KMID : 0367020210330030283
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Journal of Korean Academic of Adult Nursing 2021 Volume.33 No. 3 p.283 ~ p.293
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Relationship between Clinical Nurses¡¯ Job Stress and Medication Safety Performance: Mediating Effect of Fatigue
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Park Se-Yeong
Hur Hea-Kung
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Abstract
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Purpose: This study aimed to identify the mediating effect of fatigue in the relationship between clinical nurses¡¯ job stress and medication safety performance.
Methods: For this cross-sectional study, 122 registered nurses were recruited through convenience sampling. The results were collected from August to September 2020 using self-reported structured questionnaires, analyzed with IBM SPSS Statistics 25.0 and using descriptive statistics, independent t-tests, one-way analysis of variance and Pearson correlation coefficient, and hierarchical multiple regression analysis. The mediating effect was analyzed using PROCESS macro with a 95.0% bias-corrected bootstrap confidence interval (5,000 bootstraps re-sampling).
Results: Significant positive correlation was observed between job stress and fatigue (r=.57, p<.001). Significant negative correlations were observed between job stress and medication safety performance (r=-.27, p=.003), fatigue, and medication safety performance (r=-.55, p<.001). Fatigue has a mediating effect between job stress and medication safety performance in nurses (indirect effect=-0.11, 95% Boot confidence interval=-0.16~-0.07).
Conclusion: To improve the medication safety performance of clinical nurses who experience job stress and fatigue, early detection and periodic observation of nurses¡¯ job stress and fatigue should be made. Moreover, job stress and fatigue should be considered together in devising relevant interventions.
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KEYWORD
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Nurses, Occupational stress, Fatigue, Patient safety
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