A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing
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.
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The Safe Practitioner measure was validated in previous studies.
“These measures were validated in previous studies (Louch et al., 2016, 2017).”
From Wellbeing, burnout, and safe practice among healthcare professionals: predictive influences of mindfulness, values, and self-compassion (2022) · cites this paper as Louch et al., 2017
The End of shift daily measures section says the Safe Practitioner measure was used in an earlier study, but does not say it was validated there or elsewhere. The same section reports favourable psychometric properties for two other measures; that statement does not establish validation of the Safe Practitioner measure. Searches for its validation, reliability and psychometric properties found no supporting passage. (LLM, conf=0.76)
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Healthcare staff wellbeing, burnout, and patient safety: a systematic review
Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O’Connor, D. B. (2016) · PLOS ONE · doi:10.1371/journal.pone.0159015 · Cited by 1,683 · see citing works
Self-citation. Care left undone during nursing shifts: associations with workload and perceived quality of care.
Ball, J. E., Murrells, T., Rafferty, A. M., Morrow, E., & Griffiths, P. (2014) · BMJ Quality & Safety · doi:10.1136/bmjqs-2012-001767 · Cited by 666 · cited 1× · see citing works
“The workload and demands placed on nurses are ever increasing [3, 4], and healthcare organisations are under rising pressure [5, 6].”
BackgroundEmotional dissonance, burnout, and in-role performance among nurses and police officers
Bakker, A. B., & Heuven, E. (2006) · International Journal of Stress Management · doi:10.1037/1072-5245.13.4.423 · Cited by 479 · see citing works
Teng, C.-I., Shyu, Y.-I. L., Chiou, W.-K., Fan, H.-C., & Lam, S. M. (2010) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2010.04.005 · Cited by 145 · see citing works
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Prudenzi, A., Graham, C. D., Flaxman, P. E., Wilding, S., Day, F., & O’Connor, D. B. (2022) · PLoS ONE · doi:10.1371/journal.pone.0266357 · Cited by 72 · see citing works
Self-citationPrudenzi, A., D. Graham, C., Flaxman, P. E., & O’Connor, D. B. (2022) · Psychology, Health & Medicine · doi:10.1080/13548506.2021.1898651 · Cited by 58 · see citing works
“These measures were validated in previous studies (Louch et al., 2016, 2017).”
MethodSelf-citation
- Authors
- Louch, G., O’Hara, J., Gardner, P., & O’Connor, D. B.
- Affiliations
- Bradford Royal Infirmary (GB)
- University of Leeds (GB)
- Corresponding author
- Louch, Gemma
- Venue
- International Journal of Behavioral Medicine
- Published
- 2017-05-22
- Volume
- 24
- Issue
- 6
- Pages
- 946-956
- ISSN
- 1070-5503 (ISSN-L)
- 1532-7558
- OpenAlex
- W2617789475
- Cited by
- 24
- References
- 4
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 7 · 2020: 2 · 2019: 3 · 2018: 1
- FWCI
- 2.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Funders
- University of Leeds
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Keywords
- chronic stress, daily hassles, perceived safety, hospital nurses, patient safety, burnout, daily diary, occupational stress
- MeSH terms
- Adult, Burnout, Professional, Female, Humans, Male, Middle Aged, Nursing Staff, Hospital, Perception, Surveys and Questionnaires, Stress, Psychological, Workplace, Young Adult, Patient Safety
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