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A qualityassessment tool wasdeveloped for thesestudies review andwas based oncriteria that weretransferable to non-randomized clinicaltrail studies from theCOCHRANE risk ofAcross 14studies over thepast 10 years.Focused onstaffing whichwas measuredby the totalhours per dayper nurse andpatientoutcomes.SPSS Version 2.0was used toanalyze statisticaldescription,correlation andreliabilityestimates. SEMwas utilized toexplore the impactof the hospitalorganizationalfactors such asnursing care leftundone, and nurseburnouts effects onpatient safety.Preliminary datacollection via SPSSVersion 22 software.Descriptive statisticsand bivariateassociations wereutilized for variablesand demographicssuch as length oftime at job andtypical hoursworked per week.For examination ofassociationsbetween depressivesymptoms andpatient safetyperceptions the useof AMOS 22 wasutilized.
LITERATURE EVALUATION 5bias tool along withother measures toassess reliability andvalidity of themeasures used.Key FindingsThe majority ofstudies providedevidence that bothwellbeing andburnout areassociated withpatient safety. Inparticular, poorwellbeing, ascharacterized bydepression, anxiety,poor quality of lifeand stress and highlevels of burnoutwere found tosignificantly beassociated withmore self-reportederrors.A similar percentageof studies foundsignificantassociationsbetween wellbeingand error (88.9%),as well as burnoutand error (83.3%).Evidencesuggestive thatbetter staffingfor nurses wasassociated withfewer hospitalacquiredpressureinjuries,catheterassociated UTI,surgical siteinfections,sepsis and heartfailure.Better staffingalso reportedhigher qualityof care and lessjobdissatisfactionand nurseburnout.Nurses currentlyaveraged about 7patients per dayshift, with 6-12average nursingtasks on averageper nurses that wasleft undone due toinadequate time.Additionally,2/5ths of thenurses reportedhigh levels ofburnout. Patientadverse effectsoccurredinfrequently asassessed by mostof the nurses.Better workenvironments werealso associatedwith less nursingcare left undoneand nurse burn out.Results aresuggestive thatsymptoms ofdepression andburnout in hospitalnurses may haveimplications onpatient safety.Additionally,interventions toimprove patientsafety may be usedto improve burnout.That not only isthere an associationbetween depressivesymptoms andpatient safetyperceptions, but thatdepressivesymptoms wereconsidered anoutcome fromburnout.RecommendationsFindings thatburnout and poorwellbeing are bothassociated withpoorer patient safetyand has significantimplications forpolicymakers andmanagement teamswithin thehealthcare setting.