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
Applied Multivariate Statistics for the Social Sciences
Stevens, J. P. (2012) · Routledge eBooks · doi:10.4324/9780203843130 · Cited by 10,652
To Err is Human: Building a Safer Health System
Hendee, W. R. (2001) · Journal of Vascular and Interventional Radiology · doi:10.1016/s1051-0443(01)70072-3 · Cited by 10,129
Payne, J. W., Bettman, J. R., & Johnson, E. J. (1993) · doi:10.1017/cbo9781139173933 · Cited by 3,487
Leave, C., Payne, J. W., Bettman, J. R., & Johnson, E. J. (1994) · Journal of the Operational Research Society · doi:10.2307/2584298 · Cited by 3,318
Anxiety and Performance: The Processing Efficiency Theory
Eysenck, M. W., & Calvo, M. G. (1992) · Cognition & Emotion · doi:10.1080/02699939208409696 · Cited by 2,661
Educational Levels of Hospital Nurses and Surgical Patient Mortality
Aiken, L. H. (2003) · JAMA · doi:10.1001/jama.290.12.1617 · Cited by 1,780
Emotional exhaustion as a predictor of job performance and voluntary turnover.
Wright, T. A., & Cropanzano, R. (1998) · Journal of Applied Psychology · doi:10.1037/0021-9010.83.3.486 · Cited by 1,777
The Conservation of Resources Model Applied to Work–Family Conflict and Strain
Grandey, A. A., & Cropanzano, R. (1999) · Journal of Vocational Behavior · doi:10.1006/jvbe.1998.1666 · Cited by 1,418
Social Measurement: Current Issues
Bohrnstedt, G. W., & Borgatta, E. F. (1981) · Medical Entomology and Zoology · Cited by 1,394
Handbook of Organizational Behavior
Golembiewski, R. T. (2001) · Cited by 1,375
(1992) · Cited by 1,154
Applied Multivariate Statistics for the Social Sciences.
Brooks, S. P., & Stevens, J. P. (1994) · Journal of the Royal Statistical Society Series D (The Statistician) · doi:10.2307/2348967 · Cited by 1,037
Testing a conservation of resources model of the dynamics of emotional labor.
Brotheridge, C., & Lee, R. T. (2002) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.7.1.57 · Cited by 1,030
Conservation of resources theory: Applications to stress and management in the workplace.
Hobfoll, S. E., & Shirom, A. (2001) · Cited by 852
A model of burnout and life satisfaction amongst nurses
Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. (2000) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2000.01496.x · Cited by 847
Nurse turnover: the mediating role of burnout
LEITER, M. P., & MASLACH, C. (2009) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2009.01004.x · Cited by 838
Applied social psychology annual
Bickman, L. (1982) · Cited by 811
Spence Laschinger, H. K., & Leiter, M. P. (2006) · JONA: The Journal of Nursing Administration · doi:10.1097/00005110-200605000-00019 · Cited by 723
Burnout in organizational settings.
Maslach, C., & Jackson, S. E. (1984) · Cited by 664
Time Pressure and Stress in Human Judgment and Decision Making
Svenson, O., & Maule, A. J. (1993) · Springer eBooks · doi:10.1007/978-1-4757-6846-6 · Cited by 601
Institute of Medicine (2004) · National Academies Press eBooks · doi:10.17226/10863 · Cited by 528
The effect of time pressure on risky choice behavior
Zur, H. B., & Breznitz, S. (1981) · Acta Psychologica · doi:10.1016/0001-6918(81)90001-9 · Cited by 515
Cancer care workers in Ontario: prevalence of burnout, job stress and job satisfaction.
Grunfeld, E., Whelan, T. J., Zitzelsberger, L., Willan, A., Montesanto, B., & Evans, W. K. (2000) · Europe PMC (PubMed Central) · Cited by 451
Anxiety: The cognitive perspective
Tallis, F. (1993) · Personality and Individual Differences · doi:10.1016/0191-8869(93)90078-h · Cited by 414
Effects of Critical Care Nurses’ Work Hours on Vigilance and Patients’ Safety
Scott, L. D., Rogers, A. E., Hwang, W.-T., & Zhang, Y. (2006) · American Journal of Critical Care · doi:10.4037/ajcc2006.15.1.30 · Cited by 408
Original Research: Disruptive Behavior and Clinical Outcomes: Perceptions of Nurses and Physicians
Rosenstein, A. H., & O’Daniel, M. (2005) · AJN American Journal of Nursing · doi:10.1097/00000446-200501000-00025 · Cited by 403
Time is money—Time pressure, incentives, and the quality of decision-making
Kocher, M. G., & Sutter, M. (2005) · Journal of Economic Behavior & Organization · doi:10.1016/j.jebo.2004.11.013 · Cited by 265
Are teamwork and professional autonomy compatible, and do they result in improved hospital care?
Rafferty, A. M., Ball, J., & Aiken, L. H. (2001) · PubMed Central · doi:10.1136/qhc.0100032 · Cited by 262
A longitudinal study of job stress in the nursing profession: causes and consequences
Gelsema, T. I., van der Doef, M., Maes, S., JANSSEN, M., Akerboom, S., & Verhoeven, C. (2006) · Journal of Nursing Management · doi:10.1111/j.1365-2934.2006.00635.x · Cited by 215
A model of search behavior with an application to grocery shopping
Putrevu, S., & Ratchford, B. T. (1997) · Journal of Retailing · doi:10.1016/s0022-4359(97)90030-0 · Cited by 207
Judgment and Decision Making Under Time Pressure
Edland, A., & Svenson, O. (1993) · Springer eBooks · doi:10.1007/978-1-4757-6846-6_2 · Cited by 202
Gürses, A. P., Carayon, P., & Wall, M. M. (2008) · Health Services Research · doi:10.1111/j.1475-6773.2008.00934.x · Cited by 187
The effects of time pressure and information load on decision quality
Hahn, M., Lawson, R., & Lee, Y. G. (1992) · Psychology and Marketing · doi:10.1002/mar.4220090503 · Cited by 164
Elfering, A., Semmer, N. K., & Grebner, S. (2006) · Ergonomics · doi:10.1080/00140130600568451 · Cited by 127
The Effects of Time Pressure on Arithmetic Performance
Kellogg, J. S., Hopko, D. R., & Ashcraft, M. H. (1999) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(99)00025-0 · Cited by 124
Decision making under stress: Scanning of alternatives under physical threat
Keinan, G., Friedland, N., & Ben‐Porath, Y. S. (1987) · Acta Psychologica · doi:10.1016/0001-6918(87)90008-4 · Cited by 123
The Effects of Time Pressure and Experience on Nurses' Risk Assessment Decisions
Thompson, C. A., Dalgleish, L. I., Bucknall, T. K., Estabrooks, C. A., Hutchinson, A. M., Fraser, K., de Vos, R., Binnekade, J. M., Barrett, G., & Saunders, J. (2008) · Nursing Research · doi:10.1097/01.nnr.0000313504.37970.f9 · Cited by 103
Antecedents of Severe and Nonsevere Medication Errors
Chang, Y., & Mark, B. A. (2009) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2009.01253.x · Cited by 101
Moderating Effects of Professional Commitment on Hospital Nurses in Taiwan
Teng, C., Shyu, Y. L., & Chang, H. (2007) · Journal of Professional Nursing · doi:10.1016/j.profnurs.2006.10.002 · Cited by 98
Self-citationProfessional Commitment, Patient Safety, and Patient‐Perceived Care Quality
Teng, C., Dai, Y., Shyu, Y. L., Wong, M., Chu, T., & Tsai, Y. (2009) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2009.01289.x · Cited by 89
Self-citationGunningberg, L., Fogelberg‐Dahm, M., & Ehrenberg, A. (2009) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2008.02647.x · Cited by 81
Policy Implications of Research on Nurse Staffing and Quality of Patient Care
Buerhaus, P. I., & Needleman, J. (2000) · Policy Politics & Nursing Practice · doi:10.1177/152715440000100103 · Cited by 71
Adverse Patient Occurrences as a Measure of Nursing Care Quality
Reed, L., Blegen, M. A., & Goode, C. S. (1998) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-199805000-00009 · Cited by 70
Emotional stability of nurses: impact on patient safety
Teng, C., Chang, S., & Hsu, K. (2009) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2009.05072.x · Cited by 68
Self-citationMedication errors in an intensive care unit
Bohomol, E., Ramos, L. H., & D’Innocenzo, M. (2009) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2009.04979.x · Cited by 67
Han, C.-H., Connolly, P. M., & Canham, D. (2003) · Journal of Nursing Care Quality · doi:10.1097/00001786-200304000-00008 · Cited by 63
Mother, daughter, patient, nurse: women’s emotion work in aged care
Gattuso, S., & Bevan, C. (2000) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2000.01360.x · Cited by 37
Influence of Personality on Care Quality of Hospital Nurses
Teng, C., Hsu, K., Chien, R.-C., & Chang, H. (2007) · Journal of Nursing Care Quality · doi:10.1097/01.ncq.0000290418.35016.0c · Cited by 30
Self-citationAdelman, L., Miller, S. L., Henderson, D., & Schoelles, M. J. (2003) · Acta Psychologica · doi:10.1016/s0001-6918(02)00082-3 · Cited by 27
What aspects of the job have most effect on nurses?
Sagie, A., & Krausz, M. (2003) · Human Resource Management Journal · doi:10.1111/j.1748-8583.2003.tb00083.x · Cited by 22
Making patients safer: nurses’ responses to patient safety alerts
Lankshear, A. J., Lowson, K., Harden, J., Lowson, P., & Saxby, R. C. (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2008.04741.x · Cited by 22
Sources of Stress for Nurse Practitioners
Manderino, M. A., Brown, M. C., Peters, M., & Wirtz, R. (1994) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.1994.tb00932.x · Cited by 19
Valuable Lessons in Patient Safety
Berntsen, K. J. (2004) · Journal of Nursing Care Quality · doi:10.1097/00001786-200407000-00001 · Cited by 14
Blegen, M. A. (2006) · Nursing Research · doi:10.1097/00006199-200609000-00001 · Cited by 3
Time pressures lead to IV mistakes
Duffin, C. (2003) · Nursing Standard · doi:10.7748/ns.17.29.6.s8 · Cited by 2
Patients want nurses’ work addresses to be published
Duffin, C. (2003) · Nursing Standard · doi:10.7748/ns.17.33.6.s9 · Cited by 2
Cited by
Sorted by citations
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
Burnout in nursing: a theoretical review.
Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020) · Human Resources for Health · doi:10.1186/s12960-020-00469-9 · Cited by 1,181
Evidence Relating Health Care Provider Burnout and Quality of Care
Tawfik, D. S., Scheid, A., Profit, J., Shanafelt, T. D., Trockel, M., Adair, K. C., Sexton, J. B., & Ioannidis, J. P. A. (2019) · Annals of Internal Medicine · doi:10.7326/m19-1152 · Cited by 592
Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis
Garcia, C. D. L., de Abreu, L. C., Ramos, J. L. S., Castro, C., Smiderle, F. R. N., dos Santos, J. A., & Bezerra, Í. M. P. (2019) · Medicina · doi:10.3390/medicina55090553 · Cited by 511
Li, L. Z., Yang, P., Singer, S. J., Pfeffer, J., Mathur, M. B., & Shanafelt, T. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.43059 · Cited by 501
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
