Assistant Professor, College of Nursing, University of Arizona, Tucson, AZ, USA.
Nurse Scientist, Mission Hospital-Mission Viejo, CA, USA.
West J Nurs Res. 2020 May;42(5):332-339. doi: 10.1177/0193945919863409. Epub 2019 Jul 11.
Presenteeism is linked to negative outcomes for patients, nurses, and health care organizations; however, we lack understanding of the relationships between nurse fatigue, burnout, psychological well-being, team vitality, presenteeism, and patient safety in nursing. Therefore, the two aims of this study were: (a) to examine the fit of a literature-derived model of the relationships between presenteeism, psychological health and well-being, fatigue, burnout, team vitality, and patient safety; and (b) to examine the role of presenteeism as a mediator between patient safety and the other model variables. Survey data were analyzed using Composite Indicator Structural Equation (CISE) modeling, a type of structural equation modeling. Model fit was acceptable with multiple significant relationships. Presenteeism due to job-stress mediated multiple relationships to patient safety. Our findings indicate that focusing on job-stress presenteeism may be relevant for this population and may offer additional insight into factors contributing to decreased nurse performance and the resulting risks to patient safety.
职业倦怠与患者、护士和医疗机构的负面结果有关；然而，我们对护士疲劳、倦怠、心理健康、团队活力、职业倦怠和护理患者安全之间的关系缺乏了解。因此，本研究的两个目的是：(a)检验文献中提出的职业倦怠、心理健康和幸福感、疲劳、倦怠、团队活力与患者安全之间关系模型的拟合度；(b)检验职业倦怠作为患者安全与其他模型变量之间的中介变量的作用。使用组合指标结构方程（CISE）建模分析调查数据，这是一种结构方程建模。模型拟合度可接受，具有多重显著关系。由于工作压力导致的职业倦怠使患者安全与其他模型变量之间的关系发生了多重中介。我们的研究结果表明，关注工作压力所致的职业倦怠可能与该人群相关，并且可能为导致护士绩效下降和患者安全风险增加的因素提供更多的见解。
