Department of Nursing, University of West Attica, 12243 Athens, Greece.
Department of Nursing, National and Kapodistrian University of Athens, 10679 Athens, Greece.
Medicina (Kaunas). 2023 Oct 18;59(10):1850. doi: 10.3390/medicina59101850.
: The fatigue, stress, and burnout of nurses lead to them frequently making mistakes, which have a negative impact not only on the safety of the patients but also on their psychology. The ability to bounce back from mistakes is crucial for nurses. Nursing staff members' physical and mental health, particularly their depression, is far from ideal, and this ill health is directly correlated with the frequency of self-reported medical errors. The nurses' mental and physical health are also positively correlated with their perception of wellness support at work. This cross-sectional study aimed to investigate the status of nurses' mental and physical health regarding clinical errors and the impact of resilience on coping with these situations. : A total of 364 healthcare professionals participated in this research; 87.5% of them were females and 12.5% of them were males. Most of the participants were 22-35 years old. The median number of years of employment was nine. Clinical nurses anonymously and voluntarily completed a special structured questionnaire that included questions from different validated tools in order to assess their state of physical and mental wellbeing after events of stress and errors made during their practice. : In total, 49.4% of the nurses had made an error on their own, and 73.2% had witnessed an error that someone else had made. At the time of the error, 29.9% of the participants were in charge of more than 20 patients, while 28.9% were responsible for a maximum of three patients. Participants who were 36-45 years old had more resilience ( = 0.049) and experienced fewer negative emotions than participants who were 22-35 years old. The participants who mentioned more positive feelings according to their mental state had greater resilience ( > 0.001). : Errors were likely to happen during clinical practice due to nurses' negative experiences. The level of resilience among the nursing population was found to play a very important role not only in making mistakes but also in coping with errors during their daily routine. Wellness and prevention must be given top priority in all healthcare systems across the country in order to promote nurses' optimal health and wellbeing, raise the standard of care, and reduce the likelihood of expensive, avoidable medical errors. Healthcare administrations should promote prevention programs for stress occurrence in order to support nurses' wellbeing maintenance.
护士的疲劳、压力和倦怠导致他们经常犯错,这不仅对患者的安全产生负面影响,还对他们的心理产生影响。从错误中恢复的能力对护士来说至关重要。护理人员的身心健康状况远不理想,尤其是他们的抑郁状况,这与自我报告的医疗失误频率直接相关。护士的身心健康与他们对工作中健康支持的感知呈正相关。这项横断面研究旨在调查护士在临床失误方面的身心健康状况以及应对这些情况的适应力的影响。
共有 364 名医疗保健专业人员参与了这项研究;其中 87.5%是女性,12.5%是男性。大多数参与者年龄在 22-35 岁之间。中位数的工作年限为九年。临床护士匿名自愿填写了一份特殊的结构化问卷,其中包括来自不同验证工具的问题,以评估他们在实践中经历压力和失误后的身体和心理健康状况。
总共有 49.4%的护士自己犯过错误,73.2%的护士目睹过别人犯的错误。在犯错时,29.9%的参与者负责超过 20 名患者,而 28.9%的参与者最多负责三名患者。年龄在 36-45 岁的参与者的适应力更强(=0.049),负面情绪比 22-35 岁的参与者更少。根据他们的精神状态提到更多积极感受的参与者具有更强的适应力(>0.001)。
由于护士的负面经历,错误在临床实践中很容易发生。护理人员的适应力水平不仅在犯错方面,而且在日常工作中应对错误方面都起着非常重要的作用。在全国所有医疗保健系统中,必须优先考虑健康和预防,以促进护士的最佳健康和幸福感,提高护理标准,并减少昂贵的、可避免的医疗错误的可能性。医疗保健管理部门应推广预防压力发生的计划,以支持护士的健康维护。