Association between culture of patient safety and burnout in pediatric hospitals

Garcia, Cí­ntia de Lima; Bezerra, Ítalla Maria Pinheiro; Ramos, José Lucas Souza; Valle, Joseane Elza Tonussi Mendes Rossette do; Oliveira, Maryldes Lucena Bezerra de; Abreu, Luíz Carlos de

doi:10.1371/journal.pone.0218756

Cited by 30 publications

(21 citation statements)

References 47 publications

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“…These results were consistent with the literature. For instance, one study found that burnout grades among health care workers were associated with patient safety (de Lima Garcia et al, 2019 ). In addition, another study examined paediatric nurses' QOL and found that lower QOL was associated with poorer quality of patient care (Berger et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

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Burnout, quality of life and perceived patient adverse events among paediatric nurses during the COVID‐19 pandemic

Khatatbeh

Al‐Dwaikat

Alfatafta

et al. 2022

Journal of Clinical Nursing

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Purpose This cross‐sectional, descriptive, correlational study aimed to measure burnout, quality of life (QOL) and perceptions of patient‐related adverse events among paediatric nurses amid the COVID‐19 pandemic and assess the relationships between these scores and participants' demographic and work‐related characteristics. Background The mental health of most nurses may severely suffer due to the significant adversities that they struggle with while they care for their patients amid the COVID‐19 pandemic. Mental distress negatively affects nurses' relationships and work performance, which may adversely influence the quality of care and patient safety. Methods A convenient sample of 225 Jordanian paediatric nurses completed a test batter comprising the Copenhagen Burnout Inventory, the Brief Version of the World Health Organisation's Quality of Life questionnaire and the nurse‐perceived patient adverse events' questionnaire. This study was prepared and is reported according to the STROBE checklist. Results Paediatric nurses reported high levels of burnout, low QOL and high occurrence of hospital‐acquired infections. Participants' age and hospital/unit capacity were significantly associated with burnout and QOL. Conclusion Personal traits, perceived salary insufficiency and hospital/unit capacity represent factors that aggravate burnout, lower quality of life and worsen perceived patient safety among paediatric nurses. Relevance to clinical practice Policymakers should promote nurses' mental integrity and patient safety by addressing issues of workload and financial sufficiency and by provide interventions aimed to increase nurses' resilience. Patient or public contribution Patients or public were not involved in setting the research question, the outcome measures, the design or implementation of the study. However, paediatric nurses responded to the research questionnaires.

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Section: Discussionmentioning

confidence: 99%

“…Furthermore, burnout was negatively correlated with nurses' QOL (Erkorkmaz et al, 2018 ). Finally, the low QOL and high burnout levels among paediatric nurses may negatively impact patient safety (de Lima Garcia et al, 2019 ; Hall et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Burnout, quality of life and perceived patient adverse events among paediatric nurses during the COVID‐19 pandemic

Khatatbeh

Al‐Dwaikat

Alfatafta

et al. 2022

Journal of Clinical Nursing

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“…[10][11][12] It has been suggested that burnout may be associated with issues relating to patient safety, as both burnout and patient safety relate to organisational, social and individual factors which depend on environmental resources. [13] There is also evidence that medical errors and their sequalae can in turn cause or worsen practitioner burnout and mental health problems, an effect that may be compounded by organisational factors including an organisational culture of blame, inadequate personal support and suboptimal administrative support [14,15]. Two key systematic reviews examined the relationship between burnout and patient safety.…”

Section: Introductionmentioning

confidence: 99%

Physician burnout and symptom of anxiety and depression: Burnout in Consultant Doctors in Ireland Study (BICDIS)

Crudden

Margiotta

Doherty

2022

Preprint

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Background Burnout is a work related syndrome comprising three major dimensions: emotional exhaustion, depersonalisation and reduced professional efficacy. It is recognised that burnout may be associated with psychopathological sequelae, such as symptoms of anxiety and depression. Aims This study aimed to examine the relationship between burnout and symptoms of depression and anxiety in senior doctors in Ireland. We examined personality traits as a mediating factor on burnout, in relation to work related stress among the participants. Methods This study was a national cross sectional survey of consultants. Data included basic demographic data, work-related data, burnout as measured by the Maslach Burnout Inventory, personality traits, and symptoms of depression and anxiety from the Depressive Anxiety Stress Scale [DASS}. Results Results were obtained from 477 consultants, yielding a response rate 21.9%. Nearly half (42%) reported high burnout levels. The Depression and Anxiety Stress Scale revealed high levels of stress symptoms, and lower levels of anxiety symptoms. After controlling for gender and age, depressive symptoms were associated with high levels of emotional exhaustion and a higher clinical workload Conclusions The this study reported a high level of work related burnout, associated with symptoms of depression and anxiety in senior doctors. This is concerning, and strategies are required that consider the relationship between personality and burnout. Further research to evaluate strategies to ensure physician wellbeing and optimal delivery of patient care are required to address this serious problem.

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“…How organisations deal with these events and support the patients and staff involved is important. Having a well-developed safety culture of shared values, attitudes and patterns of behaviour regarding safety [ 7 ] can reduce adverse events [ 8 , 9 ] and staff burnout [ 10 ]. Second victim recovery is also supported by active incident learning [ 7 ] and debriefing processes [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of after action review on safety culture and second victim experience and its implementation in an Irish hospital: A mixed methods study protocol

McCarthy¹,

Keane²,

Walsh³

et al. 2021

PLoS ONE

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Background After Action Review is a form of facilitated team learning and review of events. The methodology originated in the United States Army and forms part of the Incident Management Framework in the Irish Health Services. After Action Review has been hypothesized to improve safety culture and the effect of patient safety events on staff (second victim experience) in health care settings. Yet little direct evidence exists to support this and its implementation has not been studied. Aim To investigate the effect of After Action Review on safety culture and second victim experience and to examine After Action Review implementation in a hospital setting. Methods A mixed methods study will be conducted at an Irish hospital. To assess the effect on safety culture and second victim experience, hospital staff will complete surveys before and twelve months after the introduction of After Action Review to the hospital (Hospital Survey on Safety Culture 2.0 and Second Victim Experience and Support Tool). Approximately one in twelve staff will be trained as After Action Review Facilitators using a simulation based training programme. Six months after the After Action Review training, focus groups will be conducted with a stratified random sample of the trained facilitators. These will explore enablers and barriers to implementation using the Theoretical Domains Framework. At twelve months, information will be collected from the trained facilitators and the hospital to establish the quality and resource implications of implementing After Action Review. Discussion The results of the study will directly inform local hospital decision-making and national and international approaches to incorporating After Action Review in hospitals and other healthcare settings.

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Association between culture of patient safety and burnout in pediatric hospitals

Abstract: Conclusion The study evidenced the influence of all patient safety domains for the development of burnout syndrome in pediatric professionals. Also, it was identified that the organizational climate is the main determinant of burnout, especially in what refers to "teamwork between units".

Cited by 30 publications

References 47 publications

Burnout, quality of life and perceived patient adverse events among paediatric nurses during the COVID‐19 pandemic

Burnout, quality of life and perceived patient adverse events among paediatric nurses during the COVID‐19 pandemic

Physician burnout and symptom of anxiety and depression: Burnout in Consultant Doctors in Ireland Study (BICDIS)

Effect of after action review on safety culture and second victim experience and its implementation in an Irish hospital: A mixed methods study protocol

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