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A cross-sectional multisite exploration of Italian paediatric nurses’ reported burnout and its relationship to perceptions of clinical safety and adverse events using the RN4CAST@IT-Ped
- Publication Year :
- 2020
- Publisher :
- Blackwell Publishing Ltd, 2020.
-
Abstract
- Aim To explore Italian paediatric nurses’ reported burnout and its relationship to their perceptions of safety and adverse events. Design A cross‐sectional study using the RN4CAST@IT‐Ped database with a web‐based survey design. Methods The RN4CAST@IT‐Ped questionnaire was used to collect data in 2017. This comprised three main components: three dimensions (22 items) of the Maslach Burnout Inventory including emotional exhaustion, depersonalization and personal accomplishment. Participants also scored an overall grade of patient safety and estimated the occurrence of adverse clinical events. Results Nurses (N = 2,243) reported high levels of burnout. Most rated clinical safety as high. The risk of adverse events ranged from 1.3–12.4%. The degree of burnout appeared to influence the perception of safety and adverse events. Conclusion The association between nurses’ burnout and perceptions of higher rates of adverse events and reduced safety in clinical practice is an important finding. However, it is unclear whether this was influenced by a negative state of mind, and whether reduced safety and increased adverse events negatively influenced nurses’ well‐being, thus leading to burnout. Regardless, the association between nurses’ burnout and these quality concepts needs further exploration to examine the effect, if any, on burnout and safety, and identify supportive mechanisms for nurses. Impact The association between reported burnout and perception of safety and risk of adverse events in Italian paediatric nurses has been reported for the first time. Nurses reporting burnout are at greater risk of intensely negative perceptions of clinical safety and adverse events. This is an important finding as perceptions can influence practice and behaviours. Quality measures in children's clinical environments need to go beyond obvious indicators to examine nurses’ well‐being as this also influences quality and safety.
- Subjects :
- safety
paediatric
media_common.quotation_subject
education
adverse event
nurse
Burnout
safety culture
03 medical and health sciences
Patient safety
0302 clinical medicine
quality of care
Perception
Depersonalization
Medicine
030212 general & internal medicine
Safety culture
Emotional exhaustion
Adverse effect
General Nursing
media_common
child
030504 nursing
burnout
business.industry
professional well-being
children's nursing
work environment
Clinical safety
medicine.symptom
0305 other medical science
business
psychological phenomena and processes
Clinical psychology
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....9b7331fa6870e10af294583514e4c4d0