PMID- 33966312
OWN - NLM
STAT- MEDLINE
DCOM- 20211012
LR  - 20220720
IS  - 1365-2834 (Electronic)
IS  - 0966-0429 (Print)
IS  - 0966-0429 (Linking)
VI  - 29
IP  - 7
DP  - 2021 Oct
TI  - Burnout and its relationship to self-reported quality of patient care and adverse 
      events during COVID-19: A cross-sectional online survey among nurses.
PG  - 1974-1982
LID - 10.1111/jonm.13359 [doi]
AB  - AIMS: To assess nurses' burnout and its association with their perceived quality 
      of patient care and occurrence of adverse events (AEs) during COVID-19. 
      BACKGROUND: Burnout is a serious problem among nursing staff internationally with 
      negative impacts on the quality of care and patient safety. METHODS: We conducted 
      a cross-sectional online study among 1,004 Iranian nurses through the convenience 
      sampling technique. Data were collected using the Maslach Burnout Inventory, five 
      items of questions related to self-reported poor patient care quality and 
      estimated occurrence of AEs. RESULTS: Prevalence of high burnout among nurses was 
      31.5%. The risk of AEs ranged from 26.1% to 71.7%. Self-reported quality of 
      patient care was found to be poor. A positive correlation was found between 
      emotional exhaustion and depersonalization scores and patient care quality, 
      whereas a negative correlation was found between personal accomplishment scores 
      and all poor care item scores. Depersonalization was found to increase the risk 
      of the onset of all AEs (odds ratio [OR] = 1.06-1.08). Also, Personal 
      accomplishmentreduced the risk of occurrence of 'medication errors' (OR = 0.99) 
      and the onset of 'patient and their family verbal abuse' (OR = 0.97). 
      CONCLUSIONS: Our findings confirmed the hypothesis that a higher degree of 
      burnout is correlated with a perceived higher number of AEs and reduced perceived 
      patient care quality. IMPLICATIONS FOR NURSING MANAGEMENT: Reducing burnout among 
      nurses through implementing interventions may be an effective strategy to enhance 
      patient care quality and reduce the number of AEs in Iranian public hospitals. 
      Therefore, in order to minimize work burnout, primary approaches include access 
      to psychosocial support, including Web-based services, psychological first aid, 
      mental support hotlines and self-care techniques during the COVID-19 pandemic.
CI  - (c) 2021 John Wiley & Sons Ltd.
FAU - Kakemam, Edris
AU  - Kakemam E
AUID- ORCID: 0000-0001-7721-6924
AD  - Department of Health Services Management, School of Management and Medical 
      Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
FAU - Chegini, Zahra
AU  - Chegini Z
AUID- ORCID: 0000-0001-9125-9453
AD  - Social Determinants of Health Research Center, Research Institute for Prevention 
      of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, 
      Iran.
FAU - Rouhi, Amin
AU  - Rouhi A
AD  - Department of Educational Sciences and Psychology, Hamadan Science and Research 
      Branch, Islamic Azad University, Hamadan, Iran.
FAU - Ahmadi, Forouzan
AU  - Ahmadi F
AUID- ORCID: 0000-0002-4414-3420
AD  - Deputy of Treatment, Hamadan University of Medical Sciences, Hamadan, Iran.
FAU - Majidi, Soheila
AU  - Majidi S
AUID- ORCID: 0000-0002-3236-2714
AD  - District Health Center of Hamadan City, Hamadan University of Medical Sciences, 
      Hamadan, Iran.
LA  - eng
PT  - Journal Article
DEP - 20210524
PL  - England
TA  - J Nurs Manag
JT  - Journal of nursing management
JID - 9306050
MH  - *Burnout, Professional/epidemiology/etiology
MH  - Burnout, Psychological
MH  - *COVID-19
MH  - Cross-Sectional Studies
MH  - Humans
MH  - Iran
MH  - *Nurses
MH  - Pandemics
MH  - Patient Care
MH  - SARS-CoV-2
MH  - Self Report
MH  - Surveys and Questionnaires
PMC - PMC8237033
OTO - NOTNLM
OT  - adverse event
OT  - burnout
OT  - patient safety
OT  - quality of care
COIS- None of the authors has any conflict of interest to declare.
EDAT- 2021/05/10 06:00
MHDA- 2021/10/13 06:00
PMCR- 2021/05/24
CRDT- 2021/05/09 21:07
PHST- 2021/04/27 00:00 [revised]
PHST- 2021/02/24 00:00 [received]
PHST- 2021/05/05 00:00 [accepted]
PHST- 2021/05/10 06:00 [pubmed]
PHST- 2021/10/13 06:00 [medline]
PHST- 2021/05/09 21:07 [entrez]
PHST- 2021/05/24 00:00 [pmc-release]
AID - JONM13359 [pii]
AID - 10.1111/jonm.13359 [doi]
PST - ppublish
SO  - J Nurs Manag. 2021 Oct;29(7):1974-1982. doi: 10.1111/jonm.13359. Epub 2021 May 
      24.