Tendency to depression in pediatric wards nursing staff and its relation to medical safety and turn-over intention

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  • 小児科看護師の抑うつ傾向が医療安全と離職意図に及ぼす影響
  • ショウニカ カンゴシ ノ ヨクウツ ケイコウ ガ イリョウ アンゼン ト リショク イト ニ オヨボス エイキョウ

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Abstract

The objective of the present study was to examine the present situation of the tendency to depression among nursing staff working at pediatric wards and its effects on medical safety and nurses turn-over intentions. 354 nurses in 3 pediatric hospitals and in the pediatric wards of 3 general hospitals were selected for the study. A self-administered questionnaire, the CES-D was used to collect the data. 46.3% of pediatric wards nursing staff showed a tendency towards depression. There were no significant differences among nursing staff working in different facilities or wards (pediatric and general hospitals and pediatric and NICU wards respectively). An analysis of the effects that tendency to depression might have on medical safety revealed no relation between the number of reported incidents, accidents and adverse events, and having or not a tendency to depression. In addition, compared to nursing staff that did not have tendency to depression, nurses that had tendency to depression showed a 3-fold higher probability of near-misses and medication administration errors and the frequency of them encountering trouble could be possibly increased 3 to 4 times. To deliver safe medical care in pediatric wards it is necessary to screen nursing staff for tendency to depression and to offer complete mental support to those presenting depressive conditions.

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