Children's Health Ireland @ Crumlin, Dublin, Ireland; School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland; SWaT Research Centre RCSI University of Medicine and Health Sciences, Ireland.
J Pediatr Nurs. 2024 Sep-Oct;78:e82-e89. doi: 10.1016/j.pedn.2024.06.023. Epub 2024 Jul 16.
Patient safety is the cornerstone of quality healthcare. Nurses have a duty to provide safe care, particularly to vulnerable populations such as paediatric patients. Demands on staff and resources are rising and burnout is becoming an increasingly prevalent occupational hazard in paediatric healthcare today. Occupational stress is a barrier to maintaining a positive patient safety culture.
This paper seeks to explore the impact of burnout on paediatric nurses' attitudes about patient safety.
A systematic review approach was used. Embase, Cochrane Library, Medline, CINAHL, and PsycINFO were the databases searched. All quantitative, primary, empirical studies, published in English, which investigated associations between burnout and attitudes to patient safety in the paediatric nursing workforce were included.
Four studies were eligible for inclusion. These studies examined a total of 2769 paediatric nurses. Pooled data revealed overall moderate to high levels of burnout. All studies exposed a negative association between emotional exhaustion and safety attitude scoring (r = -0.301- -0.481). Three studies demonstrated a negative association to job satisfaction (r = -0.424- -0.474). The potential link between burnout and an increased frequency of adverse events was also highlighted.
Burnout may negatively impact paediatric nurses' attitudes to patient safety in the acute hospital setting. Targeted interventions to tackle burnout are urgently required to protect both paediatric nurses and patients.
Managers and policy makers must promote nurse well-being to safeguard staff and patients. Educational interventions are required to target burnout and promote patient safety. Further research is required to investigate the long-term impact of burnout.
患者安全是医疗质量的基石。护士有责任提供安全的护理，尤其是对儿科等弱势群体。医护人员和资源的需求不断增加，职业倦怠已成为当今儿科医疗保健中日益普遍的职业危害。职业压力是维持积极的患者安全文化的障碍。
本文旨在探讨职业倦怠对儿科护士对患者安全态度的影响。
采用系统综述方法。检索了 Embase、Cochrane 图书馆、Medline、CINAHL 和 PsycINFO 数据库。纳入了所有以英语发表的、针对儿科护理人员队伍中职业倦怠与患者安全态度之间关联的定量、原始、实证研究。
四项研究符合纳入标准。这些研究共调查了 2769 名儿科护士。汇总数据显示，倦怠程度总体为中高度。所有研究都表明情绪耗竭与安全态度评分呈负相关（r=-0.301- -0.481）。三项研究表明与工作满意度呈负相关（r=-0.424- -0.474）。还强调了倦怠与不良事件发生频率增加之间的潜在联系。
职业倦怠可能会对儿科护士在急性医院环境中对患者安全的态度产生负面影响。迫切需要采取有针对性的干预措施来解决倦怠问题，以保护儿科护士和患者。
管理人员和政策制定者必须促进护士的健康福祉，以保护员工和患者。需要进行教育干预以解决倦怠问题并促进患者安全。需要进一步研究职业倦怠的长期影响。
