Adverse Events and Burnout

The Moderating Effects of Workgroup Identification and Safety Climate

Datos Bibliográficos

ID9101141
AutoresTimothy J Vogus (0000-0002-3164-8104, Vanderbilt Owen Graduate School of Management, Nashville, TN, autor de correspondencia), Rangaraj Ramanujam (0000-0002-5420-0329, Vanderbilt Owen Graduate School of Management, Nashville, TN, autor de correspondencia), Zhanna Novikov (Vanderbilt Owen Graduate School of Management, Nashville, TN, autor de correspondencia), Vijaya Venkataramani (0000-0003-2692-313X, Robert H. Smith School of Business, University of Maryland, College Park, MD), Subrahmaniam Tangirala (0000-0003-0321-2642, Robert H. Smith School of Business, University of Maryland, College Park, MD)
Año2020
Volumen58
Número7
Páginas594-600
Fecha de publicación2020-07-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001341
PMID32520835
OpenAlexW3033398557
IdiomaEN
Citas recibidas2
Referencias citadas41

BACKGROUND: Prior research has found that adverse events have significant negative consequences for the patients (first victim) and caregivers (second victim) involved such as burnout. However, research has yet to examine the consequences of adverse events on members of caregiving units. We also lack research on the effects of the personal and job resources that shape the context of how adverse events are experienced. OBJECTIVES: We test the relationship between job demands (the number of adverse events on a hospital nursing unit) and nurses' experience of burnout. We further explore the ways in which personal (workgroup identification) and job (safety climate) resources amplify or dampen this relationship. Specifically, we examine whether, and the conditions under which, adverse events affect nurse burnout. RESEARCH DESIGN: Cross-sectional analyses of survey data on nurse burnout linked to hospital incident reporting system data on adverse event rates for the year before survey administration and survey data on workgroup identification and safety climate. SUBJECTS: Six hundred three registered nurses from 30 nursing units in a large, urban hospital in the Midwest completed questionnaires. RESULTS: Multilevel regression analysis indicated that adverse events were positively associated with nurse burnout. The effects of adverse events on nurse burnout were amplified when nurses exhibited high levels of workgroup identification and attenuated when safety climate perceptions were higher. CONCLUSIONS: Adverse events have broader negative consequences than previously thought, widely affecting nurse burnout on caregiving units, especially when nurses strongly identify with their workgroup. These effects are mitigated when leaders cultivate safety climate

Adverse effect · Burnout · Context (archaeology) · Health care · Patient safety · Workgroup · Clinical Psychology · Healthcare professionals’ stress and burnout · Medicine · Nursing · Nursing education and management · Patient Safety and Medication Errors · Psychology