Cited by 145Healthcare professionals’ stress and burnoutStress and Burnout ResearchOccupational Health and Burnout

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Interactive effects of nurse-experienced time pressure and burnout on patient safety: A cross-sectional survey

Teng, Ching-I, Shyu, Yea-Ing Lotus, Chiou, Wen-Ko, Fan, Hsiao-Chi, Lam, Si Man·2010·International Journal of Nursing Studies

DOI 10.1016/j.ijnurstu.2010.04.005

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Abstract

Background Global nursing shortages have exacerbated time pressure and burnout among nurses. Despite the well-established correlation between burnout and patient safety, no studies have addressed how time pressure among nurses and patient safety are related and whether burnout moderates such a relation. Objectives This study investigated how time pressure and the interaction of time pressure and nursing burnout affect patient safety. DESIGN-SETTING PARTICIPANTS: This cross-sectional study surveyed 458 nurses in 90 units of two medical centres in northern Taiwan. Methods Nursing burnout was measured by the Maslach Burnout Inventory-Human Service Scale. Patient safety was inversely measured by six items on frequency of adverse events. Time pressure was measured by five items. Regressions were used for the analysis. Results While the results of regression analyses suggest that time pressure did not significantly affect patient safety (beta=-.01, p>.05), time pressure and burnout had an interactive effect on patient safety (beta=-.08, p<.05). Specifically, for nurses with high burnout (n=223), time pressure was negatively related to patient safety (beta=-.10, p<.05). Conclusion Time pressure adversely affected patient safety for nurses with a high level of burnout, but not for nurses with a low level of burnout.

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Authors: Teng, C.-I., Shyu, Y.-I. L., Chiou, W.-K., Fan, H.-C., & Lam, S. M.
Affiliations: Chang Gung University (TW)
Corresponding author: Teng, Ching-I
ORCID: Teng, Ching-I
Shyu, Yea-Ing Lotus
Chiou, Wen-Ko
Lam, Si Man
Venue: International Journal of Nursing Studies
Publisher: Elsevier BV
Published: 2010-11
Volume: 47
Issue: 11
Pages: 1442-1450
ISSN: 0020-7489 (ISSN-L)
DOI: 10.1016/j.ijnurstu.2010.04.005
OpenAlex: W2084935014
Cited by: 145
References: 68
Citations by year: 2026: 9 · 2025: 8 · 2024: 4 · 2023: 12 · 2022: 12 · 2021: 12 · 2020: 10 · 2019: 12 · 2018: 9 · 2017: 12 · 2016: 9 · 2015: 13 · 2014: 7 · 2013: 2 · 2012: 10
FWCI: 9.11
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: International Journal of Nursing Studies (publishedVersion)
PubMed (publishedVersion)
Funders: Chang Gung Medical Foundation
Topics: Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
Keywords: nurse burnout, patient safety, adverse events, interaction effects, nursing shortage
MeSH terms: Burnout, Professional, Cross-Sectional Studies, Humans, Nurses, Patients, Safety Management

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Interactive effects of nurse-experienced time pressure and burnout on patient safety: A cross-sectional survey

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