Suicide Risk, Changing Jobs, or Leaving the Nursing Profession in the Aftermath of a Patient Safety Incident
Background Nursing retention is a concern for healthcare systems, hospital administrators, and nurses who have spent considerable time and money to achieve educational goals. Nearly, 33% of nurses will drop out in the 2 years practice. Those who stay in practice face an increased risk of suicide whe...
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| Veröffentlicht in: | Worldviews on evidence-based nursing 2021-10, Vol.18 (5), p.264-272 |
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| creator | Stovall, Mady Hansen, Lissi |
| description | Background
Nursing retention is a concern for healthcare systems, hospital administrators, and nurses who have spent considerable time and money to achieve educational goals. Nearly, 33% of nurses will drop out in the 2 years practice. Those who stay in practice face an increased risk of suicide when compared the general population.
Aims
To examine the relationship between nurse sociodemographic data and unique study variables with potential morally injurious outcomes (i.e., dropping out variables: changing jobs, intention to leave the profession, or suicidal thinking).
Methods
A descriptive, correlational study design was used to characterize the relationship between the sociodemographic data of 216 registered nurses (RNs) and patient safety and the suicidal behavioral questionnaire.
Results
RNs involved in a patient safety incident (PSI) considered changing jobs when the degree of harm was death (p |
| doi_str_mv | 10.1111/wvn.12534 |
| format | Article |
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Nursing retention is a concern for healthcare systems, hospital administrators, and nurses who have spent considerable time and money to achieve educational goals. Nearly, 33% of nurses will drop out in the 2 years practice. Those who stay in practice face an increased risk of suicide when compared the general population.
Aims
To examine the relationship between nurse sociodemographic data and unique study variables with potential morally injurious outcomes (i.e., dropping out variables: changing jobs, intention to leave the profession, or suicidal thinking).
Methods
A descriptive, correlational study design was used to characterize the relationship between the sociodemographic data of 216 registered nurses (RNs) and patient safety and the suicidal behavioral questionnaire.
Results
RNs involved in a patient safety incident (PSI) considered changing jobs when the degree of harm was death (p < .001) or was unknown (p < .05) when compared with no harm. RNs were more likely to consider leaving the profession when the degree of harm to the patient was permanent (p < .01) or the patient died (p < .05) when compared with having no harm. RNs future suicidal thinking (i.e., their self‐reported likelihood of future suicidal behavior) was statistically significant when degree of harm to the patient was death (p < .05) as a result of a PSI (95% CI [1.11, 8.71]) when compared with no harm. The RNs who had suicidal thoughts over the past year compared with those without and the RNs with future suicidal thinking compared with those without, may respond differently in the aftermath of a PSI.
Linking evidence to action
This study served as a pioneering effort to the current understanding between nurse characteristics and patient harm and “dropping out” outcomes in RNs involved in PSIs. RNs involved with PSIs that led to more harm were more likely to change jobs, consider leaving the profession, or contemplate future suicide. These findings have important implications for nurses, administrative managers in healthcare organizations, and researchers.</description><identifier>ISSN: 1545-102X</identifier><identifier>EISSN: 1741-6787</identifier><identifier>DOI: 10.1111/wvn.12534</identifier><identifier>PMID: 34506066</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>changing jobs ; Humans ; Intention ; leaving profession ; Medical errors ; Mental health ; moral injury ; nurse second victim ; Nurses ; Occupational stress ; Patient Safety ; Sociodemographics ; Suicide ; Suicides & suicide attempts ; Surveys and Questionnaires</subject><ispartof>Worldviews on evidence-based nursing, 2021-10, Vol.18 (5), p.264-272</ispartof><rights>2021 Sigma Theta Tau International.</rights><rights>2021 Sigma Theta Tau International</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-735c2310977e4852ce9363ce81852445d902a00cefa9cb9118513bc2e967fc403</citedby><cites>FETCH-LOGICAL-c3534-735c2310977e4852ce9363ce81852445d902a00cefa9cb9118513bc2e967fc403</cites><orcidid>0000-0002-9466-9287</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fwvn.12534$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fwvn.12534$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34506066$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stovall, Mady</creatorcontrib><creatorcontrib>Hansen, Lissi</creatorcontrib><title>Suicide Risk, Changing Jobs, or Leaving the Nursing Profession in the Aftermath of a Patient Safety Incident</title><title>Worldviews on evidence-based nursing</title><addtitle>Worldviews Evid Based Nurs</addtitle><description>Background
Nursing retention is a concern for healthcare systems, hospital administrators, and nurses who have spent considerable time and money to achieve educational goals. Nearly, 33% of nurses will drop out in the 2 years practice. Those who stay in practice face an increased risk of suicide when compared the general population.
Aims
To examine the relationship between nurse sociodemographic data and unique study variables with potential morally injurious outcomes (i.e., dropping out variables: changing jobs, intention to leave the profession, or suicidal thinking).
Methods
A descriptive, correlational study design was used to characterize the relationship between the sociodemographic data of 216 registered nurses (RNs) and patient safety and the suicidal behavioral questionnaire.
Results
RNs involved in a patient safety incident (PSI) considered changing jobs when the degree of harm was death (p < .001) or was unknown (p < .05) when compared with no harm. RNs were more likely to consider leaving the profession when the degree of harm to the patient was permanent (p < .01) or the patient died (p < .05) when compared with having no harm. RNs future suicidal thinking (i.e., their self‐reported likelihood of future suicidal behavior) was statistically significant when degree of harm to the patient was death (p < .05) as a result of a PSI (95% CI [1.11, 8.71]) when compared with no harm. The RNs who had suicidal thoughts over the past year compared with those without and the RNs with future suicidal thinking compared with those without, may respond differently in the aftermath of a PSI.
Linking evidence to action
This study served as a pioneering effort to the current understanding between nurse characteristics and patient harm and “dropping out” outcomes in RNs involved in PSIs. RNs involved with PSIs that led to more harm were more likely to change jobs, consider leaving the profession, or contemplate future suicide. These findings have important implications for nurses, administrative managers in healthcare organizations, and researchers.</description><subject>changing jobs</subject><subject>Humans</subject><subject>Intention</subject><subject>leaving profession</subject><subject>Medical errors</subject><subject>Mental health</subject><subject>moral injury</subject><subject>nurse second victim</subject><subject>Nurses</subject><subject>Occupational stress</subject><subject>Patient Safety</subject><subject>Sociodemographics</subject><subject>Suicide</subject><subject>Suicides & suicide attempts</subject><subject>Surveys and Questionnaires</subject><issn>1545-102X</issn><issn>1741-6787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kclOwzAQhi0EYj_wAsgSF5AIeI2bY1WxqgLEfotcd0INqQ12Aurb41DggMRcPMunf2z_CG1RckBTHH68uwPKJBcLaJUqQbNc9dRiyqWQGSXscQWtxfhMCMsV48tohQtJcpLnq6i-aa2xY8DXNr7s48FEuyfrnvC5H8V97AMegn7vGs0E8EUbYpdfBV9BjNY7bN3XpF81EKa6mWBfYY2vdGPBNfhGV9DM8JnrVrhmAy1Vuo6w-X2uo7vjo9vBaTa8PDkb9IeZ4ekRmeLSME5JoRSInmQGCp5zAz2aCiHkuCBME2Kg0oUZFTS1KR8ZBkWuKiMIX0e7c93X4N9aiE05tdFAXWsHvo0lk4oWTBHWoTt_0GffBpdu11GKSZFznqi9OWWCjzFAVb4GO9VhVlJSdhaUyYLyy4LEbn8rtqMpjH_Jnz9PwOEc-LA1zP5XKh_uL-aSn5JWje8</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Stovall, Mady</creator><creator>Hansen, Lissi</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9466-9287</orcidid></search><sort><creationdate>202110</creationdate><title>Suicide Risk, Changing Jobs, or Leaving the Nursing Profession in the Aftermath of a Patient Safety Incident</title><author>Stovall, Mady ; Hansen, Lissi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-735c2310977e4852ce9363ce81852445d902a00cefa9cb9118513bc2e967fc403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>changing jobs</topic><topic>Humans</topic><topic>Intention</topic><topic>leaving profession</topic><topic>Medical errors</topic><topic>Mental health</topic><topic>moral injury</topic><topic>nurse second victim</topic><topic>Nurses</topic><topic>Occupational stress</topic><topic>Patient Safety</topic><topic>Sociodemographics</topic><topic>Suicide</topic><topic>Suicides & suicide attempts</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stovall, Mady</creatorcontrib><creatorcontrib>Hansen, Lissi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Worldviews on evidence-based nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stovall, Mady</au><au>Hansen, Lissi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Suicide Risk, Changing Jobs, or Leaving the Nursing Profession in the Aftermath of a Patient Safety Incident</atitle><jtitle>Worldviews on evidence-based nursing</jtitle><addtitle>Worldviews Evid Based Nurs</addtitle><date>2021-10</date><risdate>2021</risdate><volume>18</volume><issue>5</issue><spage>264</spage><epage>272</epage><pages>264-272</pages><issn>1545-102X</issn><eissn>1741-6787</eissn><abstract>Background
Nursing retention is a concern for healthcare systems, hospital administrators, and nurses who have spent considerable time and money to achieve educational goals. Nearly, 33% of nurses will drop out in the 2 years practice. Those who stay in practice face an increased risk of suicide when compared the general population.
Aims
To examine the relationship between nurse sociodemographic data and unique study variables with potential morally injurious outcomes (i.e., dropping out variables: changing jobs, intention to leave the profession, or suicidal thinking).
Methods
A descriptive, correlational study design was used to characterize the relationship between the sociodemographic data of 216 registered nurses (RNs) and patient safety and the suicidal behavioral questionnaire.
Results
RNs involved in a patient safety incident (PSI) considered changing jobs when the degree of harm was death (p < .001) or was unknown (p < .05) when compared with no harm. RNs were more likely to consider leaving the profession when the degree of harm to the patient was permanent (p < .01) or the patient died (p < .05) when compared with having no harm. RNs future suicidal thinking (i.e., their self‐reported likelihood of future suicidal behavior) was statistically significant when degree of harm to the patient was death (p < .05) as a result of a PSI (95% CI [1.11, 8.71]) when compared with no harm. The RNs who had suicidal thoughts over the past year compared with those without and the RNs with future suicidal thinking compared with those without, may respond differently in the aftermath of a PSI.
Linking evidence to action
This study served as a pioneering effort to the current understanding between nurse characteristics and patient harm and “dropping out” outcomes in RNs involved in PSIs. RNs involved with PSIs that led to more harm were more likely to change jobs, consider leaving the profession, or contemplate future suicide. These findings have important implications for nurses, administrative managers in healthcare organizations, and researchers.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34506066</pmid><doi>10.1111/wvn.12534</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9466-9287</orcidid></addata></record> |
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| issn | 1545-102X 1741-6787 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | changing jobs Humans Intention leaving profession Medical errors Mental health moral injury nurse second victim Nurses Occupational stress Patient Safety Sociodemographics Suicide Suicides & suicide attempts Surveys and Questionnaires |
| title | Suicide Risk, Changing Jobs, or Leaving the Nursing Profession in the Aftermath of a Patient Safety Incident |
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