Johnson, J. orcid.org/0000-0003-0431-013X, Louch, G., Dunning, A. et al. (5 more authors) (2017) Burnout mediates the association between depression and patient safety perceptions: a cross-sectional study in hospital nurses. Journal of Advanced Nursing, 73 (7). pp. 1667-1680. ISSN 0309-2402
Abstract
Aims
The aim of this study was to investigate the relationships between depressive symptoms, burnout and perceptions of patient safety. A mediation model was proposed whereby the association between symptoms of depression and patient safety perceptions was mediated by burnout.
Background
There is growing interest in the relationships between depressive symptoms and burnout in healthcare staff and the safety of patient care. Depressive symptoms are higher in healthcare staff than the general population and overlap conceptually with burnout. However, minimal research has investigated these variables in nurses. Given the conceptual overlap between depressive symptoms and burnout, there is also a need for an explanatory model outlining the relative contributions of these factors to patient safety.
Design A cross-sectional questionnaire was distributed at three acute NHS Trusts.
Method
Three-hundred and twenty-three hospital nursing staff completed measures of depressive symptoms, burnout and patient safety perceptions (including measures at the level of the individual and the work area/unit) between December 2015 - February 2016.
Results
When tested in separate analyses, depressive symptoms and burnout facets were each associated with both patient safety measures. Furthermore, the proposed mediation model was supported, with associations between depressive symptoms and patient safety perceptions fully mediated by burnout.
Conclusion
These results suggest that symptoms of depression and burnout in hospital nurses may have implications for patient safety. However, interventions to improve patient safety may be best targeted at improving burnout in particular, with burnout interventions known to be most effective when focused at both the individual and the organisational level.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2017 John Wiley & Sons Ltd. This is an author-produced version of a paper subsequently published in Journal of Advanced Nursing. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | burnout; health care; nursing; patient safety; workforce issues; Burnout, Professional; Cross-Sectional Studies; Humans; Nursing Staff, Hospital; Patient Safety; United Kingdom |
Dates: |
|
Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 10 May 2023 11:39 |
Last Modified: | 10 May 2023 11:39 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/jan.13251 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:198921 |