Identification of factors which affect the tendency towards and attitudes of emergency unit nurses to make medical errors

Kıymaz, Dilek; Koç, Zeliha

doi:10.1111/jocn.14148

Cited by 49 publications

(56 citation statements)

References 26 publications

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“…10,11 Kıymaz ve Koç acil servis hemşirelerinin tıbbi hataya yönelik olumlu tutum sergilediklerini belirlemiştir. 12 Korhan ve ark. hemşirelerde tıbbi hataya yönelik tutumun olumlu olduğunu tespit etmiştir.…”

Section: Discussionunclassified

Cerrahi Kliniklerde Çalışan Hemşirelerinin Tıbbi Hataya Yönelik Tutumlarının Belirlenmesi

Dığın

Özkan

2020

Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi

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Amaç: Bu çalışmanın amacı cerrahi kliniklerinde çalışan hemşirelerin tıbbi hataya yönelik tutumlarını belirlemektir. Yöntem: Tanımlayıcı tipteki bu çalışmanın verileri bir üniversite ve kamu hastanesinin cerrahi kliniklerinde çalışan 103 hemşirenin katılımıyla Nisan 2019-Mayıs 2019 tarihleri arasında gerçekleştirilmiştir. Örneklemin evreni temsil gücü %76'dır. Çalışma öncesinde etik kurul ve kurum izinleri alınmıştır. Veri toplamada hemşire bilgi formu ve Tıbbi hatalarda tutum ölçeği kullanılmıştır. Veriler SPSS 22.0 paket programında Shapiro Wilk Testi, Ki kare, Kruskal Wallis testleri ve Spearman korelasyon analiz yöntemleri kullanılarak analiz edilmiştir Bulgular: Hemşirelerinin yaş ortalamasının 33.7±7.9 yıl olduğu, %83.5'inin kadın olduğu belirlendi. Hemşirelerin tıbbi hataya yönelik tutum ölçeği toplam puan ortalaması 3.4±0.2 olarak bulundu. Ölçek alt boyut puan ortalamaları tıbbi hata algısı için 2.8±0.7 ve tıbbi hata yaklaşımı için 4.0±0.4, tıbbi hata nedenleri için 3.6±0.2 olarak hesaplandı. Tıbbi hataya yönelik tutum ölçeği puan ortalamasının yaş, cinsiyet, çalışma yılı, çalışılan servis ve haftalık çalışma saatinden etkilenmediği saptandı (p>0.05). Sonuç: Sonuç olarak, cerrahi hemşirelerinin tıbbi hataların ve hata bildiriminin önemi hakkında farkındalıklarının yüksek olduğu belirlendi. Hemşirelerin tıbbi hataya yönelik tutumlarını geliştirmek için hizmet içi eğitimlerin düzenlenmesini ve hemşirelerin tıbbi hataya yönelik tutumlarını etkileyen faktörleri belirlemek için araştırmalar yapılmasını önermekteyiz.

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Section: Discussionunclassified

Cerrahi Kliniklerde Çalışan Hemşirelerinin Tıbbi Hataya Yönelik Tutumlarının Belirlenmesi

Dığın

Özkan

2020

Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi

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“…Most significantly, burnout is known to contribute to patient safety events [5,15]. Physicians and nurses with burnout are more likely to make medical errors, deliver a lower quality of care, and communicate poorly with their patients [4,14,[16][17][18][19][20][21][22][23][24][25][26][27][28]. Burnout is associated with higher 30-day mortality and rates of hospital-acquired infections [5].…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

Death Cafés for prevention of burnout in intensive care unit employees: study protocol for a randomized controlled trial (STOPTHEBURN)

Bateman

Hammer

Byrne

et al. 2020

Trials

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Background Burnout is an occupational syndrome that leads to mental health problems, job turnover, and patient safety events. Those caring for critically ill patients are especially susceptible due to high patient mortality, long hours, and regular encounters with trauma and ethical issues. Interventions to prevent burnout in this population are needed. Preliminary studies suggest debriefing sessions may reduce burnout. This study aims to assess whether participation in regular debriefing can prevent burnout in intensive care unit (ICU) clinicians. Methods A randomized controlled trial will be conducted in two large academic medical centers. Two hundred ICU clinicians will be recruited with target enrollment of 100 physicians and 100 non-physicians (nurses, pharmacists, therapists). Participants must have worked in the ICU for the equivalent of at least 1 full time work week in the preceding 4 weeks. Enrolled subjects will be randomized to virtually attend biweekly debriefing sessions facilitated by a psychotherapist for 3 months or to a control arm without sessions. Our debriefs are modeled after Death Cafés, which are informal discussions focusing on death, dying, loss, grief, and illness. These sessions allow for reflection on distressing events and offer community and collaboration among hospital employees outside of work. The primary outcome is clinician burnout as measured by the Maslach Burnout Inventory (MBI) Score. Secondary outcomes include depression and anxiety, as measured by the Patient Health Questionnaire 8 (PHQ-8) and Generalized Anxiety Disorder 7-item scale (GAD-7), respectively. Questionnaires will be administered prior to the intervention, at 1 month, at 3 months, and at 6 months after enrollment. These values will be compared between groups temporally. Qualitative feedback will also be collected and analyzed. Discussion With ICU clinician burnout rates exceeding 50%, Death Café debriefing sessions may prove to be an effective tool to avert this debilitating syndrome. With COVID-19 limiting social interactions and overloading ICUs worldwide, the virtual administration of the Death Café for ICU clinicians provides an innovative strategy to potentially mitigate burnout in this vulnerable population. Trial registration ClinicalTrials.gov NCT04347811. Registered on 15 April 2020

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“…6,16 Physicians and nurses with burnout are more likely to make medical errors, deliver a lower quality of care, and communicate poorly with their patients. 5,15,[17][18][19][20][21][22][23][24][25][26][27][28][29] Burnout is associated with higher 30-day mortality and rates of hospital-acquired infections. 6 In spite of the growing awareness of the consequences of burnout, interventions to prevent or address burnout are sparse in the literature.…”

Section: Introduction Background and Rationale {6a}mentioning

confidence: 99%

Death Cafes for Prevention of Burnout in Intensive Care Unit Employees: Study Protocol for a Randomized Controlled Trial (STOPTHEBURN)

Bateman

Hammer

Byrne

et al. 2020

Preprint

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Background: Burnout is an occupational syndrome that leads to mental health problems, job turnover, and patient safety events. Those caring for critically ill patients are especially susceptible due to high patient mortality, long hours, and regular encounters with trauma and ethical issues. Interventions to prevent burnout in this population are needed. Preliminary studies suggest debriefing sessions may reduce burnout. This study aims to assess whether participation in regular debriefing can prevent burnout in intensive care unit (ICU) clinicians.Methods: A randomized controlled trial will be conducted in two large academic medical centers. 200 ICU clinicians will be recruited with target enrollment of 100 physicians and 100 non-physicians (nurses, pharmacists, therapists). Participants must have worked in the ICU for the equivalent of at least 1 full time work week in the preceding 4 weeks. Enrolled subjects will be randomized to virtually attend biweekly debriefing sessions facilitated by a psychotherapist for 3 months or to a control arm without sessions. Our debriefs are modelled after Death Cafés, which are informal discussions focusing on death, dying, loss, grief and illness. These sessions allow for reflection on distressing events and offer community and collaboration among hospital employees outside of work. The primary outcome is clinician burnout as measured by the Maslach Burnout Inventory (MBI) Score. Secondary outcomes include depression and anxiety, as measured by the patient health questionnaire 8 (PHQ-8) and generalized anxiety disorder 7-item scale (GAD-7), respectively. Questionnaires will be administered prior to the intervention, at 1 month, at 3 months, and at 6 months after enrollment. These values will be compared between groups temporally. Qualitative feedback will also be collected and analyzed. This trial was registered prospectively with clinicaltrials.gov on April 15, 2020 (NCT04347811).Discussion: With ICU clinician burnout rates exceeding 50%, Death Café debriefing sessions may prove to be an effective tool to avert this debilitating syndrome. With COVID-19 limiting social interactions and overloading ICUs worldwide, the virtual administration of the Death Café for ICU clinicians provides an innovative strategy to potentially mitigate burnout in this vulnerable population.

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Identification of factors which affect the tendency towards and attitudes of emergency unit nurses to make medical errors

Cited by 49 publications

References 26 publications

Cerrahi Kliniklerde Çalışan Hemşirelerinin Tıbbi Hataya Yönelik Tutumlarının Belirlenmesi

Cerrahi Kliniklerde Çalışan Hemşirelerinin Tıbbi Hataya Yönelik Tutumlarının Belirlenmesi

Death Cafés for prevention of burnout in intensive care unit employees: study protocol for a randomized controlled trial (STOPTHEBURN)

Death Cafes for Prevention of Burnout in Intensive Care Unit Employees: Study Protocol for a Randomized Controlled Trial (STOPTHEBURN)

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