TY - JOUR
PY - 2016//
TI - Increased risk of burnout for physicians and nurses involved in a patient safety incident
JO - Medical care
A1 - Van Gerven, Eva
A1 - Vander Elst, Tinne
A1 - Vandenbroeck, Sofie
A1 - Dierickx, Sigrid
A1 - Euwema, Martin
A1 - Sermeus, Walter
A1 - De Witte, Hans
A1 - Godderis, Lode
A1 - Vanhaecht, Kris
SP - 937
EP - 943
VL - 54
IS - 10
N2 - BACKGROUND: Human errors occur everywhere, including in health care. Not only the patient, but also the involved health professional is affected (ie, the "second victim").
OBJECTIVES: To investigate the prevalence of health care professionals being personally involved in a patient safety incident (PSI), as well as the relationship of involvement and degree of harm with problematic medication use, excessive alcohol consumption, risk of burnout, work-home interference (WHI), and turnover intentions. RESEARCH DESIGN: Multilevel path analyses were conducted to analyze cross-sectional survey data from 37 Belgian hospitals. SUBJECTS: A total of 5788 nurses (79.4%) and physicians (20.6%) in 26 acute and 11 psychiatric hospitals were included. MEASURES: "Involvement in a patient safety incident during the prior 6 months," "degree of harm," and 5 outcomes were measured using self-report scales.
RESULTS: Nine percent of the total sample had been involved in a PSI during the prior 6 months. Involvement in a PSI was related to a greater risk of burnout (β=0.40, OR=2.07), to problematic medication use (β=0.33, OR=1.84), to greater WHI (β=0.24), and to more turnover intentions (β=0.22). Harm to the patient was a predictor of problematic medication use (β=0.14, OR=1.56), risk of burnout (β=0.16, OR=1.62), and WHI (β=0.19).
CONCLUSIONS: Second victims experience significant negative outcomes in the aftermath of a PSI. An appropriate organizational response should be provided to mitigate the negative effects.
Language: en
LA - en SN - 0025-7079 UR - http://dx.doi.org/10.1097/MLR.0000000000000582 ID - ref1 ER -