Occupational Stressors in Nurses and Nursing Adverse Events

Azam Karimi, Marzieh Adel‑Mehraban, Mahin Moeini

Abstract


 Background: Nursing adverse events (AEs) are well‑defined problems in the healthcare system and may have irreparable consequences. Due to the complexity of care, many factors contribute to AEs and affect patient safety, one of which is occupational stress. The present study aimed to determine the relationship between nursing AEs and occupational stress in nurses in centers affiliated to Isfahan University of Medical Sciences, Isfahan, Iran, in 2015.

Materials and Methods: In this descriptive correlational study, the participants were selected through random and quota sampling methods. The data collection tool was a three‑part questionnaires consisting of a demographic characteristics form, the Nurses’ Job Stress Questionnaire, and Nursing Adverse Events Questionnaire. Descriptive and analytical statistics were used to analyze the data in Statistical Package for the Social Sciences software.

Results: Among the four factors affecting occupational stress in nurses, administrative factors had the highest impact; subsequently followed, by environmental factors and interpersonal factors. The mean score of AEs was reported as 30 cases per year. There was a significant correlation between the overall mean score of occupational stress and AEs (r = 0.12, p = 0.04).

Conclusions: According to the results of this study, moderate to high levels of job stress were observed among nurses. The results also showed that occupational stress can lead to nursing AEs. Given that nurses believe the highest mean of occupational stressors is related to administrative factors, an appropriate and comprehensive leadership is necessary to improve the current conditions.


Keywords


Iran, nurses, nursing adverse events, occupational stress, occupational stressors

Full Text:

PDF

References


Reid‑Searl K, Moxham L, Happell B. Enhancing patient safety. The importance of direct supervision for avoiding medication errors and near misses by undergraduate nursing students. Int J Nurs Pract 2011;16:225‑32.

The Quality Care Committee (QCC) of the AAPA, 2010. Disclosure of Medical Errors: The right thing to do. Available from: http://www.Jaapa.com/disclosure‑of‑medical‑errors‑the‑rig ht‑thing‑to‑do/print article/. [Last accessed on 2010 Dec 29].

Penjvini S. Investigation of the rate and type of medication errors of nurses in Sanandaj Hospitals. Iranian Journal of Nursing Research 2006;1:59‑64. Available from: http://ijme.tums.ac.ir/ browse.php?a_code=A‑10‑61‑130&slc_lang=en&sid=1.

Jolaee S, Hajibabaiee F, Payravi H, Haghani H. Nursing medication errors and its relationship with work condition in Iran University of Medical Sciences. Iranian Journal of Medical Ethics an History of Medicine 2009;3:65‑76. Available from: http://journals.sbmu.ac.ir/en‑jnm/article/view/8454.

Yousefi MS, Abed Saeedi ZH, Maleki Sarbakhsh P. Frequency and causes of medication errors of nurses in different shift works in educational hospitals affiliated to Shahid Beheshti University of Medical Sciences. Journal of Shahid Beheshti 2012;24:24‑7. Available from: http://journals.sbmu.ac.ir/en‑jnm/article/ view/8454.

American Nurses Association, 2009. Nursing Administration: Scope and Standards of Practice.

Chang EM, Bidwell JW, Huntington AD, Daly J, Johnson A, Wilson H, et al. A survey of role stress, coping and health in Australian and New Zealand hospital nurses. Int J Nurse Stud 2007;44:1354‑62.

Εlen M, Theodors C. Sources and effects of work‑related stress in nursing. Health Science Journal 2010;4:210. Available from http://www.hsj.gr/medicine/sources‑and‑effects‑of‑workrelated‑ stress‑in‑nursing.php?aid=3575.

Kim S, Pyun K, Sim I. Stress and cognitive dysfunction. Korean J Stress Res 2005;13:283e8.

Torshizi L, Ahmadi F. Job stress from clinical nurses perspective. Iran Journal of Nursing 2011;24:49‑60. Available from: http:// www.sid.ir/En/Journal/ViewPaper.aspx?ID=240023.

Clinical governance committee Mashhad University of Medical Sciences, “Clinical adverse events to share lessons learned with a focus on patient safety.” 2012. Available from: http://kmu.ac.ir/ Images/UserFiles/1085/file/final1(1).pdf. [Last accessed on 2013 Jul 28].

Mortaghy Ghasemy Masoomeh, Ghahremani Zeinab, Vahediane Azimi Amir, Ghorbani Fatemeh. Nurses job stress in therapeutic educational centers in Zanjan. Journal of Gorgan University of Medical Sciences 2011;8:42‑51.

Habrani M, Behdani F, Mobtaker M. Study of stressors factors in nurses. Journal of Fundamentals of Mental Health 2008;10:231‑7.

Park YM, Kim SY. Impacts of job stress and cognitive failure on patient safety incidents among hospital nurses. Saf Health Work 2013;4:210‑5.

Mahmood A, Chadury H, Valente M. Nurses perception of how physical environment affect medication errors in acute care settings. Appl Nurs Res 2011;24:229‑37.

Bell DS, Paddock SM, Nuckols TK, Hilborne LH. Contributing factor identified by hospital incident report narratives. Qual Saf Health (Atiya et al., 2011) Care 2008;17:368‑72.

Bijani M, Kouhpayeh SA, Abadi R, Tavacool Z. Effective factors on the incidence of medication errors from the nursing staff perspective in various department of Fasa Hospital. Journal of Fasa University of Medical Sciences, Spring 2013;3:81‑93. Available from: https://journal.fums.ac.ir/browse.php?a_ id=231&sid=1&slc_lang=e.

Armstrong K, Laschinger H, Wong C. Workplace and magnet hospital characteristics as predictors of patient safety climate. J Nurse Care Qual 2009;24:55‑62


Refbacks

  • There are currently no refbacks.