Mental Health Status, Shift Work, and Occupational Accidents among Hospital Nurses in Japan

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  • Suzuki Kenshu
    Department of Public Health, School of Medicine, Nihon University
  • Ohida Takashi
    Department of Public Health, School of Medicine, Nihon University
  • Kaneita Yoshitaka
    Department of Public Health, School of Medicine, Nihon University
  • Yokoyama Eise
    Department of Public Health, School of Medicine, Nihon University
  • Miyake Takeo
    Department of Public Health, School of Medicine, Nihon University
  • Harano Satoru
    Department of Public Health, School of Medicine, Nihon University
  • Yagi Yuko
    Department of Public Health, School of Medicine, Nihon University
  • Ibuka Eiji
    Department of Public Health, School of Medicine, Nihon University
  • Kaneko Akiyo
    Department of Public Health, School of Medicine, Nihon University
  • Tsutsui Takako
    Department of Public Health, School of Medicine, Nihon University
  • Uchiyama Makoto
    Department of Psychophysiology, National Institute of Mental Health, National Center of Neurology and Psychiatry

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A questionnaire survey was conducted with questions from the 12-item General Health Questionnaire, among others, targeting 4,407 nurses in 8 general hospitals in Japan, in the hope of improving the work environment of nurses and to provide data that will allow a discussion of the measures necessary for preventing medical errors, thus improving occupational health. For each type of accident, the percentage of those who had made medical errors was significantly higher for the “mentally in poor health” group than for the “mentally in good health” group (p<0.0001). The percentage of nurses in the “mentally in good health” and “mentally in poor health” groups who had experienced occupational accidents over the past 12 months (i.e., whether they were “with errors” or “without errors”) was calculated for each of the following four types of medical accident: (1) drug-administration errors, (2) incorrect operation of medical equipment, (3) errors in patient identification, and (4) needlestick injuries. For each type of accident, the percentage of those who had made medical errors was significantly higher for the “mentally in poor health” group than for the “mentally in good health” group (p<0.0001). Multiple logistic regression analyses revealed significant associations between experience of medical errors in the past 12 months and being mentally in poor health, with night or irregular shift work, and age.<br>

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