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采用RN4CAST@IT‐Ped开展的针对意大利儿科护士工作倦怠及其与临床安全性和不良事件感知的关系的横向多现场研究
Author(s) -
Bagnasco Annamaria,
Dasso Nicoletta,
Rossi Silvia,
Timmins Fiona,
Watson Roger,
Aleo Giuseppe,
Catania Gianluca,
Zanini Milko,
Sasso Loredana
Publication year - 2020
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14401
Subject(s) - burnout , depersonalization , medicine , adverse effect , cross sectional study , patient safety , perception , emotional exhaustion , family medicine , nursing , clinical psychology , psychology , health care , pathology , neuroscience , economics , economic growth
Aim To explore Italian paediatric nurses’ reported burnout and its relationship to their perceptions of safety and adverse events. Design A cross‐sectional study using the RN4CAST@IT‐Ped database with a web‐based survey design. Methods The RN4CAST@IT‐Ped questionnaire was used to collect data in 2017. This comprised three main components: three dimensions (22 items) of the Maslach Burnout Inventory including emotional exhaustion, depersonalization and personal accomplishment. Participants also scored an overall grade of patient safety and estimated the occurrence of adverse clinical events. Results Nurses ( N = 2,243) reported high levels of burnout. Most rated clinical safety as high. The risk of adverse events ranged from 1.3–12.4%. The degree of burnout appeared to influence the perception of safety and adverse events. Conclusion The association between nurses’ burnout and perceptions of higher rates of adverse events and reduced safety in clinical practice is an important finding. However, it is unclear whether this was influenced by a negative state of mind, and whether reduced safety and increased adverse events negatively influenced nurses’ well‐being, thus leading to burnout. Regardless, the association between nurses’ burnout and these quality concepts needs further exploration to examine the effect, if any, on burnout and safety, and identify supportive mechanisms for nurses. Impact The association between reported burnout and perception of safety and risk of adverse events in Italian paediatric nurses has been reported for the first time. Nurses reporting burnout are at greater risk of intensely negative perceptions of clinical safety and adverse events. This is an important finding as perceptions can influence practice and behaviours. Quality measures in children's clinical environments need to go beyond obvious indicators to examine nurses’ well‐being as this also influences quality and safety.