Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident
Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident
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DOI：
10.1097/mlr.0000000000000582
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发表时间：
2016-10-01
期刊：
影响因子：
3
通讯作者：
Vanhaecht, Kris
中科院分区：
文献类型：
--
作者：
Van Gerven, Eva;Elst, Tinne Vander;Vanhaecht, Kris
背景：人为错误在任何地方都会发生，包括在医疗保健领域。目的：调查医护人员个人卷入患者安全事件(PSI)的发生率，以及卷入和伤害程度与问题用药、过量饮酒、职业倦怠风险、工作-家庭干扰(WHI)的关系。研究设计：采用多水平路径分析方法对37家比利时医院的横断面调查数据进行分析。研究对象：26家急诊医院和11家精神科医院的5788名护士(79.4%)和医生(20.6%)。测量标准：在过去6个月内参与患者安全事件、伤害程度和5种结果。结果：9%的样本在之前6个月内参与过PSI。参与PSI与更大的职业倦怠风险(Beta=0.40，OR=2.07)、问题用药(Beta=0.33，OR=1.84)、更大的WHI(Beta=0.24)和更多的离职意向(Beta=0.22)相关。对患者的伤害是问题用药(Beta=0.14，OR=1.56)、职业倦怠风险(Beta=0.16，OR=1.62)和WHI(Beta=0.19)的预测因素。应提供适当的组织应对措施，以减轻负面影响。
Background: Human errors occur everywhere, including in health care. Not only the patient, but also the involved health professional is affected (ie, the "second victim").Objectives: To investigate the prevalence of health care professionals being personally involved in a patient safety incident (PSI), as well as the relationship of involvement and degree of harm with problematic medication use, excessive alcohol consumption, risk of burnout, work-home interference (WHI), and turnover intentions.Research Design: Multilevel path analyses were conducted to analyze cross-sectional survey data from 37 Belgian hospitals.Subjects: A total of 5788 nurses (79.4%) and physicians (20.6%) in 26 acute and 11 psychiatric hospitals were included.Measures: "Involvement in a patient safety incident during the prior 6 months," "degree of harm," and 5 outcomes were measured using self-report scales.Results: Nine percent of the total sample had been involved in a PSI during the prior 6 months. Involvement in a PSI was related to a greater risk of burnout (beta = 0.40, OR= 2.07), to problematic medication use (beta = 0.33, OR= 1.84), to greater WHI (beta = 0.24), and to more turnover intentions (beta = 0.22). Harm to the patient was a predictor of problematic medication use (beta = 0.14, OR= 1.56), risk of burnout (beta = 0.16, OR= 1.62), and WHI (beta = 0.19).Conclusions: Second victims experience significant negative outcomes in the aftermath of a PSI. An appropriate organizational response should be provided to mitigate the negative effects.