Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident.
Identifieur interne : 000E72 ( Main/Exploration ); précédent : 000E71; suivant : 000E73Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident.
Auteurs : Eva Van Gerven [Belgique] ; Tinne Vander Elst ; Sofie Vandenbroeck ; Sigrid Dierickx ; Martin Euwema ; Walter Sermeus ; Hans De Witte ; Lode Godderis ; Kris VanhaechtSource :
- Medical care [ 1537-1948 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Enquêtes et questionnaires (MeSH), Erreurs médicales (effets indésirables), Erreurs médicales (psychologie), Erreurs médicales (statistiques et données numériques), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Infirmières et infirmiers (psychologie), Infirmières et infirmiers (statistiques et données numériques), Jeune adulte (MeSH), Mâle (MeSH), Médecins (psychologie), Médecins (statistiques et données numériques), Prévalence (MeSH), Satisfaction professionnelle (MeSH), Sécurité des patients (MeSH), Épuisement professionnel (épidémiologie), Épuisement professionnel (étiologie), Études transversales (MeSH).
- MESH :
- effets indésirables : Erreurs médicales.
- psychologie : Erreurs médicales, Infirmières et infirmiers, Médecins.
- statistiques et données numériques : Erreurs médicales, Infirmières et infirmiers, Médecins.
- épidémiologie : Épuisement professionnel.
- étiologie : Épuisement professionnel.
- Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Facteurs de risque, Femelle, Humains, Jeune adulte, Mâle, Prévalence, Satisfaction professionnelle, Sécurité des patients, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Burnout, Professional (epidemiology), Burnout, Professional (etiology), Cross-Sectional Studies (MeSH), Female (MeSH), Humans (MeSH), Job Satisfaction (MeSH), Male (MeSH), Medical Errors (adverse effects), Medical Errors (psychology), Medical Errors (statistics & numerical data), Middle Aged (MeSH), Nurses (psychology), Nurses (statistics & numerical data), Patient Safety (MeSH), Physicians (psychology), Physicians (statistics & numerical data), Prevalence (MeSH), Risk Factors (MeSH), Surveys and Questionnaires (MeSH), Young Adult (MeSH).
- MESH :
- adverse effects : Medical Errors.
- epidemiology : Burnout, Professional.
- etiology : Burnout, Professional.
- psychology : Medical Errors, Nurses, Physicians.
- statistics & numerical data : Medical Errors, Nurses, Physicians.
- Adult, Cross-Sectional Studies, Female, Humans, Job Satisfaction, Male, Middle Aged, Patient Safety, Prevalence, Risk Factors, Surveys and Questionnaires, Young Adult.
Abstract
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.
DOI: 10.1097/MLR.0000000000000582
PubMed: 27213542
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Psychology and Professional Learning §Environment and Health, KU Leuven, Leuven ∥Department of Family Medicine & Chronic Care, Vrije Universiteit Brussel, Ixelles ¶Department of Sociology, Ghent University, Ghent #Optentia Research Focus Area, Vanderbijlpark, North-West University, Potchefstroom, South Africa **General Management, University Hospitals Leuven & Flemish Hospital Network ††Department of Public Health & Primary Care, KU Leuven, Leuven, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>*Leuven Institute for Healthcare Policy, KU Leuven, Leuven †Knowledge, Information and Research Center (KIR), Idewe, Brussels ‡Occupational & Organisational Psychology and Professional Learning §Environment and Health, KU Leuven, Leuven ∥Department of Family Medicine & Chronic Care, Vrije Universiteit Brussel, Ixelles ¶Department of Sociology, Ghent University, Ghent #Optentia Research Focus Area, Vanderbijlpark, North-West University, Potchefstroom, South Africa **General Management, University Hospitals Leuven & Flemish Hospital Network ††Department of Public Health & Primary Care, KU Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Vander Elst, Tinne" sort="Vander Elst, Tinne" uniqKey="Vander Elst T" first="Tinne" last="Vander Elst">Tinne Vander Elst</name></author><author><name sortKey="Vandenbroeck, Sofie" sort="Vandenbroeck, Sofie" uniqKey="Vandenbroeck S" first="Sofie" last="Vandenbroeck">Sofie Vandenbroeck</name></author><author><name sortKey="Dierickx, Sigrid" sort="Dierickx, Sigrid" uniqKey="Dierickx S" first="Sigrid" last="Dierickx">Sigrid Dierickx</name></author><author><name sortKey="Euwema, Martin" sort="Euwema, Martin" uniqKey="Euwema M" first="Martin" last="Euwema">Martin Euwema</name></author><author><name sortKey="Sermeus, Walter" sort="Sermeus, Walter" uniqKey="Sermeus W" first="Walter" last="Sermeus">Walter Sermeus</name></author><author><name sortKey="De Witte, Hans" sort="De Witte, Hans" uniqKey="De Witte H" first="Hans" last="De Witte">Hans De Witte</name></author><author><name sortKey="Godderis, Lode" sort="Godderis, Lode" uniqKey="Godderis L" first="Lode" last="Godderis">Lode Godderis</name></author><author><name sortKey="Vanhaecht, Kris" sort="Vanhaecht, Kris" uniqKey="Vanhaecht K" first="Kris" last="Vanhaecht">Kris Vanhaecht</name></author></analytic><series><title level="j">Medical care</title><idno type="eISSN">1537-1948</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Burnout, Professional (epidemiology)</term><term>Burnout, Professional (etiology)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Job Satisfaction (MeSH)</term><term>Male (MeSH)</term><term>Medical Errors (adverse effects)</term><term>Medical Errors (psychology)</term><term>Medical Errors (statistics & numerical data)</term><term>Middle Aged (MeSH)</term><term>Nurses (psychology)</term><term>Nurses (statistics & numerical data)</term><term>Patient Safety (MeSH)</term><term>Physicians (psychology)</term><term>Physicians (statistics & numerical data)</term><term>Prevalence (MeSH)</term><term>Risk Factors (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Erreurs médicales (effets indésirables)</term><term>Erreurs médicales (psychologie)</term><term>Erreurs médicales (statistiques et données numériques)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Infirmières et infirmiers (psychologie)</term><term>Infirmières et infirmiers (statistiques et données numériques)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Médecins (psychologie)</term><term>Médecins (statistiques et données numériques)</term><term>Prévalence (MeSH)</term><term>Satisfaction professionnelle (MeSH)</term><term>Sécurité des patients (MeSH)</term><term>Épuisement professionnel (épidémiologie)</term><term>Épuisement professionnel (étiologie)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Medical Errors</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Erreurs médicales</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Burnout, Professional</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Burnout, Professional</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Erreurs médicales</term><term>Infirmières et infirmiers</term><term>Médecins</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Medical Errors</term><term>Nurses</term><term>Physicians</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Medical Errors</term><term>Nurses</term><term>Physicians</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Erreurs médicales</term><term>Infirmières et infirmiers</term><term>Médecins</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Épuisement professionnel</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Épuisement professionnel</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Job Satisfaction</term><term>Male</term><term>Middle Aged</term><term>Patient Safety</term><term>Prevalence</term><term>Risk Factors</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Prévalence</term><term>Satisfaction professionnelle</term><term>Sécurité des patients</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Human errors occur everywhere, including in health care. Not only the patient, but also the involved health professional is affected (ie, the "second victim").</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>RESEARCH DESIGN</b></p><p>Multilevel path analyses were conducted to analyze cross-sectional survey data from 37 Belgian hospitals.</p></div><div type="abstract" xml:lang="en"><p><b>SUBJECTS</b></p><p>A total of 5788 nurses (79.4%) and physicians (20.6%) in 26 acute and 11 psychiatric hospitals were included.</p></div><div type="abstract" xml:lang="en"><p><b>MEASURES</b></p><p>"Involvement in a patient safety incident during the prior 6 months," "degree of harm," and 5 outcomes were measured using self-report scales.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>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).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Second victims experience significant negative outcomes in the aftermath of a PSI. An appropriate organizational response should be provided to mitigate the negative effects.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27213542</PMID><DateCompleted><Year>2017</Year><Month>05</Month><Day>02</Day></DateCompleted><DateRevised><Year>2018</Year><Month>02</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-1948</ISSN><JournalIssue CitedMedium="Internet"><Volume>54</Volume><Issue>10</Issue><PubDate><Year>2016</Year><Month>10</Month></PubDate></JournalIssue><Title>Medical care</Title><ISOAbbreviation>Med Care</ISOAbbreviation></Journal><ArticleTitle>Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident.</ArticleTitle><Pagination><MedlinePgn>937-43</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/MLR.0000000000000582</ELocationID><Abstract><AbstractText Label="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").</AbstractText><AbstractText Label="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.</AbstractText><AbstractText Label="RESEARCH DESIGN">Multilevel path analyses were conducted to analyze cross-sectional survey data from 37 Belgian hospitals.</AbstractText><AbstractText Label="SUBJECTS">A total of 5788 nurses (79.4%) and physicians (20.6%) in 26 acute and 11 psychiatric hospitals were included.</AbstractText><AbstractText Label="MEASURES">"Involvement in a patient safety incident during the prior 6 months," "degree of harm," and 5 outcomes were measured using self-report scales.</AbstractText><AbstractText Label="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).</AbstractText><AbstractText Label="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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Van Gerven</LastName><ForeName>Eva</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>*Leuven Institute for Healthcare Policy, KU Leuven, Leuven †Knowledge, Information and Research Center (KIR), Idewe, Brussels ‡Occupational & Organisational Psychology and Professional Learning §Environment and Health, KU Leuven, Leuven ∥Department of Family Medicine & Chronic Care, Vrije Universiteit Brussel, Ixelles ¶Department of Sociology, Ghent University, Ghent #Optentia Research Focus Area, Vanderbijlpark, North-West University, Potchefstroom, South Africa **General Management, University Hospitals Leuven & Flemish Hospital Network ††Department of Public Health & Primary Care, KU Leuven, Leuven, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vander Elst</LastName><ForeName>Tinne</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Vandenbroeck</LastName><ForeName>Sofie</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Dierickx</LastName><ForeName>Sigrid</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Euwema</LastName><ForeName>Martin</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Sermeus</LastName><ForeName>Walter</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>De Witte</LastName><ForeName>Hans</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Godderis</LastName><ForeName>Lode</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Vanhaecht</LastName><ForeName>Kris</ForeName><Initials>K</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Med Care</MedlineTA><NlmUniqueID>0230027</NlmUniqueID><ISSNLinking>0025-7079</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002055" MajorTopicYN="N">Burnout, Professional</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007588" MajorTopicYN="N">Job Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019300" MajorTopicYN="N">Medical Errors</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009726" MajorTopicYN="N">Nurses</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061214" MajorTopicYN="N">Patient Safety</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010820" MajorTopicYN="N">Physicians</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>5</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>5</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>5</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27213542</ArticleId><ArticleId IdType="doi">10.1097/MLR.0000000000000582</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Belgique</li></country></list><tree><noCountry><name sortKey="De Witte, Hans" sort="De Witte, Hans" uniqKey="De Witte H" first="Hans" last="De Witte">Hans De Witte</name><name sortKey="Dierickx, Sigrid" sort="Dierickx, Sigrid" uniqKey="Dierickx S" first="Sigrid" last="Dierickx">Sigrid Dierickx</name><name sortKey="Euwema, Martin" sort="Euwema, Martin" uniqKey="Euwema M" first="Martin" last="Euwema">Martin Euwema</name><name sortKey="Godderis, Lode" sort="Godderis, Lode" uniqKey="Godderis L" first="Lode" last="Godderis">Lode Godderis</name><name sortKey="Sermeus, Walter" sort="Sermeus, Walter" uniqKey="Sermeus W" first="Walter" last="Sermeus">Walter Sermeus</name><name sortKey="Vandenbroeck, Sofie" sort="Vandenbroeck, Sofie" uniqKey="Vandenbroeck S" first="Sofie" last="Vandenbroeck">Sofie Vandenbroeck</name><name sortKey="Vander Elst, Tinne" sort="Vander Elst, Tinne" uniqKey="Vander Elst T" first="Tinne" last="Vander Elst">Tinne Vander Elst</name><name sortKey="Vanhaecht, Kris" sort="Vanhaecht, Kris" uniqKey="Vanhaecht K" first="Kris" last="Vanhaecht">Kris Vanhaecht</name></noCountry><country name="Belgique"><noRegion><name sortKey="Van Gerven, Eva" sort="Van Gerven, Eva" uniqKey="Van Gerven E" first="Eva" last="Van Gerven">Eva Van Gerven</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:27213542" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a AutomedicationFrancoV1
| This area was generated with Dilib version V0.6.38. |  |