Nurse burnout and patient safety outcomes - Nurse safety perception versus reporting behavior

被引:155
作者
Halbesleben, Jonathon R. B. [1 ]
Wakefield, Bonnie J. [2 ,3 ]
Wakefield, Douglas S. [2 ]
Cooper, Lynn B. [3 ]
机构
[1] Univ Wisconsin, Eau Claire, WI 54701 USA
[2] Univ Missouri, Columbia, MO 65211 USA
[3] Harry S Truman Mem Vet Hosp, Columbia, MO 65201 USA
关键词
burnout; professional; medical error; safety; perceptions;
D O I
10.1177/0193945907311322
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
This article examines the relationship between nurse burnout and patient safety indicators, including both safety perceptions and reporting behavior. Based on the Conservation of Resources model of stress and burnout, it is predicted that burnout will negatively affect both patient safety perceptions and perceived likelihood of reporting events. Nurses from a Veteran's Administration hospital completed the Maslach Burnout Inventory and safety outcomes subset of measures from the Agency for Healthcare Research and Quality Patient Safety Culture measure. After controlling for work-related demographics, multiple regression analysis supported the prediction that burnout was associated with the perception of lower patient safety. Burnout was not associated with event-reporting behavior but was negatively associated with reporting of mistakes that did not lead to adverse events. The findings extend previous research on the relationship between burnout and patient outcomes and offer avenues for future research on how nurse motivation resources are invested in light of their stressful work environment.
引用
收藏
页码:560 / 577
页数:18
相关论文
共 53 条
[1]  
Aiken L.H., 2002, JAMA-J AM MED ASSOC, V288, P1987, DOI [DOI 10.1001/JAMA.288.16.1987, 10.1001/jama.288.16.1987, 10.1001/jam a.288.16.1987]
[2]  
ALBERT VL, 1993, NEONATAL PHARM Q, V2, P37
[3]   Response rates to mail surveys published in medical journals [J].
Asch, DA ;
Jedrziewski, MK ;
Christakis, NA .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1997, 50 (10) :1129-1136
[4]  
Bakker AB, 2000, J ORGAN BEHAV, V21, P425, DOI 10.1002/(SICI)1099-1379(200006)21:4<425::AID-JOB21>3.0.CO
[5]  
2-#
[6]  
Baltes P.B., 1990, SUCCESSFUL AGING PER, P1, DOI [10.1017/CBO9780511665684.003, DOI 10.1017/CBO9780511665684.003]
[7]   On the incomplete architecture of human ontogeny - Selection, optimization, and compensation as foundation of developmental theory [J].
Baltes, PB .
AMERICAN PSYCHOLOGIST, 1997, 52 (04) :366-380
[8]  
Burnard P, 2000, J Psychiatr Ment Health Nurs, V7, P523
[9]   The job demands-resources model of burnout [J].
Demerouti, E ;
Bakker, AB ;
Nachreiner, F ;
Schaufeli, WB .
JOURNAL OF APPLIED PSYCHOLOGY, 2001, 86 (03) :499-512
[10]   The role of positive emotions in positive psychology - The broaden-and-build theory of positive emotions [J].
Fredrickson, BL .
AMERICAN PSYCHOLOGIST, 2001, 56 (03) :218-226