Pengaruh Kelelahan terhadap Keselamatan Pasien: Sistematik Review

Influence of Burnout on Patient Safety: a Systematic Review

Authors

  • Diah Fitri Purwaningsih STIK Indonesia Jaya
  • Niswa Salamung STIK Indonesia Jaya
  • Ni Ketut Elmiyanti STIK Indonesia Jaya

DOI:

https://doi.org/10.51888/phj.v13i2.143

Keywords:

kelelahan, keselamatan pasien, perawat

Abstract

Latar belakang: kelelahan merupakan faktor penting dalam menunjang keselamatan pasien. Cedera yang dialami pasien yang merupakan akibat dari kesalahan dapat merugikan pasien. Tujuan : untuk mengidentifikasi pengaruh kelelahan terhadap keselamatan pasien. Metode: sistematik review kelelahan terhadap keselamatan pasien. Database yang digunakan ada lima yaitu PubMed, Science Direct, Scholar, SAGE, and ProQuest. Penelusuran artikel dengan menggunakan kata kunci kelelahan, keselamatan pasien, dan perawat, dimana peleursuran artikedimulai pada Oktober – November 2022. Hasil:  Dari 15 jurnal yang ditemukan semuanya menggunakan metode cross-sectional. Semua diterbitkan dalam bahas inggris dengan tahun publikasi yaitu tahun 2012 sampai tahun 2022. Kesimpulan adalah Kelelahan berhubungan dengan keselamatan pasien. Tingkat kelelahan dapat berasal dari faktor eksternal seperti rasio yang tidak sesuai antara perawat dan pasien, beban kerja yang tinggi, kurangnya dukungan dari pimpinan, suasana kerja yang tidak kondusif, hubungan interpersonal yang kurang baik. Kelelahan dapat dikurangi dengan mengoptimalkan dukungan atasan sehinga keselamatan pasien dapat ditingkatkan.

Background: burnout is an important factor in supporting patient safety. Injuries experienced by patients which are the result of errors can be detrimental to patients. Objective: to identify the effect of burnout on patient safety. Methods: a systematic review of burnout on patient safety. There are five databases used, namely PubMed, Science Direct, Scholar, SAGE, and ProQuest. Search for articles using the keywords burnout, patient safety, and nurses, where the search for articles starts in October – November 2022. Results: of the 15 journals found all used the cross-sectional method. All were published in English with the year of publication, namely 2012 to 2022. Conclusion:  Burnout is related to patient safety. The level of burnout can come from external factors such as an inappropriate ratio between nurses and patients, high workload, lack of support from leaders, a non-conducive work atmosphere, and poor interpersonal relationships. Burnout can be reduced by optimizing superior support so that patient safety can be improved.

References

AL Maâ€TMmari, Q., Sharour, L. A., & Al Omari, O. (2020). Fatigue, burnout, work environment, workload and perceived patient safety culture among critical care nurses. British Journal of Nursing, 29(1), 28–34. https://doi.org/10.12968/bjon.2020.29.1.28

Bilal, H., & Yildirim Sari, H. (2020). Relationship between burnout and patient safety attitudes in pediatric nurses in a hospital in Turkey. Enfermeria Clinica, 30(1), 37–41. https://doi.org/10.1016/j.enfcli.2019.08.001

Chen, Y. C., Guo, Y. L. L., Chin, W. S., Cheng, N. Y., Ho, J. J., & Shiao, J. S. C. (2019). Patient-nurse ratio is related to nurses’ intention to leave their job through mediating factors of burnout and job dissatisfaction. International Journal of Environmental Research and Public Health, 16(23). https://doi.org/10.3390/ijerph16234801

dos Santos Alves, D. F., da Silva, D., & de Brito Guirardello, E. (2017). Nursing practice environment, job outcomes and safety climate: a structural equation modelling analysis. Journal of Nursing Management, 25(1), 46–55. https://doi.org/10.1111/jonm.12427

Dunn, T. J., Terao, M. A., Blazin, L. J., Spraker-Perlman, H., Baker, J. N., Mandrell, B., Sellers, J., Crabtree, V. M. L., Hoffman, J. M., & Burlison, J. D. (2021). Associations of job demands and patient safety event involvement on burnout among a multidisciplinary group of pediatric hematology/oncology clinicians. Pediatric Blood and Cancer, 68(11), 1–8. https://doi.org/10.1002/pbc.29214

Gómez-Urquiza, J. L., De la Fuente-Solana, E. I., Albendín-García, L., Vargas-Pecino, C., Ortega-Campos, E. M., & Cañadas-De la Fuente, G. A. (2017). Prevalence of burnout syndrome in emergency nurses: A meta-analysis. Critical Care Nurse, 37(5), e1–e9. https://doi.org/10.4037/ccn2017508

Guirardello, E. de B. (2017). Impact of critical care environment on burnout, perceived quality of care and safety attitude of the nursing team. Revista Latino-Americana de Enfermagem, 25. https://doi.org/10.1590/1518-8345.1472.2884

Habibzadeh, H., Baghaei, R., & Ajoudani, F. (2020). Relationship between patient safety culture and job burnout in Iranian nurses: Assessing the mediating role of second victim experience using structural equation modelling. Journal of Nursing Management, 28(6), 1410–1417. https://doi.org/10.1111/jonm.13102

Kakemam, E., Chegini, Z., Rouhi, A., Ahmadi, F., & Majidi, S. (2021). Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: A cross-sectional online survey among nurses. Journal of Nursing Management, 29(7), 1974–1982. https://doi.org/10.1111/jonm.13359

Khatatbeh, H., Pakai, A., Pusztai, D., Szunomár, S., Fullér, N., Kovács Szebeni, G., Siket, A., Zrínyi, M., & Oláh, A. (2021). Burnout and patient safety: A discriminant analysis of paediatric nurses by low to high managerial support. Nursing Open, 8(2), 982–989. https://doi.org/10.1002/nop2.708

Lewis, E. J., Baernholdt, M., & Hamric, A. B. (2013). Nurses’ experience of medical errors: An integrative literature review. Journal of Nursing Care Quality, 28(2), 153–161. https://doi.org/10.1097/NCQ.0b013e31827e05d1

Liu, J., Zheng, J., Liu, K., Liu, X., Wu, Y., Wang, J., & You, L. (2019). Workplace violence against nurses, job satisfaction, burnout, and patient safety in Chinese hospitals. Nursing Outlook, 67(5), 558–566. https://doi.org/10.1016/j.outlook.2019.04.006

Liu, X., Zheng, J., Liu, K., Baggs, J. G., Liu, J., Wu, Y., & You, L. (2018). Hospital nursing organizational factors, nursing care left undone, and nurse burnout as predictors of patient safety: A structural equation modeling analysis. International Journal of Nursing Studies, 86, 82–89. https://doi.org/10.1016/j.ijnurstu.2018.05.005

Makary, M. A., & Daniel, M. (2016). Medical error-the third leading cause of death in the US. BMJ (Online), 353(May), 1–5. https://doi.org/10.1136/bmj.i2139

Mansour, H., & Abu Sharour, L. (2021). Results of survey on perception of patient safety culture among emergency nurses in Jordan: Influence of burnout, job satisfaction, turnover intention, and workload. Journal of Healthcare Quality Research, 36(6), 370–377. https://doi.org/10.1016/j.jhqr.2021.05.001

Munnangi, S., Dupiton, L., Boutin, A., & Angus, L. D. G. (2018). Burnout, perceived stress, and job satisfaction among trauma nurses at a Level i safety-net trauma center. Journal of Trauma Nursing, 25(1), 4–13. https://doi.org/10.1097/JTN.0000000000000335

Palareti, G., Legnani, C., Cosmi, B., Antonucci, E., Erba, N., Poli, D., Testa, S., & Tosetto, A. (2016). Comparison between different D-Dimer cutoff values to assess the individual risk of recurrent venous thromboembolism: Analysis of results obtained in the DULCIS study. International Journal of Laboratory Hematology, 38(1), 42–49. https://doi.org/10.1111/ijlh.12426

Rodrigues, C. C. F. M., Santos, V. E. P., & Sousa, P. (2017). Patient safety and nursing: interface with stress and Burnout Syndrome. Revista Brasileira de Enfermagem, 70(5), 1083–1088. https://doi.org/10.1590/0034-7167-2016-0194

Stimpfel, A. W., Sloane, D. M., & Aiken, L. H. (2012). The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Affairs, 31(11), 2501–2509. https://doi.org/10.1377/hlthaff.2011.1377

Van Bogaert, P., Timmermans, O., Weeks, S. M., van Heusden, D., Wouters, K., & Franck, E. (2014). Nursing unit teams matter: Impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events-A cross-sectional survey. International Journal of Nursing Studies, 51(8), 1123–1134. https://doi.org/10.1016/j.ijnurstu.2013.12.009

Published

2022-12-27

How to Cite

Purwaningsih, D. F., Salamung, N., & Elmiyanti, N. K. (2022). Pengaruh Kelelahan terhadap Keselamatan Pasien: Sistematik Review: Influence of Burnout on Patient Safety: a Systematic Review. Jurnal Kesmas Untika Luwuk : Public Health Journal, 13(2), 138-153. https://doi.org/10.51888/phj.v13i2.143