Assessing the Impact of Burnout on Nurse Safety Behaviors and Patient Safety Competence: A Latent Profile Analysis Study

IF 3.7 2区 医学 Q2 MANAGEMENT
Fengyan Ma, Yajing Zhu, Lu Liu, Helin Chen, Yan Liu, Fan Zhang
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Abstract

Aim: This study examines the association between burnout, nurse safety behaviors, and patient safety competency among nurses working in cancer hospitals using person-centered and variable-centered methodologies.

Background: Burnout is prevalent among nurses worldwide, with cancer hospital nurses exhibiting high levels of burnout. Burnout correlates with a higher incidence of adverse events and diminished patient safety. Nurse safety behaviors and patient safety competency play protective roles in ensuring patient safety.

Methods: This study used a cross-sectional online survey and included 2092 eligible nurses, with 95.0% being female. We invited nurses from cancer hospitals in 12 provinces in China to complete an online survey from April to June 2023. Through the online Questionnaire Star platform, invited nurses provided demographic information and completed the Maslach Burnout Inventory, the Nurse Safety Behaviors Scale, and the Patient Safety Competency Scale. Latent profile analysis was used to identify heterogeneous characteristics of nurse burnout.

Results: From a person-centered perspective, nurse burnout was categorized into three latent profiles: “high achievement stable type” (70.3%), “high-efficiency contradictory type” (6.6%), and “high-pressure adaptive type” (23.1%). From a variable-centered perspective, patient safety competency partially mediated the relationship between burnout profiles and nurse safety behaviors.

Conclusion: This study identified three heterogeneous latent profiles of burnout among cancer hospital nurses and highlighted the significant impact of excessive working hours and lack of safety training on burnout across different job titles and income levels. Additionally, it verified the mediation effect of patient safety competency between burnout profiles and nurse safety behaviors. Future treatments should focus on high-risk populations by offering improved safety training and suitable work schedules to reduce burnout. Furthermore, personalized measures to enhance nurses’ safety competencies should be adopted to improve burnout and safety behaviors. This study integrates person-centered and variable-centered methods, offering new insights and underscoring the critical role of safety in mitigating burnout.

Abstract Image

职业倦怠对护士安全行为和患者安全能力的影响:一项潜在特征分析研究
目的:采用以人为本和变量为中心的研究方法,探讨肿瘤医院护士职业倦怠、护士安全行为和患者安全能力之间的关系。背景:职业倦怠在全球护士中普遍存在,肿瘤医院护士表现出高水平的职业倦怠。职业倦怠与较高的不良事件发生率和患者安全性降低相关。护士安全行为和患者安全能力对确保患者安全起保护作用。方法:本研究采用横断面在线调查,共纳入2092名符合条件的护士,其中95.0%为女性。我们邀请了中国12个省肿瘤医院的护士,于2023年4月至6月完成了一项在线调查。通过在线问卷之星平台,邀请护士提供人口学信息,完成Maslach倦怠量表、护士安全行为量表和患者安全能力量表。采用潜在特征分析来识别护士职业倦怠的异质性特征。结果:从以人为本的角度看,护士职业倦怠可分为“高成就稳定型”(70.3%)、“高效矛盾型”(6.6%)和“高压适应型”(23.1%)三种潜在类型。从变量中心的角度看,患者安全能力在护士职业倦怠与护士安全行为的关系中起到部分中介作用。结论:本研究确定了癌症医院护士职业倦怠的三种异质性潜在特征,并强调了不同职称和收入水平的工作时间过长和缺乏安全培训对职业倦怠的显著影响。此外,验证了患者安全胜任力在职业倦怠与护士安全行为之间的中介作用。未来的治疗应侧重于高危人群,提供改进的安全培训和合适的工作时间表,以减少倦怠。此外,应采取个性化措施提高护士的安全能力,改善护士的职业倦怠和安全行为。本研究整合了以人为中心和以变量为中心的方法,提供了新的见解,强调了安全在缓解职业倦怠中的关键作用。
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来源期刊
CiteScore
9.40
自引率
14.50%
发文量
377
审稿时长
4-8 weeks
期刊介绍: The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses. The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide. The Journal of Nursing Management aims to: -Inform practitioners and researchers in nursing management and leadership -Explore and debate current issues in nursing management and leadership -Assess the evidence for current practice -Develop best practice in nursing management and leadership -Examine the impact of policy developments -Address issues in governance, quality and safety
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