Research Article
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THE HIDDEN IMPACTS OF OCCUPATIONAL STRESS ON PATIENT SAFETY CULTURE

Year 2024, , 132 - 141, 30.06.2024
https://doi.org/10.33457/ijhsrp.1357647

Abstract

Previous studies have shown that over 45% of healthcare workers exhibit symptoms of stress, but the impacts of occupational stress on PSC are not well understood. This study was to determine the relationship between occupational stress and PSC at Pham Ngoc Thach Hospital in 2022. A cross-sectional study was conducted on 390 hospital employees at Pham Ngoc Thach Hospital in November 2022. Data was collected using the Vietnamese version of the HSOPSC 2.0 tool (Cronbach’s alpha 0.68-0.93) and the DASS-21-S. The results showed that 15% of hospital employees had mild to severe stress. The average PSC score was 3.13 with a standard deviation of 0.36 (5-point Likert scale). Higher occupational stress was associated with lower overall PSC. Specifically, occupational stress negatively impacted three domains of patient safety: teamwork, error communication, and hospital management support for patient safety. This study demonstrates that reducing healthcare worker stress could be an intervention to improve PSC. Hospitals should consider implementing workplace stress relief initiatives as an important factor in promoting PSC in healthcare, which can directly impact patient health and satisfaction.

References

  • WHO. (2023, Sep. 09) ‘Global Patient Safety Action Plan 2021-2030’. https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan.
  • Leape. L, Making Healthcare Safe: The Story of the Patient Safety Movement. Cham: Springer International Publishing, 2021.
  • Abusalem. S , Polivka.B , Coty. B, Crawford.T, and et al, “The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities”, Journal of Patient Safety, 17(4):p 299-304, 2021.
  • Kang. R , Kunkel. S, Columbo. J, Goodney. P, and Wong. S , “Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affairs Medical Centers”, American Journal of Medicine., 132 (4),530-534, 2019.
  • Afshar. P, Karbasi. B, and Moghadam. M, “The relationship between patient safety culture with patient satisfaction and hospital performance in Shafa Hospital of Kerman in 2020”, Journal of Education and Health Promotion, 10(1), 455, 2021.
  • Asefzadeh. S, Kalhor. R, and Tir. M, “Patient safety culture and job stress among nurses in Mazandaran, Iran”, Electronic Physician Journal, 9(12), 6010–6016, 2017.
  • Zhang. M, Murphy. B, Cabanilla. A, and Yidi. C, “Physical relaxation for occupational stress in healthcare workers: A systematic review and network meta-analysis of randomized controlled trials”, Journal of Occupational Health, 63(1), 12243-12251, 2021.
  • Salari. N et al., “The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression”, Human Resources for Health, 18(1), 100-109, 2020.
  • Poursadeqiyan. M et al., “Investigation of the relationship between the safety climate and occupational fatigue among the nurses of educational hospitals in Zabol”, Journal of Education and Health Promotion, 9(1), 238-248, 2020.
  • Le. M, Tran. D, Holton. S, Nguyen. H, Wolfe. R, and Fisher. J, “Reliability, convergent validity and factor structure of the DASS-21 in a sample of Vietnamese adolescents”, PloS One, 12(7), 180557, 2017.
  • Thach. T, Tuan. T, and Fisher. J, “Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women”, BMC Psychiatry, 13, 24-30, 2013.
  • AHQR. (2023, Sep.09) “Hospital Survey on Patient Safety Culture” [Online]. Available: https://www.ahrq.gov/sops/surveys/hospital/index.html.
  • Wu. Y, Hua. W, Zhu. D, Onishi. R, Yang. Y, and Hasegawa. T, “Cross-cultural adaptation and validation of the Chinese version of the revised surveys on patient safety cultureTM (SOPS®) hospital survey 2.0”, BMC Nursing, 21(1),369-382, 2022.
  • Cuc. C, Phuc. Ng, Xuan. Ng, Nguyen V, Van. V, and Quan. Ng, “Tình trạng căng thẳng của nhân viên y tế tại một số bệnh viện điều trị bệnh nhân COVID-19 tại Thành phố Hồ Chí Minh năm 2021”, Tạp Chí Y Học Việt Nam, 508(2), 201-218, 2021.
  • Cam. B and Ngo. N, “Căng thẳng ở nhân viên y tế tại trung tâm y tế và trạm y tế phường/xã ở Thành phố Hồ Chí Minh năm 2022 và các yếu tố nghề nghiệp liên quan”, Tạp Chí Nghiên Cứu Y Học, 160(12V2), 120-134, 2022.
  • Phannavong. O and Xuan. L, “Căng thẳng nghề nghiệp của nhân viên y tế tại bệnh viện tỉnh Xiêng - Khoảng, Lào, năm 2020”, Tạp Chí Y Học Việt Nam, 501(2), 89-99, 2021.
  • Yalçın. GA and Aksoy. N, “The Relationship Between Organizational Stress Levels and Patient Safety Attitudes in Operating Room Staff”, Journal of PeriAnesthesia Nursing, 36(5), 499–506, 2021.
  • Keykaleh. M.S, Safarpour. H, Yousefian. S, Faghisolouk. F, Mohammadi. E, and Ghomian. Z, “The Relationship between Nurse’s Job Stress and Patient Safety”, Open Access Macedonian Journal of Medical Sciences, 6(11), 2228–2232, 2018.
  • Zabin. L, A. Zaitoun. R, Sweity. E, and Tantillo. L, “The relationship between job stress and patient safety culture among nurses: a systematic review”, BMC Nursing, 22 (1), 39-53, 2023.
  • Aouicha. W et al., “Evaluation of the Impact of Intraoperative Distractions on Teamwork, Stress, and Workload”, Journal of Surgical Research, 259(1), 465–472, 2021.
  • Søvold. L et al., “Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority”, Frontiers in Public Health, 9(1), 679397, 2021.
  • Said. R. M and El-Shafei. D. A, “Occupational stress, job satisfaction, and intent to leave: nurses working on front lines during COVID-19 pandemic in Zagazig City, Egypt”, Environmental Science and Pollution Research, 28(7), 8791
Year 2024, , 132 - 141, 30.06.2024
https://doi.org/10.33457/ijhsrp.1357647

Abstract

References

  • WHO. (2023, Sep. 09) ‘Global Patient Safety Action Plan 2021-2030’. https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan.
  • Leape. L, Making Healthcare Safe: The Story of the Patient Safety Movement. Cham: Springer International Publishing, 2021.
  • Abusalem. S , Polivka.B , Coty. B, Crawford.T, and et al, “The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities”, Journal of Patient Safety, 17(4):p 299-304, 2021.
  • Kang. R , Kunkel. S, Columbo. J, Goodney. P, and Wong. S , “Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affairs Medical Centers”, American Journal of Medicine., 132 (4),530-534, 2019.
  • Afshar. P, Karbasi. B, and Moghadam. M, “The relationship between patient safety culture with patient satisfaction and hospital performance in Shafa Hospital of Kerman in 2020”, Journal of Education and Health Promotion, 10(1), 455, 2021.
  • Asefzadeh. S, Kalhor. R, and Tir. M, “Patient safety culture and job stress among nurses in Mazandaran, Iran”, Electronic Physician Journal, 9(12), 6010–6016, 2017.
  • Zhang. M, Murphy. B, Cabanilla. A, and Yidi. C, “Physical relaxation for occupational stress in healthcare workers: A systematic review and network meta-analysis of randomized controlled trials”, Journal of Occupational Health, 63(1), 12243-12251, 2021.
  • Salari. N et al., “The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression”, Human Resources for Health, 18(1), 100-109, 2020.
  • Poursadeqiyan. M et al., “Investigation of the relationship between the safety climate and occupational fatigue among the nurses of educational hospitals in Zabol”, Journal of Education and Health Promotion, 9(1), 238-248, 2020.
  • Le. M, Tran. D, Holton. S, Nguyen. H, Wolfe. R, and Fisher. J, “Reliability, convergent validity and factor structure of the DASS-21 in a sample of Vietnamese adolescents”, PloS One, 12(7), 180557, 2017.
  • Thach. T, Tuan. T, and Fisher. J, “Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women”, BMC Psychiatry, 13, 24-30, 2013.
  • AHQR. (2023, Sep.09) “Hospital Survey on Patient Safety Culture” [Online]. Available: https://www.ahrq.gov/sops/surveys/hospital/index.html.
  • Wu. Y, Hua. W, Zhu. D, Onishi. R, Yang. Y, and Hasegawa. T, “Cross-cultural adaptation and validation of the Chinese version of the revised surveys on patient safety cultureTM (SOPS®) hospital survey 2.0”, BMC Nursing, 21(1),369-382, 2022.
  • Cuc. C, Phuc. Ng, Xuan. Ng, Nguyen V, Van. V, and Quan. Ng, “Tình trạng căng thẳng của nhân viên y tế tại một số bệnh viện điều trị bệnh nhân COVID-19 tại Thành phố Hồ Chí Minh năm 2021”, Tạp Chí Y Học Việt Nam, 508(2), 201-218, 2021.
  • Cam. B and Ngo. N, “Căng thẳng ở nhân viên y tế tại trung tâm y tế và trạm y tế phường/xã ở Thành phố Hồ Chí Minh năm 2022 và các yếu tố nghề nghiệp liên quan”, Tạp Chí Nghiên Cứu Y Học, 160(12V2), 120-134, 2022.
  • Phannavong. O and Xuan. L, “Căng thẳng nghề nghiệp của nhân viên y tế tại bệnh viện tỉnh Xiêng - Khoảng, Lào, năm 2020”, Tạp Chí Y Học Việt Nam, 501(2), 89-99, 2021.
  • Yalçın. GA and Aksoy. N, “The Relationship Between Organizational Stress Levels and Patient Safety Attitudes in Operating Room Staff”, Journal of PeriAnesthesia Nursing, 36(5), 499–506, 2021.
  • Keykaleh. M.S, Safarpour. H, Yousefian. S, Faghisolouk. F, Mohammadi. E, and Ghomian. Z, “The Relationship between Nurse’s Job Stress and Patient Safety”, Open Access Macedonian Journal of Medical Sciences, 6(11), 2228–2232, 2018.
  • Zabin. L, A. Zaitoun. R, Sweity. E, and Tantillo. L, “The relationship between job stress and patient safety culture among nurses: a systematic review”, BMC Nursing, 22 (1), 39-53, 2023.
  • Aouicha. W et al., “Evaluation of the Impact of Intraoperative Distractions on Teamwork, Stress, and Workload”, Journal of Surgical Research, 259(1), 465–472, 2021.
  • Søvold. L et al., “Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority”, Frontiers in Public Health, 9(1), 679397, 2021.
  • Said. R. M and El-Shafei. D. A, “Occupational stress, job satisfaction, and intent to leave: nurses working on front lines during COVID-19 pandemic in Zagazig City, Egypt”, Environmental Science and Pollution Research, 28(7), 8791
There are 22 citations in total.

Details

Primary Language English
Subjects Health Management
Journal Section Article
Authors

Minh Thien Nguyen 0009-0003-1090-6228

Anh Thi Lan Do This is me 0000-0001-5317-6841

An Tran Hong Luong This is me 0009-0006-6883-8055

Long Tieu Ly This is me 0009-0006-2207-3448

Ngan Thi Thien Dang This is me 0009-0009-8155-4200

Nhan Thi Thu Nguyen This is me 0009-0001-3739-8513

Yen Thi Kim Pham This is me 0009-0007-1460-3071

Hue Thi Hoang Nguyen This is me 0009-0003-4942-084X

Ngoc Thi Bach Nguyen This is me 0009-0002-0128-3578

Vu Ha Nhu Sam This is me 0009-0007-9977-8080

Trieu Hoang Van This is me 0009-0009-0619-5180

Xuan Thi Truong Nguyen This is me 0009-0004-0824-1340

Publication Date June 30, 2024
Submission Date September 11, 2023
Acceptance Date May 16, 2024
Published in Issue Year 2024

Cite

IEEE M. T. Nguyen, “THE HIDDEN IMPACTS OF OCCUPATIONAL STRESS ON PATIENT SAFETY CULTURE”, IJHSRP, vol. 9, no. 2, pp. 132–141, 2024, doi: 10.33457/ijhsrp.1357647.

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