Interactive Effects of Sleep Difficulty and Time Pressure on Patient Safety in Nurses in Public Hospitals
Purpose There is no report about the interaction effect of insomnia and time pressure on patient safety. This investigation aimed to examine the interactive effect of insomnia and perceived time pressure on safety events to patients in nurses of general public hospitals. Methods In this cross-sectio...
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| Veröffentlicht in: | Sleep and vigilance 2021-12, Vol.5 (2), p.299-307 |
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| creator | Abdulah, Deldar Morad Suleman, Sherzad Khudeida |
| description | Purpose
There is no report about the interaction effect of insomnia and time pressure on patient safety. This investigation aimed to examine the interactive effect of insomnia and perceived time pressure on safety events to patients in nurses of general public hospitals.
Methods
In this cross-sectional study, 111 nurses with different educational levels and experiences were included from four general public hospitals in Iraqi Kurdistan in 2019. Patient safety was assessed by the frequency of incidents to patients for the past year. The nurse-perceived time pressure was rated from 1 (never) to 7 (always). The severity of sleep difficulty was measured by the Athens Insomnia Scale. The interactive effect of insomnia and time pressure on safety events was examined in a multivariate analysis model.
Results
The mean age of nurses was 29.87 ± 5.19 years and worked in different shifts. The mean sleep severity was 7.73 ± 3.0 of 24.0, including 76.6% insomniac nurses. The nurses injured patients during caregiving (79.3%), patients fell (71.2%), nosocomial infections occurred (82.9%), documented/recorded medical information incompletely or incorrectly (75.7%). Nurses delayed the patients' care (81.1%) and administered medication by an error (71.2%). The nurses with higher time pressure and insomnia severity were more likely to exert injuries to patients due to care (
P
= 0.001), their patients fell (
P
= 0.003), administered medication with errors (
P
= 0.006).
Conclusions
This study showed that the nurse-perceived time pressure is escalated with the severity of insomnia in nurses. In addition, the interaction of insomnia and perceived time pressure in nurses were associated with more adverse events to patients. |
| doi_str_mv | 10.1007/s41782-021-00171-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2932422942</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2932422942</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2343-8c9732344c9965ce8ff158be145476f7a616e242712010f231660bc1cf39760b3</originalsourceid><addsrcrecordid>eNp9kMFKAzEURYMoWGp_wFXA9WheMpPMLKVWWyhaaF2HaXyRlOlMTTJC_97UEXTl6t3FOffBJeQa2C0wpu5CDqrkGeOQMQYKMnFGRrwAlnEui_M_-ZJMQtixRJVSlJKNiFu0EX1tovtEOrMWTQy0s3TdIB7og7PWmb6JR1q3b3Tj9khXHkPoPdKupas6OmwjXdcWE-Na-tz7gOGUVv22cYbOu3BwsW7CFbmw6eDk547J6-NsM51ny5enxfR-mRkucpGVplIipdxUlSwMltZCUW4R8iJX0qpagkSecwWcAbNcgJRsa8BYUamUxJjcDL0H3330GKLedb1v00vNK5FMXuU8UXygjO9C8Gj1wbt97Y8amD6tqodVdVpVf6-qRZLEIIUEt-_of6v_sb4An014ag</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2932422942</pqid></control><display><type>article</type><title>Interactive Effects of Sleep Difficulty and Time Pressure on Patient Safety in Nurses in Public Hospitals</title><source>SpringerLink Journals</source><source>AUTh Library subscriptions: ProQuest Central</source><source>ProQuest Central (Alumni)</source><source>ProQuest Central</source><creator>Abdulah, Deldar Morad ; Suleman, Sherzad Khudeida</creator><creatorcontrib>Abdulah, Deldar Morad ; Suleman, Sherzad Khudeida</creatorcontrib><description>Purpose
There is no report about the interaction effect of insomnia and time pressure on patient safety. This investigation aimed to examine the interactive effect of insomnia and perceived time pressure on safety events to patients in nurses of general public hospitals.
Methods
In this cross-sectional study, 111 nurses with different educational levels and experiences were included from four general public hospitals in Iraqi Kurdistan in 2019. Patient safety was assessed by the frequency of incidents to patients for the past year. The nurse-perceived time pressure was rated from 1 (never) to 7 (always). The severity of sleep difficulty was measured by the Athens Insomnia Scale. The interactive effect of insomnia and time pressure on safety events was examined in a multivariate analysis model.
Results
The mean age of nurses was 29.87 ± 5.19 years and worked in different shifts. The mean sleep severity was 7.73 ± 3.0 of 24.0, including 76.6% insomniac nurses. The nurses injured patients during caregiving (79.3%), patients fell (71.2%), nosocomial infections occurred (82.9%), documented/recorded medical information incompletely or incorrectly (75.7%). Nurses delayed the patients' care (81.1%) and administered medication by an error (71.2%). The nurses with higher time pressure and insomnia severity were more likely to exert injuries to patients due to care (
P
= 0.001), their patients fell (
P
= 0.003), administered medication with errors (
P
= 0.006).
Conclusions
This study showed that the nurse-perceived time pressure is escalated with the severity of insomnia in nurses. In addition, the interaction of insomnia and perceived time pressure in nurses were associated with more adverse events to patients.</description><identifier>ISSN: 2510-2265</identifier><identifier>EISSN: 2510-2265</identifier><identifier>DOI: 10.1007/s41782-021-00171-3</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Biomedical and Life Sciences ; Biomedicine ; Data collection ; Decision making ; Exercise ; Hospitals ; Insomnia ; Medical errors ; Medicine/Public Health ; Neurology ; Neurosciences ; Nurses ; Nursing ; Original Article ; Patient safety ; Psychiatry ; Questionnaires ; Sample size ; Self report ; Sleep deprivation</subject><ispartof>Sleep and vigilance, 2021-12, Vol.5 (2), p.299-307</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd. 2021</rights><rights>The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd. 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2343-8c9732344c9965ce8ff158be145476f7a616e242712010f231660bc1cf39760b3</citedby><cites>FETCH-LOGICAL-c2343-8c9732344c9965ce8ff158be145476f7a616e242712010f231660bc1cf39760b3</cites><orcidid>0000-0002-8986-5793</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s41782-021-00171-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2932422942?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21388,21389,27924,27925,33530,33744,41488,42557,43659,43805,51319,64385,64389,72469</link.rule.ids></links><search><creatorcontrib>Abdulah, Deldar Morad</creatorcontrib><creatorcontrib>Suleman, Sherzad Khudeida</creatorcontrib><title>Interactive Effects of Sleep Difficulty and Time Pressure on Patient Safety in Nurses in Public Hospitals</title><title>Sleep and vigilance</title><addtitle>Sleep Vigilance</addtitle><description>Purpose
There is no report about the interaction effect of insomnia and time pressure on patient safety. This investigation aimed to examine the interactive effect of insomnia and perceived time pressure on safety events to patients in nurses of general public hospitals.
Methods
In this cross-sectional study, 111 nurses with different educational levels and experiences were included from four general public hospitals in Iraqi Kurdistan in 2019. Patient safety was assessed by the frequency of incidents to patients for the past year. The nurse-perceived time pressure was rated from 1 (never) to 7 (always). The severity of sleep difficulty was measured by the Athens Insomnia Scale. The interactive effect of insomnia and time pressure on safety events was examined in a multivariate analysis model.
Results
The mean age of nurses was 29.87 ± 5.19 years and worked in different shifts. The mean sleep severity was 7.73 ± 3.0 of 24.0, including 76.6% insomniac nurses. The nurses injured patients during caregiving (79.3%), patients fell (71.2%), nosocomial infections occurred (82.9%), documented/recorded medical information incompletely or incorrectly (75.7%). Nurses delayed the patients' care (81.1%) and administered medication by an error (71.2%). The nurses with higher time pressure and insomnia severity were more likely to exert injuries to patients due to care (
P
= 0.001), their patients fell (
P
= 0.003), administered medication with errors (
P
= 0.006).
Conclusions
This study showed that the nurse-perceived time pressure is escalated with the severity of insomnia in nurses. In addition, the interaction of insomnia and perceived time pressure in nurses were associated with more adverse events to patients.</description><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Data collection</subject><subject>Decision making</subject><subject>Exercise</subject><subject>Hospitals</subject><subject>Insomnia</subject><subject>Medical errors</subject><subject>Medicine/Public Health</subject><subject>Neurology</subject><subject>Neurosciences</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Original Article</subject><subject>Patient safety</subject><subject>Psychiatry</subject><subject>Questionnaires</subject><subject>Sample size</subject><subject>Self report</subject><subject>Sleep deprivation</subject><issn>2510-2265</issn><issn>2510-2265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kMFKAzEURYMoWGp_wFXA9WheMpPMLKVWWyhaaF2HaXyRlOlMTTJC_97UEXTl6t3FOffBJeQa2C0wpu5CDqrkGeOQMQYKMnFGRrwAlnEui_M_-ZJMQtixRJVSlJKNiFu0EX1tovtEOrMWTQy0s3TdIB7og7PWmb6JR1q3b3Tj9khXHkPoPdKupas6OmwjXdcWE-Na-tz7gOGUVv22cYbOu3BwsW7CFbmw6eDk547J6-NsM51ny5enxfR-mRkucpGVplIipdxUlSwMltZCUW4R8iJX0qpagkSecwWcAbNcgJRsa8BYUamUxJjcDL0H3330GKLedb1v00vNK5FMXuU8UXygjO9C8Gj1wbt97Y8amD6tqodVdVpVf6-qRZLEIIUEt-_of6v_sb4An014ag</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Abdulah, Deldar Morad</creator><creator>Suleman, Sherzad Khudeida</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><orcidid>https://orcid.org/0000-0002-8986-5793</orcidid></search><sort><creationdate>20211201</creationdate><title>Interactive Effects of Sleep Difficulty and Time Pressure on Patient Safety in Nurses in Public Hospitals</title><author>Abdulah, Deldar Morad ; Suleman, Sherzad Khudeida</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2343-8c9732344c9965ce8ff158be145476f7a616e242712010f231660bc1cf39760b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Data collection</topic><topic>Decision making</topic><topic>Exercise</topic><topic>Hospitals</topic><topic>Insomnia</topic><topic>Medical errors</topic><topic>Medicine/Public Health</topic><topic>Neurology</topic><topic>Neurosciences</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Original Article</topic><topic>Patient safety</topic><topic>Psychiatry</topic><topic>Questionnaires</topic><topic>Sample size</topic><topic>Self report</topic><topic>Sleep deprivation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abdulah, Deldar Morad</creatorcontrib><creatorcontrib>Suleman, Sherzad Khudeida</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>Sleep and vigilance</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abdulah, Deldar Morad</au><au>Suleman, Sherzad Khudeida</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interactive Effects of Sleep Difficulty and Time Pressure on Patient Safety in Nurses in Public Hospitals</atitle><jtitle>Sleep and vigilance</jtitle><stitle>Sleep Vigilance</stitle><date>2021-12-01</date><risdate>2021</risdate><volume>5</volume><issue>2</issue><spage>299</spage><epage>307</epage><pages>299-307</pages><issn>2510-2265</issn><eissn>2510-2265</eissn><abstract>Purpose
There is no report about the interaction effect of insomnia and time pressure on patient safety. This investigation aimed to examine the interactive effect of insomnia and perceived time pressure on safety events to patients in nurses of general public hospitals.
Methods
In this cross-sectional study, 111 nurses with different educational levels and experiences were included from four general public hospitals in Iraqi Kurdistan in 2019. Patient safety was assessed by the frequency of incidents to patients for the past year. The nurse-perceived time pressure was rated from 1 (never) to 7 (always). The severity of sleep difficulty was measured by the Athens Insomnia Scale. The interactive effect of insomnia and time pressure on safety events was examined in a multivariate analysis model.
Results
The mean age of nurses was 29.87 ± 5.19 years and worked in different shifts. The mean sleep severity was 7.73 ± 3.0 of 24.0, including 76.6% insomniac nurses. The nurses injured patients during caregiving (79.3%), patients fell (71.2%), nosocomial infections occurred (82.9%), documented/recorded medical information incompletely or incorrectly (75.7%). Nurses delayed the patients' care (81.1%) and administered medication by an error (71.2%). The nurses with higher time pressure and insomnia severity were more likely to exert injuries to patients due to care (
P
= 0.001), their patients fell (
P
= 0.003), administered medication with errors (
P
= 0.006).
Conclusions
This study showed that the nurse-perceived time pressure is escalated with the severity of insomnia in nurses. In addition, the interaction of insomnia and perceived time pressure in nurses were associated with more adverse events to patients.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><doi>10.1007/s41782-021-00171-3</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-8986-5793</orcidid></addata></record> |
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| subjects | Biomedical and Life Sciences Biomedicine Data collection Decision making Exercise Hospitals Insomnia Medical errors Medicine/Public Health Neurology Neurosciences Nurses Nursing Original Article Patient safety Psychiatry Questionnaires Sample size Self report Sleep deprivation |
| title | Interactive Effects of Sleep Difficulty and Time Pressure on Patient Safety in Nurses in Public Hospitals |
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