Association of Occupational Burnout and Nursing Errors With Patient Safety

During the daily nursing practice, dangerous situations might appear that, if not recognized and treated early, can lead to fatigue and professional burnout, causing detrimental consequences for the patient's safety and the adequacy of the healthcare quality of the provider. This article aims to synthesize existing research investigating the association between burnout in healthcare professionals with the safety of patient care in the last decade. The authors herein examined specific nurse surveys that involve burnout assessment and association with clinical errors throughout nurse provided care. Results from this search indicate that patient safety culture must be cultivated towards nursing errors and burnout reduction. The prompt recognition of burnout signs is the critical parameter for nursing errors prevention and patient safety, in the long term. Nursing error management is oriented towards investigation of the burnout symptoms and exists as an integral and essential issue for nursing administration to ensure excellent and qualitative patient care.

The Occurrence of Work-related Fatigue and Job Satisfaction in Nursing Staff to the Quality of Care : A Cross-sectional Survey in North-East China

BackgroundPoor quality of care would significantly increase adverse patient outcomes. Improving the quality of care is an urgent priority. The relationship between work-related fatigue and quality of care has not been systematically explored. This paper explores the occurrence of work-related fatigue, job satisfaction, and its relationship with quality of care.MethodsSelf-report questionnaires assessing work-related fatigue and job satisfaction were distributed among 1,299 nurses from 20 hospitals in North-Eastern China. Regression analysis was performed to assess the associations between work-related fatigue, job satisfaction, and quality of care. Mediate effect analysis was used to explore the mediating role of job satisfaction.ResultsApproximately 55% of nurses got moderate or severe work-related fatigue. The results from the t-test indicated that nurses with a high level of work-related fatigue were more prone to nursing errors. The mediation analysis showed that work-related fatigue indirectly affected the quality of care through job satisfaction (indirect effect: β 0.047, 95%Cl 0.040-0-054), while the direct effect was β 0.059, 95%Cl 0.050-0.068.ConclusionsThe present study concluded that more than half of the nurses surveyed were moderate to severe work-related fatigue. Nurses with a high level of work-related fatigue were likely to provide significantly more nursing errors. We confirmed that job satisfaction was a mediator for the relationship between work-related fatigue and quality of care. Therefore, hospitals managers and relevant management departments should consider work-related fatigue and job satisfaction among nurses to improve health services in the future.

Association of Occupational Burnout and Nursing Errors With Patient Safety

During the daily nursing practice, dangerous situations might appear that, if not recognized and treated early, can lead to fatigue and professional burnout, causing detrimental consequences for the patient's safety and the adequacy of the healthcare quality of the provider. This article aims to synthesize existing research investigating the association between burnout in healthcare professionals with the safety of patient care in the last decade. The authors herein examined specific nurse surveys that involve burnout assessment and association with clinical errors throughout nurse provided care. Results from this search indicate that patient safety culture must be cultivated towards nursing errors and burnout reduction. The prompt recognition of burnout signs is the critical parameter for nursing errors prevention and patient safety, in the long term. Nursing error management is oriented towards investigation of the burnout symptoms and exists as an integral and essential issue for nursing administration to ensure excellent and qualitative patient care.

THE OUTCOME OF NURSING ERROR AS ATTRACTIVE TO THE MEDIA

ABSTRACT Objective: to interpret, from the perspective of the Theory of Communicative Action, how the outcome of nursing errors can become attractive to the media, highlighting the main implications for the image of the profession and the imaginary of society. Method: qualitative research, carried out in documentary sources using news published in the major newspapers available online in two countries, Brazil and Portugal, from 2012 to 2016. The analysis of the findings was carried out following the steps of hermeneutics, based on the Theory of Communicative Action. The data were organized and coded in the ATLAS.ti software. Results: the research included 112 published news. Four categories emerged from the analysis: The highlights in the headlines - The beginning of persuasion; Combining image and initial text - An explosive mix; The error that is not an error - The error that is a crime; and Applying the validity claims in the discourses. Conclusion: the media are continuous producers of ideologies and, therefore, possess social responsibility by inducing misinterpretations that can negatively interfere in the nurse-patient interaction. Giving greater emphasis to the outcome of the error, the media influences negatively the people perception of nursing labour which has a unique social importance.

Errors and Near-miss Errors Encountered by Nursing Students in Clinical Settings in Governmental Universities, Khartoum State (2018)

Background: Identifying and analyzing the occurrence and sort of student clinical errors which will allow for early detection of problems and offer chance for system evaluation and improvement. This study intended to explain the types of errors along with near-miss errors encountered by nursing students in clinical settings. Methods: This descriptive cross-sectional study was conducted at five recognized governmental universities in Khartoum State and included 470 nursing students in their fourth year (2017–2018)who met the selection criteria of the study. A full-converge sampling method was used and data were first collected by the researcher using published self-administered survey and then analyzed. Results: Initially, the study included 519 nursing students but only 470 of them responded(at a rate of 90.5%).The responses showed that while one-third of them, that is, 162(34.5%) students, had never encountered an error, 99(21.1%), 79 (16.8%), 71 (15.1%), 46(9.8%), and 13(2.8%) of them encountered errors with respect to needle stick, medical administration, omission of treatment, and wrong treatment, respectively. Regarding the near-miss errors encountered by the respondents, almost half, that is, 202(43%)of them had never encountered a near-miss errors, while 112(23.8%), 106(22.6%), 18(3.8%),17(3.6%), and 15(3.2%) of them encountered near-miss errors with respect to medication administration, omission of treatment, wrong patient, providing wrong treatment and others such as improper bedrail used, did not follow sterile precautions respectively. Conclusion: This study concluded that errors and near-miss errors exist and that awareness on clinical errors and near-misses need to be raised and strategies be developed for error management. Keywords: errors, near-miss errors, nursing students, clinical setting, nursing errors

Research and Analysis of the Effect of Refined Nursing Intervention on COVID-19 Epidemic in Hemodialysis Center Runing Title:Effect of Refined Nursing Intervention on COVID-19 Epidemic

Background To analyze and discuss the effect of clinical refined nursing intervention on maintenance hemodialysis patients during the outbreak of COVID-19.Methods The Symptom Checklist90 (SCL‑90) was used to conduct nursing interventions before, during and after dialysis for maintenance hemodialysis patients, and the results were compared with the Chinese adult SCL‑90 norm.Results The scores of all factors of SCL-90 in maintenance hemodialysis patients are all higher than normal Chinese SCL-90, and patients with a single factor score greater than or equal to 2 have a higher proportion of depression and anxiety, with extremely significant difference (P < 0.01). The depression and anxiety of the patients were reduced after the intervention, and there was a statistical difference. Two nucleic acid test results of 172 patients were negative.Conclusion During the COVID-19 epidemic, providing maintenance hemodialysis patients with refined nursing intervention can improve their health behavior compliance, regulate negative emotions, reduce related complications, improve their quality of life, and improve the nurse-patient relationship. At the same time, it can fundamentally control the occurrence of nursing errors and adverse events, with outstanding clinical application value.