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A cross-sectional multisite exploration of Italian paediatric nurses' reported burnout and its relationship to perceptions of clinical safety and adverse events using the RN4CAST@IT-Ped.
Bagnasco, Annamaria; Dasso, Nicoletta; Rossi, Silvia; Timmins, Fiona; Watson, Roger; Aleo, Giuseppe; Catania, Gianluca; Zanini, Milko; Sasso, Loredana.
Afiliación
  • Bagnasco A; Department of Health Sciences, University of Genoa, Genoa, Italy.
  • Dasso N; Department of Health Sciences, University of Genoa, Genoa, Italy.
  • Rossi S; Department of Health Sciences, University of Genoa, Genoa, Italy.
  • Timmins F; School of Nursing and Midwifery, Trinity College Dublin, Dublin 2, Ireland.
  • Watson R; Faculty of Health and Social Care, University of Hull, Hull, UK.
  • Aleo G; Department of Health Sciences, University of Genoa, Genoa, Italy.
  • Catania G; Department of Health Sciences, University of Genoa, Genoa, Italy.
  • Zanini M; Department of Health Sciences, University of Genoa, Genoa, Italy.
  • Sasso L; Department of Health Sciences, University of Genoa, Genoa, Italy.
J Adv Nurs ; 76(8): 2072-2081, 2020 Aug.
Article en En | MEDLINE | ID: mdl-32352176
AIM: To explore Italian paediatric nurses' reported burnout and its relationship to their perceptions of safety and adverse events. DESIGN: A cross-sectional study using the RN4CAST@IT-Ped database with a web-based survey design. METHODS: The RN4CAST@IT-Ped questionnaire was used to collect data in 2017. This comprised three main components: three dimensions (22 items) of the Maslach Burnout Inventory including emotional exhaustion, depersonalization and personal accomplishment. Participants also scored an overall grade of patient safety and estimated the occurrence of adverse clinical events. RESULTS: Nurses (N = 2,243) reported high levels of burnout. Most rated clinical safety as high. The risk of adverse events ranged from 1.3-12.4%. The degree of burnout appeared to influence the perception of safety and adverse events. CONCLUSION: The association between nurses' burnout and perceptions of higher rates of adverse events and reduced safety in clinical practice is an important finding. However, it is unclear whether this was influenced by a negative state of mind, and whether reduced safety and increased adverse events negatively influenced nurses' well-being, thus leading to burnout. Regardless, the association between nurses' burnout and these quality concepts needs further exploration to examine the effect, if any, on burnout and safety, and identify supportive mechanisms for nurses. IMPACT: The association between reported burnout and perception of safety and risk of adverse events in Italian paediatric nurses has been reported for the first time. Nurses reporting burnout are at greater risk of intensely negative perceptions of clinical safety and adverse events. This is an important finding as perceptions can influence practice and behaviours. Quality measures in children's clinical environments need to go beyond obvious indicators to examine nurses' well-being as this also influences quality and safety.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 1_ASSA2030 Problema de salud: 1_recursos_humanos_saude Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: J Adv Nurs Año: 2020 Tipo del documento: Article País de afiliación: Italia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 1_ASSA2030 Problema de salud: 1_recursos_humanos_saude Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: J Adv Nurs Año: 2020 Tipo del documento: Article País de afiliación: Italia
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