The DOI matches its Crossref record; 66 of the 68 references it cites were found in a registry or an index.
Interactive effects of nurse-experienced time pressure and burnout on patient safety: A cross-sectional survey
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“a higher composite burnout score was associated with lower patient safety ratings [113]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [113]
Citations
Cites
Evaluating structural equation models with unobservable variables and measurement error
Fornell, C., & Larcker, D. F. (1981) · Journal of Marketing Research · doi:10.1177/002224378101800104 · Cited by 109,190
Structural equation modeling in practice: A review and recommended two-step approach
Anderson, J. C., & Gerbing, D. W. (1988) · Psychological Bulletin · doi:10.1037/0033-2909.103.3.411 · Cited by 41,941
Herne, H., Cooley, W. W., & Lohnes, P. R. (1973) · Journal of the Royal Statistical Society Series A (General) · doi:10.2307/2344428 · Cited by 35,801
On the Evaluation of Structural Equation Models
Bagozzi, R. P., & Yi, Y. (1988) · Journal of the Academy of Marketing Science · doi:10.1007/bf02723327 · Cited by 26,163
Einax, J. W., Zwanziger, H. W., & Geiß, S. (1997) · Wiley eBooks · doi:10.1002/352760216x.ch5 · Cited by 18,779
Conservation of resources: A new attempt at conceptualizing stress
Hobfoll, S. E. (1989) · American Psychologist · doi:10.1037/0003-066x.44.3.513 · Cited by 18,187
Structural Equations with Latent Variables
Bollen, K. A. (1989) · Wiley series in probability and statistics · doi:10.1002/9781118619179 · Cited by 17,944
Structural Equations with Latent Variables.
Clogg, C. C., & Bollen, K. A. (1991) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2072165 · Cited by 17,475
The measurement of experienced burnout
Maslach, C., & Jackson, S. E. (1981) · Journal of Organizational Behavior · doi:10.1002/job.4030020205 · Cited by 14,496
Institute of Medicine (2000) · National Academies Press eBooks · doi:10.17226/9728 · Cited by 14,390
Cited by
Sorted by citations
Items 101–145 of 145
Enhancing nurses’ perceptions of having a place to reduce turnover intentions
Chang, H., Lee, I., Huang, T., Ho, L., Chen, L., Cheng, T. C. E., & Teng, C. (2024) · International Nursing Review · doi:10.1111/inr.12930 · Cited by 5
Self-citationExploring the Role of Valence and Regulation Type on the Emotional Antecedents of Burnout
Packell, K. M., & Narayan, A. (2013) · Journal of Psychological Issues in Organizational Culture · doi:10.1002/jpoc.21091 · Cited by 5
Ichikawa, R., Shibuya, A., Misawa, J., Maeda, Y., Hishiki, T., & Kondo, Y. (2019) · Journal of Nihon University Medical Association · doi:10.4264/numa.78.3_135 · Cited by 5
Tidspress blant sykepleiere kan påvirke kvalitet og pasientsikkerhet: en systematisk review
Lied, I. B., Lindgren, M. L., & Helberget, L. K. (2021) · Klinisk Sygepleje · doi:10.18261/issn.1903-2285-2021-03-05 · Cited by 4
High efficiency or easy troubleshooting? Human use of autonomous Mobile healthcare robots
Huang, T., Liao, G., Dennis, A. R., & Teng, C. (2025) · Decision Support Systems · doi:10.1016/j.dss.2025.114453 · Cited by 5
Self-citationSarhaddi, M., Ghasemi, A. H., Soleimanpour, M., & Ghalavand, M. (2019) · Journal of Occupational Health and Epidemiology · doi:10.29252/johe.8.1.43 · Cited by 4
Nurse Burnout and Patient Satisfaction With Nursing Care at Dialysis and Cardiac Care Units
Shorofi, A., Jafari, H., Lolaty, H. Â., Charati, J. Y., & Karimzadeh, M. (2016) · Critical Care Nursing · doi:10.17795/ccn-5102 · Cited by 4
Sahu, S., Goswami, S., Haldar, P., & Sett, M. (2012) · International Journal of Occupational Safety and Health · doi:10.3126/ijosh.v2i2.6566 · Cited by 4
Khodayari‐Zarnaq, R., Tarinajad, Z., Gholipour, K., & Fathi, B. (2020) · Depiction of Health · doi:10.34172/doh.2020.15 · Cited by 3
Perspectivas y retos en factores humanos e ingeniería de sistemas en ambientes médicos complejos
Benavides, C. O. (2016) · Acta Colombiana de Cuidado Intensivo · doi:10.1016/j.acci.2016.07.006 · Cited by 3
Alkaabi, I., Al-Kuwari, K., & Mahdi, Y. S. (2020) · Journal of Social Science for Policy Implications · doi:10.15640/jsspi.v8n2a2 · Cited by 3
Workload in Nursing: A Descriptive Study Using Cognitive Work Analysis
Umansky, J. (2015) · RIT Scholar Works (Rochester Institute of Technology) · Cited by 3
Perceptions of Clinical Decision-Making Skills among Saudi Nursing Students: A Comparative Study
AL-Dossary, R. N., Dorgham, S. R., & Maniago, J. D. (2019) · Journal of Health and Allied Sciences NU · doi:10.1055/s-0039-3400662 · Cited by 2
Spann, A., Steininger, A., Jukic-Puntigam, M., & Grandy, S. (2024) · Patient Education and Counseling · doi:10.1016/j.pec.2024.108401 · Cited by 2
Yin, Z., Gong, B., Liu, Z., Yang, D., Chen, S., & Li, Z. (2025) · Reliability Engineering & System Safety · doi:10.1016/j.ress.2025.111170 · Cited by 2
Srikasem, S., Seephom, S., Viriyopase, A., Phutrakool, P., Khowinthaseth, S., Narajeenron, K., & ER-VIPE Study Group (2025) · JMIR Medical Education · doi:10.2196/70726 · Cited by 9
Kaptanoğlu, R. Ö. (2025) · Behavioral Sciences · doi:10.3390/bs15111505 · Cited by 4
Nayeri, N. D., Ameri, Z. A., & Seylani, K. (2016) · Iran Journal of Nursing · doi:10.29252/ijn.28.98.39 · Cited by 2
Investigating the psychological and social predictors of burnout among nurses
Steenkamp, J. (2014) · SUNScholar (Stellenbosch University) · Cited by 2
Lee, I., Tai, S., Lin, Y., Yu, W., Teng, C., & Chang, H. (2025) · International Nursing Review · doi:10.1111/inr.70078 · Cited by 1
Self-citationWang, D., Li, L., Xu, K., Su, X., Liao, D., Liu, X., & Jiang, Y. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1803875 · Cited by 1
Stress and Job Burnout of Iranian Football Referees
گله, م. ج., & Jabari, N. (2014) · International journal of sport studies · Cited by 1
Korban, Z., & Taraszkiewicz-Łyda, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214724 · Cited by 1
Keysia, F., & Nugroho, Y. A. B. (2022) · Prosiding Working Papers Series In Management · doi:10.25170/wpm.v14i1.3581 · Cited by 1
Uzoma, K. C., Nkereuwem, M. E., Karfi, U. A., Adeleye, A. O., & Mololuwa, A. (2021) · Indonesian Journal of Social and Environmental Issues (IJSEI) · doi:10.47540/ijsei.v2i2.264 · Cited by 1
An evaluation of stroke rehabilitation within Greater Manchester
McGovern, A. (2014) · University of Salford Institutional Repository (University of Salford)
Kelley, C. L. (2012) · TigerPrints (Clemson University)
Ulvinge, R., & Yekehzare, F. R. (2015) · Gothenburg University Publications Electronic Archive (Gothenburg University)
Matsuishi, Y., Mathis, B. J., Hoshino, H., Enomoto, Y., Shimojo, N., Kawano, S., Sakuramoto, H., & Inoue, Y. (2021) · Research Square · doi:10.21203/rs.3.rs-144202/v1
Boosting morale among NHS staff: what can managers do?
Conway, R. (2023) · British Journal of Healthcare Management · doi:10.12968/bjhc.2023.0032
MEMNUNİYET: ROMANLAR VE ONLARA BİRİNCİ BASAMAKTA HİZMET SUNAN SAĞLIK PERSONELİ
Cerit, Ç. (2023) · Roman Dili ve Kültürü Araştırmaları Enstitüsü Dergisi · doi:10.59250/raedergisi.1263471
Kim, J., & Woo, C. H. (2025) · Journal of Korean Academy of Fundamentals of Nursing · doi:10.7739/jkafn.2025.32.2.253 · Cited by 1
Jomeh, A. A. E., & Roy, E. (2025) · Journal of Health Ethics · doi:10.18785/jhe.2101.04
Kaihlanen, A.-M., Ruotsalainen, S., Väisänen, V., Corneliusson, L., Pesonen, T., & Sinervo, T. S. (2023) · Figshare · doi:10.6084/m9.figshare.24452448
Zhang, L., Peng, Z., Cheng, P., Zheng, W., Xu, L., & Li, W. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-102149
Nickel, S. F., Korger, S., Hirning, C., Hönig, K., Wirtz, C. R., Keller, F., & Gündel, H. (2026) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/00469580261428687
Yoo, Y. S., & Park, J. Y. (2026) · Journal of Korean Public Health Nursing · doi:10.5932/jkphn.2026.40.1.63
Burnout on Board: A Cross-Sectional Survey of Burnout and Safety Among Flight Medical Crews
Prochniak, J., Tschautscher, C. F., Mullan, A. F., & McGuire, S. S. (2026) · Air Medical Journal · doi:10.1016/j.amj.2026.05.006
Leadership, teamwork and work outcomes in healthcare: A test of a model
Neiva, E. R., Durães, R. S. S., Abbad, G. D. S., & Xyrichis, A. (2026) · PLoS ONE · doi:10.1371/journal.pone.0353609
Nursing-related time toxicity: An evolutionary concept analysis
Wang, X., Cao, H., Hu, Y., & Fang, Q. (2026) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2026.105699
Yun, Y., & Kim, K. (2026) · Journal of research in nursing · doi:10.1177/17449871261467247
Medical errors among nurses: understanding the impact of work–family conflict and burnout
Balogun, A. G. (2026) · Psychology Health & Medicine · doi:10.1080/13548506.2026.2747164
Metadata
- 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
- Venue
- International Journal of Nursing Studies
- Publisher
- Elsevier BV
- Published
- 2010-11
- Volume
- 47
- Issue
- 11
- Pages
- 1442-1450
- ISSN
- 0020-7489 (ISSN-L)
- 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
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review