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Homework answers / question archive /   Annotated Bibliography   Jalisa K

  Annotated Bibliography   Jalisa K



Annotated Bibliography


Jalisa K. Ford

Department of Nursing, Eastern Michigan University

NURS 300W: Reading and Writing in Nursing Studies

Amy McBain

July 21, 2020
















Annotated Bibliography

Research Question: How does nurse’s mental health affect burnout and patient safety and what can be done to change this?

Argaud, L., Azoulay, E., Beuret, P., Blot, F., Garrouste-Orgeas, M., Klouche, K., Maxime, V., Perrin, M., Soufir. L., Timsit J. F., Troche´, G. & Vesin, A., (2015). The iatroref study: Medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. Intensive Care Med, 41, 273–284. https://doi.org10.1007/s00134-014-3601-4

The purpose of this study was to determine if burnout, depression and the strength of patient safety has an effect on medication errors. The methods used by the authors in this study consist of an observational, prospective, questionnaire. This questionnaire was answered by intensive care practitioners at 38 hospitals and consisted of categories related to burnout symptoms, depression symptoms, and safety culture. This study found that most practitioners did not have increased medical errors related to burnout or related to safety culture but did have increased errors related to depression. One interesting fact of this article is that the authors of this study found that staff coming to work after a day off had increased medical errors. Some of the limitations of this study included having a young of age population pool, the fact that most of the safety scores showed little change and that they previous performed a study with this same group, which could have biases. One of the similarities I noticed between this study and Baggs et al. (2018) they both agree that a higher workload increases the chances of having medication errors. This study appears useful because it unlike the other articles believe that burnout is not a factor of patient safety but believes depression is. The theme being noticed between articles is that they all have different reasons of how patient safety is affected by nurses mental health but in different ways.

Baggs, J. G., Liu, J., Liu, K., Liu, X., Wu, Y., You, L., & Zheng, J. (2018). Hospital nursing organizational factors, nursing care left undone, and nurse burnout as predictors of patient safety: A structural equation modeling analysis. International Journal of Nursing Studies, 86(2018), 82–89.

The purpose of this article is to evaluate how excessive amounts of non-nursing duties, tasks left incomplete, work atmosphere, and work assignment affect the mental exhaustion of nurses and decrease patient safety. The methods used by these authors include a cross-sectional study conducted across south China. This study sampled over 1,500 nurses who answered an anonymous questionnaire. The findings of this study concluded that nurses who had improved work atmospheres and fewer non-nursing tasks, were able to complete more essential nursing tasks, feel less exhausted and have increased patient safety ratings. The authors of this article believe dissatisfaction with work atmospheres and the increase in non-nurses’ tasks cause nurses to feel overwhelmed by incomplete tasks causing burnout which increases incidents in patient safety. The limitations of this study include effects of patient safety not being reported, self-reporting, which could lead to biases and time variances of data collection. The difference seen in this article is this it looks at the nurse’s environment which causes burnout then decreased patient safety whereas De Witte et al. (2016) seeks to look at the patient incident as the cause for dissatisfaction and exhaustion. This source is helpful because it answers the question of why there is exhaustion and dissatisfaction in the nurse before the patient incident occurs. The theme noticed in relation to the research question is what can be done to decrease burnout in nurses so patient safety can be improved.

Cooper L. B., Halbesleben, J. R. B., Wakefield B. J. & Wakefield D. S., (2008). Nurse burnout and patient safety outcomes: Nurse safety perception versus reporting behavior. Western Journal of

Nursing Research, 30(5), 560-577.

The purpose of this study is to analyze practitioner burnout and their discernment of patient safety. It seeks to understand if practitioner burnout decreases their desire and motivation to go the extra mile to provide exceptional patient care resulting in sub-par care and leading to decreased patient safety. This study also seeks to understand if burnout will decrease the amount of errors reported by staff. The methods used in this study includes a cross-sectional survey mailed to and filled out by 148 practitioners on their own time. It asks question related to exhaustion, personal accomplishments, depersonalization, patient safety perception and reporting. This study found a decreased in the amount of reporting of medication errors related to burnout and that practitioners with increased burnout discerned they had a less safe environment. Some limitations include practitioners not knowing what possible should be a reportable offense, practitioners self-reporting could be biased and that this study only included one hospital. One of the main differences I see between this article and Argaud et al. (2015) they have an opposite view as to what causes burnout, one believes burnout solely comes from depression and isn’t associated with burnout at all, were this one solely believes it is because of burnout. This source could be useful because it helps to give a comparison in oppositional views. The theme noticed is burnout does show a decrease in patient safety.

De Witte, H., Dierickx, S., Euwema, M., Godderis, L., Sermeus, W., Vandenbroeck, S., Vander Elst, T., Van Gerven, E., & Vanhaecht, K. (2016). Increased risk of burnout for physicians and nurses involved in a patient safety incident. Medical Care54(10), 937-943.

The purpose of this study is to evaluate how the measures of harm to patients can lead to feeling overwhelmed, less-confident, withdrawn and exhausted practitioners. The methods the authors’ used were a multicentered cross-sectional study design were data was collected by several organizations; Nurses and physicians currently working in the hospital were surveyed filling out an online questionnaire. The participants were asked to answer questions about causing patient injury, thoughts of leaving their current profession, symptoms of burnout (emotional exhaustion, depersonalization, and personal accomplishment) and problematic medication use. The authors found that as the degree of patient harm increased so did the practitioners feeling of burnout and alcohol use. This put the practitioner at a greater risk for future incidents in patient safety and even more burnout and decreased feelings of skill satisfaction. However, once the harm of a patient lead to death the overall health of the practitioner was less stressful than permanent harm. A few limitations of this study include not having a fully represented sample of the practitioners, a short six-month period time-frame and skewed results related to being self-reported by practitioners. The connection seen between this study and Baggs et al. (2018) is trying to understand what causes decreased patient safety. This source will be useful in helping to better understand how the mental health of nurses is affected by their job and what can be done to decrease burnout which increases patient safety. The theme noticed in relation to presented research question is patient incidents increase burnout and can continue to increase it if not resolved.

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