Occupational Stress and Cognitive Failure of Nurses in Clinical Errors in the Teaching Hospitals Affiliated to Iran University of Medical Sciences
Background & Aims: Nurses are exposed to significant occupational stress compared to other healthcare professionals, which predisposes them to the risk of cognitive failure and the incidence of clinical errors. The present study aimed to assess the correlation of occupational stress and cognitiv...
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| Format: | Article |
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Iran University of Medical Sciences
2018-08-01
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| Series: | نشریه پرستاری ایران |
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| Online Access: | http://ijn.iums.ac.ir/article-1-2711-en.html |
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| author | P Raeisi E Hasanzade M Geraie J Kabani E Kakemam S Mohammadi |
| author_facet | P Raeisi E Hasanzade M Geraie J Kabani E Kakemam S Mohammadi |
| author_sort | P Raeisi |
| collection | DOAJ |
| description | Background & Aims: Nurses are exposed to significant occupational stress compared to other healthcare professionals, which predisposes them to the risk of cognitive failure and the incidence of clinical errors. The present study aimed to assess the correlation of occupational stress and cognitive failure in the incidence of clinical errors among nurses.
Materials & Methods: This cross-sectional study was conducted on 367 nurses at eight hospitals in Tehran, Iran in 2017. The participants were full-time nurses employed in the selected hospitals with more than six months of clinical experience. Demographic data of the participants were collected, and the scores of occupational stress and cognitive failure and frequency of medical errors were determined using self-administered questionnaires. Moreover, a binary logistic regression model was applied to verify the influential factors in the incidents associated with patient safety among the nurses.
Results: In total, there were 367 valid responses, and 19.61% of the nurses had experienced clinical errors. Mean total scores of occupational stress and cognitive failure were 3.48 and 1.98, respectively. According to the binary logistic regression analysis, the most important influential factors in the incidence of clinical errors were the received wages (odds ratio [OR]=0.066), clinical experience (OR=2.114), cognitive failure (OR=3.897), duty-related stressors (OR=2.837), and interpersonal relations associated with stressors (OR=0.340).
Conclusion: According to the results, the incidence of clinical errors was influenced by cognitive failure, occupational stress, received wages, and clinical experience. Therefore it is recommended that hospital managers retire the nurses with higher clinical experience and recruit younger nursing staff. In addition, nursing managers should develop and apply appropriate policies and strategies to reduce occupational stress, which in turn diminishes the incidence of clinical errors. |
| first_indexed | 2024-12-12T15:45:39Z |
| format | Article |
| id | doaj.art-dc5f82f9ba8f43f580bd7cc20d7354d5 |
| institution | Directory Open Access Journal |
| issn | 2008-5931 |
| language | fas |
| last_indexed | 2024-12-12T15:45:39Z |
| publishDate | 2018-08-01 |
| publisher | Iran University of Medical Sciences |
| record_format | Article |
| series | نشریه پرستاری ایران |
| spelling | doaj.art-dc5f82f9ba8f43f580bd7cc20d7354d52022-12-22T00:19:46ZfasIran University of Medical Sciencesنشریه پرستاری ایران2008-59312018-08-01311135261Occupational Stress and Cognitive Failure of Nurses in Clinical Errors in the Teaching Hospitals Affiliated to Iran University of Medical SciencesP Raeisi0E Hasanzade1M Geraie2J Kabani3E Kakemam4S Mohammadi5 PhD, Professor, Student Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran MS Student in Healthcare Management, Student Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran. (*Corresponding author) Tel: 09306893857 Email: management.iums63@gmail.com MS in Healthcare Management, Student Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran BS in Nursing, Student Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran PhD Candidate in Healthcare Management, Student Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran MS Student in Biostatistics, Student Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Background & Aims: Nurses are exposed to significant occupational stress compared to other healthcare professionals, which predisposes them to the risk of cognitive failure and the incidence of clinical errors. The present study aimed to assess the correlation of occupational stress and cognitive failure in the incidence of clinical errors among nurses. Materials & Methods: This cross-sectional study was conducted on 367 nurses at eight hospitals in Tehran, Iran in 2017. The participants were full-time nurses employed in the selected hospitals with more than six months of clinical experience. Demographic data of the participants were collected, and the scores of occupational stress and cognitive failure and frequency of medical errors were determined using self-administered questionnaires. Moreover, a binary logistic regression model was applied to verify the influential factors in the incidents associated with patient safety among the nurses. Results: In total, there were 367 valid responses, and 19.61% of the nurses had experienced clinical errors. Mean total scores of occupational stress and cognitive failure were 3.48 and 1.98, respectively. According to the binary logistic regression analysis, the most important influential factors in the incidence of clinical errors were the received wages (odds ratio [OR]=0.066), clinical experience (OR=2.114), cognitive failure (OR=3.897), duty-related stressors (OR=2.837), and interpersonal relations associated with stressors (OR=0.340). Conclusion: According to the results, the incidence of clinical errors was influenced by cognitive failure, occupational stress, received wages, and clinical experience. Therefore it is recommended that hospital managers retire the nurses with higher clinical experience and recruit younger nursing staff. In addition, nursing managers should develop and apply appropriate policies and strategies to reduce occupational stress, which in turn diminishes the incidence of clinical errors.http://ijn.iums.ac.ir/article-1-2711-en.htmlcognitive failureoccupational stresspatient safetyclinical errorsnurses |
| spellingShingle | P Raeisi E Hasanzade M Geraie J Kabani E Kakemam S Mohammadi Occupational Stress and Cognitive Failure of Nurses in Clinical Errors in the Teaching Hospitals Affiliated to Iran University of Medical Sciences نشریه پرستاری ایران cognitive failure occupational stress patient safety clinical errors nurses |
| title | Occupational Stress and Cognitive Failure of Nurses in Clinical Errors in the Teaching Hospitals Affiliated to Iran University of Medical Sciences |
| title_full | Occupational Stress and Cognitive Failure of Nurses in Clinical Errors in the Teaching Hospitals Affiliated to Iran University of Medical Sciences |
| title_fullStr | Occupational Stress and Cognitive Failure of Nurses in Clinical Errors in the Teaching Hospitals Affiliated to Iran University of Medical Sciences |
| title_full_unstemmed | Occupational Stress and Cognitive Failure of Nurses in Clinical Errors in the Teaching Hospitals Affiliated to Iran University of Medical Sciences |
| title_short | Occupational Stress and Cognitive Failure of Nurses in Clinical Errors in the Teaching Hospitals Affiliated to Iran University of Medical Sciences |
| title_sort | occupational stress and cognitive failure of nurses in clinical errors in the teaching hospitals affiliated to iran university of medical sciences |
| topic | cognitive failure occupational stress patient safety clinical errors nurses |
| url | http://ijn.iums.ac.ir/article-1-2711-en.html |
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