PMID- 37399442
OWN - NLM
STAT- MEDLINE
DCOM- 20230705
LR  - 20230705
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 13
IP  - 6
DP  - 2023 Jun 30
TI  - Mediating role of psychological distress in the associations between medical 
      errors, adverse events, suicidal ideation and plan among operating room nurses in 
      China: a cross-sectional study.
PG  - e069576
LID - 10.1136/bmjopen-2022-069576 [doi]
LID - e069576
AB  - OBJECTIVES: Medical errors (MEs) and adverse events (AEs) both had long-term 
      impacts on healthcare professionals. Studies investigated the associations 
      between MEs, AEs, psychological distress and suicidal behaviours among healthcare 
      professionals. The aim of the current study was to explore the mediating role of 
      psychological distress in the relationship between MEs/AEs and suicidal 
      ideation/suicide plan among operating room nurses in China. DESIGN: A 
      cross-sectional study. SETTING: The survey was conducted between December 2021 
      and January 2022 in China. PARTICIPANTS: A total of 787 operating room nurses 
      completed the questionnaires in China. PRIMARY AND SECONDARY OUTCOME MEASURES: 
      The primary outcome measures were MEs and AEs. Secondary outcome measures were 
      psychological distress and suicidal behaviours. RESULTS: The results showed that 
      22.1% of operating room nurses were involved in MEs, while 13.9% of operating 
      room nurses were involved in AEs. The associations between suicidal ideation 
      (OR=1.10, p<0.001), suicide plan (OR=1.07, p<0.01) and psychological distress 
      were significant. The associations between suicidal ideation (OR=2.76, 95% 
      CI=1.53 to 4.97, p<0.01), suicide plan (OR=2.80, 95% CI=1.20 to 6.56, p<0.05) and 
      MEs were significant. The associations between suicidal ideation (OR=2.27, 95% 
      CI=1.17 to 4.40, p<0.05), suicide plan (OR=2.92, 95% CI=1.19 to 7.18, p<0.05) and 
      AEs were significant. The psychological distress mediated the relationship 
      between MEs/AEs and suicidal ideation/suicide plan. CONCLUSION: There were 
      positive associations between MEs, AEs and psychological distress. Moreover, MEs 
      and AEs were also positively associated with suicidal ideation and suicide plan. 
      As expected, psychological distress played an important role in the relationship 
      between MEs/AEs and suicidal ideation/suicide plan.
CI  - (c) Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No 
      commercial re-use. See rights and permissions. Published by BMJ.
FAU - Wang, Meiqi
AU  - Wang M
AUID- ORCID: 0000-0001-9380-8567
AD  - Centre for Health Management and Policy Research, School of Public Health, 
      Cheeloo College of Medicine, Shandong University, Jinan 250012, China.
AD  - NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan 
      250012, China.
FAU - Wei, Zhen
AU  - Wei Z
AD  - Centre for Health Management and Policy Research, School of Public Health, 
      Cheeloo College of Medicine, Shandong University, Jinan 250012, China.
AD  - NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan 
      250012, China.
FAU - Wang, Yifan
AU  - Wang Y
AD  - Centre for Health Management and Policy Research, School of Public Health, 
      Cheeloo College of Medicine, Shandong University, Jinan 250012, China.
AD  - NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan 
      250012, China.
FAU - Sun, Long
AU  - Sun L
AUID- ORCID: 0000-0002-3070-8427
AD  - Centre for Health Management and Policy Research, School of Public Health, 
      Cheeloo College of Medicine, Shandong University, Jinan 250012, China 
      sunlong@sdu.edu.cn.
AD  - NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan 
      250012, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230630
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Humans
MH  - Suicidal Ideation
MH  - Cross-Sectional Studies
MH  - Operating Rooms
MH  - *Nurses
MH  - *Psychological Distress
MH  - China/epidemiology
MH  - Risk Factors
PMC - PMC10314585
OTO - NOTNLM
OT  - Adverse events
OT  - Health & safety
OT  - Suicide & self-harm
COIS- Competing interests: None declared.
EDAT- 2023/07/03 19:08
MHDA- 2023/07/05 06:42
PMCR- 2023/06/30
CRDT- 2023/07/03 15:13
PHST- 2023/07/05 06:42 [medline]
PHST- 2023/07/03 19:08 [pubmed]
PHST- 2023/07/03 15:13 [entrez]
PHST- 2023/06/30 00:00 [pmc-release]
AID - bmjopen-2022-069576 [pii]
AID - 10.1136/bmjopen-2022-069576 [doi]
PST - epublish
SO  - BMJ Open. 2023 Jun 30;13(6):e069576. doi: 10.1136/bmjopen-2022-069576.