nach oben

International Journal of Behavioral Medicine

Erschienen in:

22.05.2017

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

verfasst von: Gemma Louch, Jane O’Hara, Peter Gardner, Daryl B. O’Connor

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 6/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Stress is a significant concern for individuals and organisations. Few studies have explored stress, burnout and patient safety in hospital nursing on a daily basis at the individual level. This study aimed to examine the effects of chronic stress and daily hassles on safety perceptions, the effect of chronic stress on daily hassles experienced and chronic stress as a potential moderator.

Method

Utilising a daily diary design, 83 UK hospital nurses completed three end-of-shift diaries, yielding 324 person days. Hassles, safety perceptions and workplace cognitive failure were measured daily, and a baseline questionnaire included a measure of chronic stress. Hierarchical multivariate linear modelling was used to analyse the data.

Results

Higher chronic stress was associated with more daily hassles, poorer perceptions of safety and being less able to practise safely, but not more workplace cognitive failure. Reporting more daily hassles was associated with poorer perceptions of safety, being less able to practise safely and more workplace cognitive failure. Chronic stress did not moderate daily associations. The hassles reported illustrate the wide-ranging hassles nurses experienced.

Conclusion

The findings demonstrate, in addition to chronic stress, the importance of daily hassles for nurses’ perceptions of safety and the hassles experienced by hospital nurses on a daily basis. Nurses perceive chronic stress and daily hassles to contribute to their perceptions of safety. Measuring the number of daily hassles experienced could proactively highlight when patient safety threats may arise, and as a result, interventions could usefully focus on the management of daily hassles.

Nur mit Berechtigung zugänglich

39.8% of participants completed five diaries, 18.1% completed four diaries, 34.9% completed three diaries, and 7.2% completed two diaries; 83.6% of the diaries were completed on a weekday.

Cronbach’s alphas (α) we report are from our analyses.

Hassle categories were not mutually exclusive.

Intra-class correlation coefficients (ICC) for outcome variables: perceptions of patient safety .42, safe practitioner measure .23 and workplace cognitive failure .66

Milliken TF, Clements PT, Tillman HJ. The impact of stress management on nurse productivity and retention. Nurs Econ. 2007;25(4):203–10.PubMed

Moustaka Å, Constantinidis TC. Sources and effects of work-related stress in nursing. Health Sci J. 2010;4:210–6.

Carayon P, Gurses AP. Nursing workload and patient safety—a human factors engineering perspective. In: Hughes R, editor. Patient safety and quality: an evidence–based handbook for nurses [internet]. Rockville: Agency for Healthcare Research and Quality; 2008. [cited 2016 January 10]. Available from http://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/CarayonP_NWPS.pdf.

Gifford BD, Zammuto RF, Goodman EA, Hill KS. The relationship between hospital unit culture and nurses' quality of work life/practitioner application. J Healthc Manag. 2002;47(1):13–25.PubMed

Ball JE, Murrells T, Rafferty AM, Morrow E, Griffiths P. ‘Care left undone’during nursing shifts: associations with workload and perceived quality of care. BMJ Qual Saf. 2013;23(2):116–25.CrossRefPubMedPubMedCentral

Wray J. The impact of the financial crisis on nurses and nursing. J Adv Nurs. 2013;69(3):497–9.CrossRefPubMed

Royal College of Nursing. Guidance on nurse staffing levels in the UK. London: RCN; 2010.

Royal College of Nursing. Mandatory nurse staffing levels. London: RCN; 2012.

Spetz J, Given R. The future of the nurse shortage: will wage increases close the gap? Health Affair. 2003;22(6):199–206.CrossRef

10.

Greenglass ER, Burke RJ, Fiksenbaum L. Workload and burnout in nurses. J Community Appl Soc. 2001;11(3):211–5.CrossRef

11.

Purcell SR, Kutash M, Cobb S. The relationship between nurses’ stress and nurse staffing factors in a hospital setting. J Nurs Manag. 2011;19(6):714–20.CrossRefPubMed

12.

Sharma P, Davey A, Davey S, Shukla A, Shrivastava K, Bansal R. Occupational stress among staff nurses: controlling the risk to health. Indian J Occup Environ Med. 2014;18(2):52.CrossRefPubMedPubMedCentral

13.

Chang EM, Daly JW, Hancock KM, Bidewell J, Johnson A, Lambert VA, et al. The relationships among workplace stressors, coping methods, demographic characteristics, and health in Australian nurses. J Prof Nurs. 2006;22(1):30–8.CrossRefPubMed

14.

Letvak S. We cannot ignore nurses’ health anymore: a synthesis of the literature on evidence-based strategies to improve nurse health. Nurs Adm Q. 2013;37(4):295–308.CrossRefPubMed

15.

Tucker SJ, Weymiller AJ, Cutshall SM, Rhudy LM, Lohse CM. Stress ratings and health promotion practices among RNs: a case for action. J Nurs Adm. 2012;42(5):282–92.CrossRefPubMed

16.

Ida H, Miura M, Komoda M, Yakura N, Mano T, Hamaguchi T, Yamauchi K. Relationship between stress and performance in a Japanese nursing organization. Int J Health Care Qual Assur. 2009;22(6):642–57.CrossRefPubMed

17.

Parker PA, Kulik JA. (1995). Burnout, self-and supervisor-rated job performance, and absenteeism among nurses. J Behav Med. 1995;18(6):581–99.CrossRefPubMed

18.

Carter MR, Tourangeau AE. Staying in nursing: what factors determine whether nurses intend to remain employed? J Adv Nurs. 2012;68(7):1589–600.CrossRefPubMed

19.

Heinen MM, van Achterberg T, Schwendimann R, Zander B, Matthews A, Kózka M, et al. Nurses’ intention to leave their profession: a cross sectional observational study in 10 European countries. Int J Nurs Stud. 2013;50(2):174–84.CrossRefPubMed

20.

Mosadeghrad AM. Occupational stress and turnover intention: implications for nursing management. Int J Health Policy Manag. 2013;1(2):169–76.CrossRefPubMedPubMedCentral

21.

Wu TY, Fox DP, Stokes C, Adam C. Work-related stress and intention to quit in newly graduated nurses. Nurse Educ Today. 2012;32(6):669–74.CrossRefPubMed

22.

AbuAlRub RF. Job stress, job performance, and social support among hospital nurses. J Nurs Sch. 2004;36(1):73–8.CrossRef

23.

Bakker AB, Heuven E. Emotional dissonance, burnout, and in-role performance among nurses and police officers. Int J Stress Manag. 2006;13(4):423.CrossRef

24.

Packard JS, Motowidlo SJ. Subjective stress, job satisfaction, and job performance of hospital nurses. Res Nurs Health. 1987;10(4):253–61.CrossRefPubMed

25.

Poghosyan L, Clarke SP, Finlayson M, Aiken LH. Nurse burnout and quality of care: cross-national investigation in six countries. Res Nurs Health. 2010;33(4):288–98.CrossRefPubMedPubMedCentral

26.

Vahey DC, Aiken LH, Sloane DM, Clarke SP, Vargas D. Nurse burnout and patient satisfaction. Med Care. 2004;42(2 Suppl):II57.PubMedPubMedCentral

27.

Dugan J, Lauer E, Bouquot Z, Dutro BK, Smith M, Widmeyer G. Stressful nurses: the effect on patient outcomes. J Nurs Care Qual. 1996;10(3):46–58.CrossRefPubMed

28.

Virtanen M, Kurvinen T, Terho K, Oksanen T, Peltonen R, Vahtera J, et al. Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients. Med Care. 2009;47(3):310–8.CrossRefPubMed

29.

Halbesleben JR, Wakefield BJ, Wakefield DS, Cooper LB. Nurse burnout and patient safety outcomes nurse safety perception versus reporting behavior. West J Nurs Res. 2008;30(5):560–77.CrossRefPubMed

30.

Jennings B. Work stress and burnout among nurses: role of the work environment and working conditions. In: Hughes R, editor. Patient safety and quality: an evidence–based handbook for nurses [internet]. Rockville: Agency for Healthcare Research and Quality; 2008. [cited 2016 January 10]. Available from http://www.ncbi.nlm.nih.gov/books/NBK2676/?report=reader.

31.

Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288(16):1987–93.CrossRefPubMed

32.

Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Nurse staffing, burnout, and health care–associated infection. Am J Infect Control. 2012;40(6):486–90.CrossRefPubMedPubMedCentral

33.

Teng CI, Shyu YIL, Chiou WK, Fan HC, Lam SM. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. Int J Nurs Stud. 2010;47(11):1442–50.CrossRefPubMed

34.

Elfering A, Semmer NK, Grebner S. Work stress and patient safety: observer-rated work stressors as predictors of characteristics of safety-related events reported by young nurses. Ergonomics. 2006;49(5–6):457–69.CrossRefPubMed

35.

Affleck G, Zautra A, Tennen H, Armeli S. Multilevel daily process designs for consulting and clinical psychology: a preface for the perplexed. J Consult Clin Psychol. 1999;67(5):746.CrossRefPubMed

36.

Ferguson E. The use of diary methods in clinical and health psychology. In: Miles J, Gilbert P, editors. A handbook of research methods in clinical and health psychology. Oxford: Oxford University Press; 2005.

37.

O’Connor DB, Ferguson E. Stress and stressors. In: Benyamini Y, Johnston M, Karademas EC, editors. Assessment in health psychology. Göttingen/Boston: Hogrefe; 2016. p. 104–18.

38.

Nezlek JB. Multilevel random coefficient analyses of event-and interval-contingent data in social and personality psychology research. Personal Soc Psychol Bull. 2001;27(7):771–85.CrossRef

39.

Hofmann DA, Mark B. An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Pers Psychol. 2006;59(4):847–69.CrossRef

40.

Huang DT, Clermont G, Kong L, Weissfeld LA, Sexton JB, Rowan KM, et al. Intensive care unit safety culture and outcomes: a US multicenter study. Int J Qual Health Care. 2010;22(3):151–61.CrossRefPubMedPubMedCentral

41.

Mardon RE, Khanna K, Sorra J, Dyer N, Famolaro T. Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf. 2010;6(4):226–32.CrossRefPubMed

42.

Petrowski K, Paul S, Albani C, Brähler E. Factor structure and psychometric properties of the Trier Inventory for Chronic Stress (TICS) in a representative German sample. BMC Med Res Methodol. 2012;12(1):42.CrossRefPubMedPubMedCentral

43.

Gartland N, O’Connor DB, Lawton R, Bristow M. Exploring day-to-day dynamics of daily stressor appraisals, physical symptoms and the cortisol awakening response. Psychoneuroendocrinology. 2014;50:130–8.CrossRefPubMed

44.

O'Connor DB, Jones F, Conner M, McMillan B, Ferguson E. Effects of daily hassles and eating style on eating behavior. Health Psychol. 2008;27(1S):S20.CrossRefPubMed

45.

Sliwinski MJ, Almeida DM, Smyth J, Stawski RS. Intraindividual change and variability in daily stress processes: findings from two measurement-burst diary studies. Psychol Aging. 2009;24(4):828.CrossRefPubMedPubMedCentral

46.

Serido J, Almeida DM, Wethington E. Chronic stressors and daily hassles: unique and interactive relationships with psychological distress. J Health Soc Behav. 2004;45(1):17–33.CrossRefPubMed

47.

Reason J. Human error: models and management. BMJ. 2000;320(7237):768–70.CrossRefPubMedPubMedCentral

48.

Lupien SJ, Maheu F, Tu M, Fiocco A, Schramek TE. The effects of stress and stress hormones on human cognition: implications for the field of brain and cognition. Brain Cogn. 2007;65(3):209–37.CrossRefPubMed

49.

Renner KH, Beversdorf DQ. Effects of naturalistic stressors on cognitive flexibility and working memory task performance. Neurocase. 2010;16(4):293–300.CrossRefPubMed

50.

Starcke K, Wolf OT, Markowitsch HJ, Brand M. Anticipatory stress influences decision making under explicit risk conditions. Behav Neurosci. 2008;122(6):1352.CrossRefPubMed

51.

Broadbent DE, Cooper PF, FitzGerald P, Parkes KR. The cognitive failures questionnaire (CFQ) and its correlates. Br J Clin Psychol. 1982;21(1):1–16.CrossRefPubMed

52.

Park YM, Kim SY. Impacts of job stress and cognitive failure on patient safety incidents among hospital nurses. Saf Health Work. 2013;4(4):210–5.CrossRefPubMedPubMedCentral

53.

Louch G, O’Hara J, Gardner P, O’Connor DB. The daily relationships between staffing, safety perceptions and personality in hospital nursing: a longitudinal on-line diary study. Int J Nurs Stud. 2016;59:27–37.CrossRefPubMed

54.

Schulz P, Schlotz W, Becker P. Trierer Inventar zum chronischen Stress (TICS) [Trierer Inventory of Chronic Stress]. Gottingen: Hogrefe; 2004.

55.

Schulz P, Schlotz W. Trierer Inventar zur Erfassung von chronischem Streß (TICS): Skalenkonstruktion, teststatistische Überprüfung und Validierung der Skala Arbeitsüberlastung [The Trier Inventory for Chronic Stress (TICS): scale construction, statistical testing and validation of the scale work overload]. Diagnostica. 1999;45(1):8–19. doi:10.1026//0012-1924.45.1.8.

56.

Sorra JS, Nieva VF. Hospital survey on patient safety culture. AHRQ Publication No. 04-0041. Rockville, MD: Agency for Healthcare Research and Quality, September 2004. (Available from: http://www.ahrq.gov/qual/hospculture; accessed January, 2016).

57.

Blegen MA, Gearhart S, O'brien R, Sehgal NL, Alldredge BK. AHRQ’s hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009;5(3):139–44.CrossRefPubMed

58.

Sorra JS, Dyer N. Multilevel psychometric properties of the AHRQ hospital survey on patient safety culture. BMC Health Serv Res. 2010;10(1):199.CrossRefPubMedPubMedCentral

59.

Wallace JC, Chen G. Development and validation of a work-specific measure of cognitive failure: implications for occupational safety. J Occup Organ Psychol. 2005;78(4):615–32.CrossRef

60.

Elfering A, Grebner S, Dudan A. Job characteristics in nursing and cognitive failure at work. Saf Health Work. 2011;2(2):194–200.CrossRefPubMedPubMedCentral

61.

Raudenbush SW. HLM 6: Hierarchical linear and nonlinear modeling. Scientific Software International; 2004.

62.

Bryk AS, Raudenbush SW. Hierarchical linear models. Newbury Park: Sage; 1992.

63.

Kreft IG, De Leeuw J, Aiken LS. The effect of different forms of centering in hierarchical linear models. Multivariate Behav Res. 1995;30(1):1–21.CrossRefPubMed

64.

Hall LH, Johnson J, Watt I, Tsipa A, O’Connor DB. Healthcare staff wellbeing, burnout, and patient safety: a systematic review. PLoS One. 2016;11(7):e0159015.CrossRefPubMedPubMedCentral

65.

Griffin MA. Interaction between individuals and situations: using HLM procedures to estimate reciprocal relationships. J Manage. 1997;23(6):759–73.

66.

Hofmann DA. An overview of the logic and rationale of hierarchical linear models. J Manage. 1997;23(6):723–44.

Titel: A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing
verfasst von: Gemma Louch
Jane O’Hara
Peter Gardner
Daryl B. O’Connor
Publikationsdatum: 22.05.2017
Verlag: Springer US
Erschienen in: International Journal of Behavioral Medicine / Ausgabe 6/2017
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-017-9655-2

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

Abstract

Purpose

Method

Results

Conclusion

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Method

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2017

Normalization as a Strategy for Maintaining Quality of Life While Coping with Infertility in a Pronatalist Culture

Socio-demographic, Marital, and Psychosocial Factors Associated with Condom Use Negotiation Self-Efficacy Among Mozambican Women at Risk for HIV Infection

“In My Culture, We Don’t Know Anything About That”: Sexual and Reproductive Health of Migrant and Refugee Women

Motivational and Volitional Correlates of Physical Activity in Participants Reporting No, Past, and Current Hypertension: Findings from a Cross-Sectional Observation Study

Correction to: Psychosocial and Clinical Correlates of Fatigue in Haemodialysis Patients: the Importance of Patients’ Illness Cognitions and Behaviours

Breastfeeding (Un)Covered: Narratives of Public Breastfeeding on Romanian Discussion Forums