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Safety Organizing, Emotional Exhaustion, and Turnover in Hospital Nursing Units

Datos Bibliográficos

ID9099041
AutoresTimothy J Vogus (0000-0002-3164-8104, Vanderbilt University, autor de correspondencia), Bruce Cooil (0000-0002-1276-269X, Vanderbilt University, autor de correspondencia), Mary Sitterding (Indiana University – Purdue University Indianapolis), Linda Q Everett (Indiana University – Purdue University Indianapolis)
Año2014
Volumen52
Número10
Páginas870-876
Fecha de publicación2014-10-01
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.0000000000000169
PMID25222533
OpenAlexW2099891788
IdiomaEN
Citas recibidas7
Referencias citadas56

CONTEXT: Prior research has found that safety organizing behaviors of registered nurses (RNs) positively impact patient safety. However, little research exists on how engaging in safety organizing affects caregivers. OBJECTIVES: While we know that organizational processes can have divergent effects on organizational and employee outcomes, little research exists on the effects of pursuing highly reliable performance through safety organizing on caregivers. Specifically, we examined whether, and the conditions under which, safety organizing affects RN emotional exhaustion and nursing unit turnover rates. SUBJECTS: Subjects included 1352 RNs in 50 intensive care, internal medicine, labor, and surgery nursing units in 3 Midwestern acute-care hospitals who completed questionnaires between August and December 2011 and 50 Nurse Managers from the units who completed questionnaires in December 2012. RESEARCH DESIGN: Cross-sectional analyses of RN emotional exhaustion linked to survey data on safety organizing and hospital incident reporting system data on adverse event rates for the year before survey administration. Cross-sectional analysis of unit-level RN turnover rates for the year following the administration of the survey linked to survey data on safety organizing. RESULTS: Multilevel regression analysis indicated that safety organizing was negatively associated with RN emotional exhaustion on units with higher rates of adverse events and positively associated with RN emotional exhaustion with lower rates of adverse events. Tobit regression analyses indicated that safety organizing was associated with lower unit level of turnover rates over time. CONCLUSIONS: Safety organizing is beneficial to caregivers in multiple ways, especially on nursing units with high levels of adverse events and over time

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

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Obras citantes distintas7
Citas por año0,7
Intervalo de citas2016 - 2026 (11)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 7
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