Themes Surrounding Novice Nurse Near-Miss and Adverse-Event Situations

Ebright, Patricia; Urden, Linda D.; Patterson, Emily S.; Chalko, Barbara A.

doi:10.1097/00005110-200411000-00010

Cited by 130 publications

(118 citation statements)

References 6 publications

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“…The participants emphasised the importance of support from experienced nurses and their willingness to give inexperienced nurses enough time to do their job thoroughly and safely. This concurs with an earlier study (Ebright et al, 2004) that demonstrates the importance of a supportive social climate for inexperienced nurses. Other published studies confirm this conclusion (Moszczynski and Haney, 2002;Sveinsdottir et al, 2006).…”

Section: Discussionsupporting

confidence: 93%

Patient safety and job-related stress: A focus group study

Berland¹,

Natvig²,

Gundersen

2008

Intensive and Critical Care Nursing

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Summary This study focused on work-related stress among nurses working with critically ill patients. The aim of the study was to examine the effects of workrelated stress with regard to patient safety. The study uses a qualitative design based on focus group interviews with nurses who work with acute, critically ill patients in hospitals. Two regional hospitals were chosen. Inclusion criteria for the focus group panels included the following: nurses with advanced training in anesthesiology, intensive care, or operating-room nursing. Twenty-three nurses were chosen and they were divided into four groups. This study shows that a demanding work environment together with minimal control and social support from colleagues results in increased stress that can often have an effect on patient safety.

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Section: Discussionsupporting

confidence: 93%

Patient safety and job-related stress: A focus group study

Berland¹,

Natvig²,

Gundersen

2008

Intensive and Critical Care Nursing

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“…Competence in process and risk management is also necessary [1] and situation-sensitivity required to prevent near misses and adverse events [1, 15,16]. Risks are often related to medicines [17][18][19][20] or to rapid changes in the patient's status [21].…”

Section: Clinical Competence and Skill Definedmentioning

confidence: 99%

Workers' Clinical Skills at Out-of-Hospital Emergency Care

Salminen‐Tuomaala¹,

Leikkola²,

Mikkola³

et al. 2015

Emerg Med (Los Angel)

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“…Critical thinking skills have also been called into question (Boychuk Duchscher, 2003;del Bueno, 1994). The approach of new nurses to medication administration (Manias, Aitken & Dunning, 2004a;Manias, Aitken & Dunning, 2004b) and involvement in medication errors or near misses (Ebright, Urden, Patterson & Chalko, 2004;Smith & Crawford, 2003) has also been explored to determine their competency in dealing with the medication demands of the job. These concerns may be warranted as a recent study also found that for newly graduated nurses, competent performance was not guaranteed but rather something to celebrate (Jackson, 2005).…”

Section: Demands In the Workplacementioning

confidence: 99%

Prince Edward Island: Building Capacity – The Implementation of a Critical Care/Emergency Program

Cotton

2012

cjnl

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The difficulties new nurses experience when first entering acute care work environments have been recognized since Kramer"s seminal work in the 1970s. Despite the implementation of interventions designed to help ease the transition, the literature continues to report that new graduates undergo stress when beginning their careers as nurses. The purpose of this study was to examine the effects of perceived demands, control, social support and self-efficacy on the job stress, job satisfaction and intention to leave of new nurses.The conceptual framework used in the study was Karasek"s (1979) Job DemandsControl-Support (JDC-S) model. This model posits that job demands increase employee stress, but that increasing control can alleviate the negative effects of high demands. Social support and self-efficacy were included in this study as potential moderators of the relationships between demands and control and the outcome variables. This was an exploratory study that utilized a cross-sectional survey was used to gather data. Surveys were mailed to the homes of new nurses working in acute care hospitals across Ontario, Canada.Data were received from 232 new nurses, a response rate of 23.8%. Nurses in the sample had an average of 18.2 months of experience. Data were analyzed using separate hierarchical iii regression models for each dependent variable. The results showed that the main effects of job demands, social support and self-efficacy provided partial support for the JDC-S model when examining job stress, job satisfaction and intention to leave the job. Only self-efficacy was significantly related to intention to leave the profession. There was no evidence of moderating effects of social support or self-efficacy. An understanding of factors in the work environment that influence new nurses may assist in supporting them during the transition. By exploring the effects of demands, control, social support and self-efficacy on new graduates" job stress, job satisfaction and intention to leave, this study may provide direction to nursing leaders who are working new nurses in acute care.iv ACKNOWLEDGEMENTS

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Themes Surrounding Novice Nurse Near-Miss and Adverse-Event Situations

Cited by 130 publications

References 6 publications

Patient safety and job-related stress: A focus group study

Patient safety and job-related stress: A focus group study

Workers' Clinical Skills at Out-of-Hospital Emergency Care

Prince Edward Island: Building Capacity – The Implementation of a Critical Care/Emergency Program

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