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Occupational stress and cognitive failure of nurses and associations with self-reported adverse events: a national cross-sectional survey


Kakemam, E and Kalhor, R and Khakdel, Z and Khezri, A and West, S and Visentin, D and Cleary, M, Occupational stress and cognitive failure of nurses and associations with self-reported adverse events: a national cross-sectional survey, Journal of Advanced Nursing, 75, (12) pp. 3609-3618. ISSN 0309-2402 (2019) [Refereed Article]

Copyright Statement

2019 John Wiley & Sons Ltd

DOI: doi:10.1111/jan.14201


Aim: To determine correlations for nurse self-reported occupational stress, prevalence of cognitive failure (CF), and adverse events.

Design: Cross-sectional nationwide survey.

Methods: Tertiary-level public hospitals (N = 115) from 13 provinces in Iran were recruited and 2,895 nurses surveyed (August 2016-December 2017). Participants' self-reported demographic information, occupational stress, CF, and frequency of adverse events were analysed using chi-square, t tests, and binary logistic regression.

Results: This study showed that 29.1% of nurses had experienced adverse events in the past six months. Significant predictors for reported adverse events from logistic regression were 'Role stressors', 'Interpersonal relations stressors', and 'Action', while 'Working environment stressors' was protective for reported adverse events. Demographic predictors of adverse events were longer work hours and male gender, while those working in critical care units, general wards, and other wards had higher reported adverse events than for emergency wards.

Conclusions: Occupational stress and CF are associated with the reporting of adverse events. Further research is needed to assess interventions to address occupational stress and CF to reduce adverse events.

Impact: Adverse events compromise patient safety, lead to increased healthcare costs, and impact nursing staff. Higher self-reported adverse events were associated with higher reported stressors and CF. Understanding the factors that influence occupational stress, CF, and adverse events will support quality patient care and safety.

Item Details

Item Type:Refereed Article
Keywords:adverse events, cognitive failure, nurses, occupational stress, patient safety
Research Division:Health Sciences
Research Group:Nursing
Research Field:Nursing not elsewhere classified
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:West, S (Dr Sancia West)
UTAS Author:Visentin, D (Dr Denis Visentin)
UTAS Author:Cleary, M (Professor Michelle Cleary)
ID Code:136042
Year Published:2019
Web of Science® Times Cited:20
Deposited By:Nursing
Deposited On:2019-11-28
Last Modified:2019-12-13

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