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Western Journal of Nursing Research
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0193945907311321v1
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Article

A Nurse Coach Quality Improvement Intervention: Feasibility and Treatment Fidelity

Ann Minnick, Catherine D. Catrambone*, Lois Halstead, Steven Rothschild, and Stan Lapidos

* To whom correspondence should be addressed. E-mail: cathy_catrambone{at}rush.edu.


   Abstract
This article examines the relationship between nurse burnout and patient safety indicators, including both safety perceptions and reporting behavior. Based on the Conservation of Resources model of stress and burnout, it is predicted that burnout will negatively affect both patient safety perceptions and perceived likelihood of reporting events. Nurses from a Veteran’s Administration hospital completed the Maslach Burnout Inventory and safety outcomes subset of measures from the Agency for Healthcare Research and Quality Patient Safety Culture measure. After controlling for work-related demographics, multiple regression analysis supported the prediction that burnout was associated with the perception of lower patient safety. Burnout was not associated with event-reporting behavior but was negatively associated with reporting of mistakes that did not lead to adverse events. The findings extend previous research on the relationship between burnout and patient outcomes and offer avenues for future research on how nurse motivation resources are invested in light of their stressful work environment.

First published on February 8, 2008, doi:10.1177/0193945907311321

Western Journal of Nursing Research 2008;30:690.

A more recent version of this article appeared on October 1, 2008


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