.L.; Schernhammer, E.; Rich-Edwards, J.W. Shift work, job strain and changes in the body mass index among women: A prospective study. Occup. Environ. Med. 2016, 74, 410–416. [Google Scholar] [CrossRef] [PubMed]
- Lee, G.-J.; Kim, K.; Kim, S.Y.; Kim, J.-H.; Suh, C.; Son, B.-C.; Lee, C.-K.; Choi, J. Effects of shift work on abdominal obesity among 20–39-year-old female nurses: A 5-year retrospective longitudinal study. Ann. Occup. Environ. Med. 2016, 28, 69. [Google Scholar] [CrossRef] [PubMed]
- Vedaa, Ø.; Mørland, E.; Larsen, M.; Harris, A.; Erevik, E.; Sivertsen, B.; Bjorvatn, B.; Waage, S.; Pallesen, S. Sleep Detriments Associated with Quick Returns in Rotating Shift Work. J. Occup. Environ. Med. 2017, 59, 522–527. [Google Scholar] [CrossRef]
- Scott, L.D.; Arslanian-Engoren, C.; Engoren, M.C. Association of Sleep and Fatigue with Decision Regret Among Critical Care Nurses. Am. J. Crit. Care 2014, 23, 13–23. [Google Scholar] [CrossRef]
- Arslanian-Engoren, C.; Scott, L.D. Clinical decision regret among critical care nurses: A qualitative analysis. Heart Lung 2014, 43, 416–419. [Google Scholar] [CrossRef]
- Barger, L.K.; Rajaratnam, S.; Wang, W.; O’Brien, C.S.; Sullivan, J.P.; Qadri, S.; Lockley, S.W.; Czeisler, C.A. Common Sleep Disorders Increase Risk of Motor Vehicle Crashes and Adverse Health Outcomes in Firefighters. J. Clin. Sleep Med. 2015, 11, 233–240. [Google Scholar] [CrossRef]
- Olds, D.M.; Clarke, S.P. The effect of work hours on adverse events and errors in health care. J. Saf. Res. 2010, 41, 153–162. [Google Scholar] [CrossRef] [PubMed]
- Hall, L.H.; Johnson, J.; Watt, I.; Tsipa, A.; O’Connor, D.B. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS ONE 2016, 11, e0159015. [Google Scholar] [CrossRef] [PubMed]
- Makary, A.M.; Daniel, M. Medical error—the third leading cause of death in the US. BMJ 2016, 353, i2139. [Google Scholar] [CrossRef] [PubMed]
- Goldberg, D.P.; Hillier, V.F. A scaled version of the General Health Questionnaire. Psychol. Med. 1979, 9, 139–145. [Google Scholar] [CrossRef]
- Benner, P.; Malloch, K.; Sheets, V.; Bitz, K.; Emrich, L.; Thomas, M.B.; Bowen, K.; Scott, K.; Patterson, L.; Schwed, K.; et al. TERCAP: Creating a national database on nursing errors. Harv. Health Policy Rev. 2006, 7, 48–63. [Google Scholar]
- Smith, B.W.; Dalen, J.; Wiggins, K.; Tooley, E.; Christopher, P.; Bernard, J. The brief resilience scale: Assessing the ability to bounce back. Int. J. Behav. Med. 2008, 15, 194–200. [Google Scholar] [CrossRef]
- Arimura, M.; Imai, M.; Okawa, M.; Fujimura, T.; Yamada, N. Sleep, Mental Health Status, and Medical Errors among Hospital Nurses in Japan. Ind. Health 2010, 48, 811–817. [Google Scholar] [CrossRef]
- Gold, D.R.; Rogacz, S.; Bock, N.; Tosteson, T.D.; Baum, T.M.; Speizer, F.E.; Czeisler, C.A. Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses. Am. J. Public Health 1992, 82, 1011–1014. [Google Scholar] [CrossRef]
- Drach-Zahavy, A.; Hadid, N. Nursing handovers as resilient points of care: Linking handover strategies to treatment errors in the patient care in the following shift. J. Adv. Nurs. 2015, 71, 1135–1145. [Google Scholar] [CrossRef]
- West, C.P.; Tan, A.D.; Habermann, T.M.; Sloan, J.A.; Shanafelt, T.D. Association of Resident Fatigue and Distress with Perceived Medical Errors. JAMA 2009, 302, 1294–1300. [Google Scholar] [CrossRef]
- Al-Kandari, F.; Thomas, D. Perceived adverse patient outcomes correlated to nurses’ workload in medical and surgical wards of selected hospitals in Kuwait. J. Clin. Nurs. 2009, 18, 581–590. [Google Scholar] [CrossRef] [PubMed]
- Moyen, E.; Camiré, E.; Stelfox, H.T. Clinical review: Medication errors in critical care. Crit. Care 2008, 12, 208. [Google Scholar] [CrossRef] [PubMed]
- Kane-Gill, S.; Weber, R.J. Principles and Practices of Medication Safety in the ICU. Crit. Care Clin. 2006, 22, 273–290. [Google Scholar] [CrossRef] [PubMed]
- Melnyk, B.M.; Orsolini, L.; Tan, A.; Arslanian-Engoren, C.; Melkus, G.D.; Dunbar-Jacob, J.; Rice, V.H.; Millan, A.; Dunbar, S.B.; Braun, L.T.; et al. A National Study Links Nurses’ Physical and Mental Health to Medical Errors and Perceived Worksite Wellness. J. Occup. Environ. Med. 2018, 60, 126–131. [Google Scholar] [CrossRef]
- Project to Collect Medical Near-Miss/Adverse Events Information 2010 Annual Report. Available online: http://www.med-safe.jp/pdf/report_21.pdf (accessed on 3 March 2022).
- Koen, M.P.; Van Eeden, C.; Wissing, M.P. The prevalence of resilience in a group of professional nurses. Health SA Gesondheid 2011, 16, 11. [Google Scholar] [CrossRef]
N (%) | |
---|---|
Gender | |
Men | 46 (12.7) |
Women | 318 (87.3) |
Age | |
22–35 | 159 (43.6) |
36–45 | 132 (36.2) |
46+ | 73 (20.2) |
Married/Living with partner | 182 (50) |
Children | 166 (45.6) |
Educational level | |
High school/secondary education | 36 (9.9) |
Two-year college graduate | 27 (7.4) |
University alumni | 175 (48) |
MSc/PhD holder | 126 (34.7) |
Specialized | 37 (10.2) |
Monthly income | |
EUR 500–EUR 1000 | 184 (50.5) |
EUR 1001– EUR 1500 | 170 (46.7) |
EUR 1501– EUR 2000 | 9 (2.5) |
EUR 2001 and above | 1 (0.3) |
Second job | 44 (12.1) |
Greek native speaker | 345 (94.7) |
Years of experience in present hospital, median (IQR) | 9 (1–15) |
Total number of beds in use in your unit, median (IQR) | 12 (7–20.5) |
Total number of beds in your unit, median (IQR) | 14.5 (9–30) |
Brief Resilience Score, mean (SD) | 20.4 (4.2) |
Total Sample | During Your Professional Career, Has Any Error Ever Occurred in Your Workplace? | ||||||
---|---|---|---|---|---|---|---|
No (N = 124; 34.1%) | Yes (N = 240; 65.9%) | ||||||
Mean | SD | Mean | SD | Mean | SD | p Student’s t-Test | |
Somatic symptoms | 7.67 | 4.64 | 6.93 | 4.48 | 8.06 | 4.68 | 0.030 |
Anxiety/insomnia | 7.48 | 5.15 | 6.93 | 5.30 | 7.77 | 5.07 | 0.147 |
Social dysfunction | 8.31 | 3.66 | 8.11 | 4.13 | 8.42 | 3.39 | 0.435 |
Severe depression | 2.23 | 3.54 | 2.10 | 3.69 | 2.30 | 3.46 | 0.617 |
Total GHQ-28 score | 25.78 | 12.64 | 24.18 | 11.53 | 26.58 | 13.11 | 0.094 |
Somatic Symptoms | Anxiety/Insomnia | |||||
---|---|---|---|---|---|---|
β + | SE ++ | p | β + | SE ++ | p | |
Gender | ||||||
Men | ||||||
Women | 1.22 | 0.80 | 0.130 | 0.34 | 0.80 | 0.670 |
Age | ||||||
22–35 | ||||||
36–45 | −1.39 | 0.71 | 0.050 | −2.56 | 0.73 | <0.001 |
46+ | −0.99 | 1.12 | 0.375 | −3.46 | 1.15 | 0.003 |
Married/Living with partner | ||||||
No | ||||||
Yes | 0.44 | 0.69 | 0.525 | −0.28 | 0.70 | 0.688 |
Children | ||||||
No | ||||||
Yes | 0.56 | 0.76 | 0.456 | 1.78 | 0.78 | 0.022 |
Educational level | ||||||
High school graduate/Two-year college graduate | ||||||
University alumni | −0.95 | 0.78 | 0.226 | −0.65 | 0.81 | 0.423 |
MSc/PhD holder | 0.36 | 0.82 | 0.664 | 1.13 | 0.85 | 0.185 |
Specialized | ||||||
No | ||||||
Yes | 0.50 | 0.93 | 0.595 | −0.36 | 0.96 | 0.709 |
Monthly income | ||||||
EUR 500-EUR 1000 | ||||||
EUR 1001 and above | −0.13 | 0.60 | 0.824 | −0.38 | 0.61 | 0.540 |
Second job | ||||||
No | ||||||
Yes | 1.43 | 0.75 | 0.057 | 1.21 | 0.77 | 0.118 |
Greek native speaker | ||||||
No | ||||||
Yes | 1.02 | 1.59 | 0.522 | 0.56 | 1.64 | 0.732 |
Years of experience in present hospital | −0.01 | 0.05 | 0.879 | 0.05 | 0.05 | 0.256 |
Total number of beds in use in your unit | −0.003 | 0.019 | 0.873 | −0.001 | 0.020 | 0.953 |
Total number of beds in your unit | 0.001 | 0.014 | 0.935 | 0.002 | 0.014 | 0.893 |
Brief Resilience Score | −0.39 | 0.06 | <0.001 | −0.61 | 0.06 | <0.001 |
During your professional career, has any error ever occurred in your workplace? | ||||||
No | ||||||
Yes | 1.05 | 0.54 | 0.050 | 0.42 | 0.55 | 0.449 |
Social Dysfunction | Severe Depression | |||||
---|---|---|---|---|---|---|
β + | SE ++ | p | β + | SE ++ | p | |
Gender | ||||||
Men | ||||||
Women | 0.32 | 0.65 | 0.624 | 0.56 | 0.60 | 0.349 |
Age | ||||||
22–35 | ||||||
36–45 | −1.04 | 0.59 | 0.080 | −0.53 | 0.54 | 0.325 |
46+ | −1.11 | 0.94 | 0.236 | −1.66 | 0.86 | 0.054 |
Married/Living with partner | ||||||
No | ||||||
Yes | 0.70 | 0.57 | 0.225 | 0.07 | 0.53 | 0.889 |
Children | ||||||
No | ||||||
Yes | −0.42 | 0.63 | 0.508 | 0.45 | 0.58 | 0.439 |
Educational level | ||||||
High school graduate/Two-year college graduate | ||||||
University alumni | −0.89 | 0.65 | 0.173 | −0.68 | 0.60 | 0.257 |
MSc/PhD holder | −0.94 | 0.69 | 0.170 | 0.13 | 0.63 | 0.842 |
Specialized | ||||||
No | ||||||
Yes | 0.54 | 0.78 | 0.487 | −0.07 | 0.72 | 0.922 |
Monthly income | ||||||
EUR 500–EUR 1000 | ||||||
EUR 1001 and above | −0.70 | 0.50 | 0.164 | −0.72 | 0.46 | 0.119 |
Second job | ||||||
No | ||||||
Yes | −0.48 | 0.63 | 0.444 | 0.09 | 0.58 | 0.879 |
Greek native speaker | ||||||
No | ||||||
Yes | −1.65 | 1.34 | 0.217 | 0.48 | 1.22 | 0.698 |
Years of experience in present hospital | 0.03 | 0.04 | 0.498 | 0.05 | 0.04 | 0.130 |
Total number of beds in use in your unit | 0.008 | 0.016 | 0.606 | −0.019 | 0.015 | 0.197 |
Total number of beds in your unit | 0.005 | 0.012 | 0.641 | 0.013 | 0.011 | 0.223 |
Brief Resilience Score | −0.06 | 0.05 | 0.255 | −0.25 | 0.05 | <0.001 |
During your professional career, has any error ever occurred in your workplace? | ||||||
No | ||||||
Yes | 0.20 | 0.45 | 0.657 | 0.42 | 0.41 | 0.305 |
Total Score GHQ-28 | |||
---|---|---|---|
β + | SE ++ | p | |
Gender | |||
Men | |||
Women | 3.49 | 2.09 | 0.095 |
Age | |||
22–35 | |||
36–45 | −5.49 | 1.85 | 0.003 |
46+ | −7.24 | 2.91 | 0.013 |
Married/Living with partner | |||
No | |||
Yes | 1.11 | 1.79 | 0.535 |
Children | |||
No | |||
Yes | 2.31 | 1.97 | 0.241 |
Educational level | |||
High school graduate/Two-year college graduate | |||
University alumni | −3.56 | 2.06 | 0.085 |
MSc/PhD holder | 0.35 | 2.15 | 0.873 |
Specialized | |||
No | |||
Yes | 0.56 | 2.43 | 0.818 |
Monthly income | |||
EUR 500–EUR 1000 | |||
EUR 1001 and above | −1.77 | 1.56 | 0.256 |
Second job | |||
No | |||
Yes | 2.42 | 1.96 | 0.216 |
Greek native speaker | |||
No | |||
Yes | 0.35 | 4.15 | 0.934 |
Years of experience in present hospital | 0.13 | 0.12 | 0.293 |
Total number of beds in use of your unit | −0.014 | 0.050 | 0.779 |
Total number of beds of your unit | 0.022 | 0.036 | 0.546 |
Brief Resilience Score | −1.28 | 0.16 | <0.001 |
During your professional career, has any error ever occurred in your workplace? | |||
No | |||
Yes | 2.34 | 1.40 | 0.097 |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Pappa, D.; Koutelekos, I.; Evangelou, E.; Dousis, E.; Gerogianni, G.; Misouridou, E.; Zartaloudi, A.; Margari, N.; Toulia, G.; Mangoulia, P.; et al. Investigation of Mental and Physical Health of Nurses Associated with Errors in Clinical Practice. Healthcare 2022, 10, 1803. https://doi.org/10.3390/healthcare10091803
Pappa D, Koutelekos I, Evangelou E, Dousis E, Gerogianni G, Misouridou E, Zartaloudi A, Margari N, Toulia G, Mangoulia P, et al. Investigation of Mental and Physical Health of Nurses Associated with Errors in Clinical Practice. Healthcare. 2022; 10(9):1803. https://doi.org/10.3390/healthcare10091803
Chicago/Turabian StylePappa, Despoina, Ioannis Koutelekos, Eleni Evangelou, Evangelos Dousis, Georgia Gerogianni, Evdokia Misouridou, Afroditi Zartaloudi, Nikoletta Margari, Georgia Toulia, Polyxeni Mangoulia, and et al. 2022. "Investigation of Mental and Physical Health of Nurses Associated with Errors in Clinical Practice" Healthcare 10, no. 9: 1803. https://doi.org/10.3390/healthcare10091803
APA StylePappa, D., Koutelekos, I., Evangelou, E., Dousis, E., Gerogianni, G., Misouridou, E., Zartaloudi, A., Margari, N., Toulia, G., Mangoulia, P., Ferentinou, E., Giga, A., & Dafogianni, C. (2022). Investigation of Mental and Physical Health of Nurses Associated with Errors in Clinical Practice. Healthcare, 10(9), 1803. https://doi.org/10.3390/healthcare10091803