Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Job Characteristics in Nursing and Cognitive Failure at Work

  • Received : 2010.12.10
  • Accepted : 2011.03.14
  • Published : 2011.06.30
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Abstract

Objectives: Stressors in nursing put high demands on cognitive control and, therefore, may increase the risk of cognitive failures that put patients at risk. Task-related stressors were expected to be positively associated with cognitive failure at work and job control was expected to be negatively associated with cognitive failure at work. Methods: Ninety-six registered nurses from 11 Swiss hospitals were investigated (89 women, 7 men, mean age = 36 years, standard deviation = 12 years, 80% supervisors, response rate 48%). A new German version of the Workplace Cognitive Failure Scale (WCFS) was employed to assess failure in memory function, failure in attention regulation, and failure in action exertion. In linear regression analyses, WCFS was related to work characteristics, neuroticism, and conscientiousness. Results: The German WCFS was valid and reliable. The factorial structure of the original WCF could be replicated. Multilevel regression task-related stressors and conscientiousness were significantly related to attention control and action exertion. Conclusion: The study sheds light on the association between job characteristics and work-related cognitive failure. These associations were unique, i.e. associations were shown even when individual differences in conscientiousness and neuroticism were controlled for. A job redesign in nursing should address task stressors.

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References

  1. Elfering A, Grebner S. Stress and patient safety. In: Halbesleben JRB, ed. The handbook of stress and burnout in health care. Hauppauge (NY): Nova Science Publishers; 2008. p. 173-86.
  2. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA 2002;288:1987-93. https://doi.org/10.1001/jama.288.16.1987
  3. Hickam DH, Severance S, Feldtein A, Ray L, Gorman P, Schuldheis S, Hersh WR, Krages KP, Helfand M. The effect of health care working conditions on patient safety. Evidence report/technology assessment number 74. (Prepared by Oregon Health & Science University under Contract No. 290-97- 0018.) Rockville (MD): Agency for Healthcare Research and Quality (US); 2003. Report No.: 03-E031.
  4. Elfering A, Semmer NK, Grebner S. Work stress and patient safety: observer-rated work stressors as predictors of characteristics of safety-related events reported by young nurses. Ergonomics 2006;49:457-69. https://doi.org/10.1080/00140130600568451
  5. Rogers AE, Dean GE, Hwang WT, Scott LD. Role of registered nurses in error prevention, discovery and correction. Qual Saf Health Care. 2008;17:117-21. https://doi.org/10.1136/qshc.2007.022699
  6. Furney SR. Stress Influences on Accident Incidence. Human Stress: Current Selected Research. New York: AMS Press; 1986.
  7. Jones JW, Barge BN, Steffy BD, Fay LM, Kunz LK, Wuebker LJ. Stress and medical malpractice: organizational risk assessment and intervention. J Appl Psychol 1988;73:727-35. https://doi.org/10.1037/0021-9010.73.4.727
  8. Makinen A, Kivimaki M, Elovainio M, Virtanen M. Organization of nursing care and stressful work characteristics. J Adv Nurs 2003;43:197-205. https://doi.org/10.1046/j.1365-2648.2003.02694.x
  9. Broadbent DE, Cooper PF, FitzGerald P, Parkes KR. The Cognitive Failures Questionnaire (CFQ) and its correlates. Br J Clin Psychol 1982;21:1-16. https://doi.org/10.1111/j.2044-8260.1982.tb01421.x
  10. Klumb PL. Cognitive failures and performance differences: validation studies of a German version of the cognitive failures questionnaire. Ergonomics 1995;38:1456-67. https://doi.org/10.1080/00140139508925202
  11. Alvarez G, Coiera E. Interruptive communication patterns in the intensive care unit ward round. Int J Med Inform 2005;74:791-6. https://doi.org/10.1016/j.ijmedinf.2005.03.017
  12. Chisholm CD, Collison EK, Nelson DR, Cordell WH. Emergency department workplace interruptions: are emergency physicians "interrupt-driven" and "multitasking"? Acad Emerg Med 2000;7:1239-43. https://doi.org/10.1111/j.1553-2712.2000.tb00469.x
  13. Randell R. Medicine and aviation: a review of the comparison. Methods Inf Med 2003;42:433-6.
  14. Patel VL, Zhang J, Yoskowitz NA, Green R, Sayan OR. Translational cognition for decision support in critical care environments: a review. J Biomed Inform 2008;41:413-31. https://doi.org/10.1016/j.jbi.2008.01.013
  15. Zhang J, Patel VL, Johnson TR, Shortliffe EH. A cognitive taxonomy of medical errors. J Biomed Inform 2004;37:193- 204. https://doi.org/10.1016/j.jbi.2004.04.004
  16. Hutchinson M, Vickers MH, Jackson D, Wilkes L. "I'm gonna do what i wanna do." Organizational change as a legitimized vehicle for bullies. Health Care Manage Rev 2005;30:331-6. https://doi.org/10.1097/00004010-200510000-00007
  17. Brosschot JF, Pieper S, Thayer JF. Expanding stress theory: prolonged activation and perseverative cognition. Psychoneuroendocrinology 2005;30:1043-9. https://doi.org/10.1016/j.psyneuen.2005.04.008
  18. Nolen-Hoeksema S. The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnorm Psychol 2000;109:504-11. https://doi.org/10.1037/0021-843X.109.3.504
  19. Frese M, Zapf D. Action as the core of work psychology: a German approach. In: Dunette MD, Hough LM, Triandis HC, eds. Handbook of industrial and organizational psychology, Vol. 4. Palo Alto (CA): Consulting Psychology Press; 1994. p. 271-340.
  20. Bluedorn AC, Kaufman CF, Lane PM. How many things do you like to do at once? An introduction to monochromic and polychromic time. Acad Manage Exec 1992;6:17-26.
  21. Matthews G, Coyle K, Craig A. Multiple factors of cognitive failure and their relationships with stress vulnerability. J Psychopath Behav Ass 1990;12:49-65. https://doi.org/10.1007/BF00960453
  22. Wallace JC, Chen G. Development and validation of a workspecific measure of cognitive failure: Implications for occupational safety. J Occup Organ Psychol 2005;78:615-32. https://doi.org/10.1348/096317905X37442
  23. Semmer N, Zapf D, Dunckel H. Assessing stress at work: A framework and an instrument. In: Svane O, Johansen C, ed. Work and health - Scientific basis of progress in the working environment. Luxembourg: Office for Official Publications of the European Communities; 1995. p. 105-13.
  24. Frese M. Stress at work and psychosomatic complaints: a causal interpretation. J Appl Psychol 1985;70:314-28. https://doi.org/10.1037/0021-9010.70.2.314
  25. Elfering A, Grebner S, Semmer NK, Gerber H. Time control, catecholamines and back pain among young nurses. Scand J Work Environ Health 2002;28:386-93. https://doi.org/10.5271/sjweh.690
  26. Elfering A, Grebner S, Semmer NK, Kaiser-Freiburghaus D, Lauper-Del Ponte S, Witschi I. Chronic job stressors and job control: effects on event-related coping success and well-being. J Occup Organ Psychol 2005;78:237-52. https://doi.org/10.1348/096317905X40088
  27. Elfering A, Dubi M, Semmer NK. Participation during major technological change and low back pain. Ind Health 2010;48:370-5. https://doi.org/10.2486/indhealth.48.370
  28. Grebner S, Elfering A, Semmer NK, Kaiser-Probst C, Schlapbach ML. Stressful situations at work and in private life among young workers: an event sampling approach. Soc Indicators Res 2004;67:11-49. https://doi.org/10.1023/B:SOCI.0000007333.96382.3a
  29. Grebner S, Semmer NK, Elfering A. Working conditions and three types of well-being: a longitudinal study with self-report and rating data. J Occup Health Psychol 2005;10:31-43. https://doi.org/10.1037/1076-8998.10.1.31
  30. Grebner S, Semmer N, Faso LL, Gut S, Kaelin W, Elfering A. Working conditions, well-being, and job-related attitudes among call centre agents. Eur J Work Org Psychol 2003;12:341-65. https://doi.org/10.1080/13594320344000192
  31. Semmer N, Zapf D, Greif S. 'Shared job strain': a new approach for assessing the validity of job stress measurements. J Occupd Organ Psychol 1996;69:293-310. https://doi.org/10.1111/j.2044-8325.1996.tb00616.x
  32. Sonnentag S, Bayer UV. Switching off mentally: predictors and consequences of psychological detachment from work during off-job time. J Occup Health Psychol 2005;10:393-414. https://doi.org/10.1037/1076-8998.10.4.393
  33. Costa PT Jr, McCrae RR. The NEO personality inventory manual. Odessa (FL): Psychological Assessment Resources; 1985.
  34. McCrae RR, John OP. An introduction to the five-factor model and its applications. J Pers 1992;60:175-215. https://doi.org/10.1111/j.1467-6494.1992.tb00970.x
  35. Ostendorf F. Sprache und Personlichkeitsstruktur: Zur Validitat des Funf-Faktoren-Modells der Personlichkeit [Language and personality structure: on the validity of the five-factor model of personality]. Regensburg (Germany): Roderer; 1990.
  36. Ostendorf F, Angleitner A. On the generality and comprehensiveness of the Five-Factor model of personality. Evidence for five robust factors in questionnaire data. In: Caprara GV, van Heck GL, ed. Modern personality psychology. Critical reviews and new directions. New York: Harvester Wheatsheaf; 1992. p. 73-109.
  37. Schallberger U, Venetz M. Kurzversionen des MRS-Inventars von Ostendorf (1990) zur Erfassung der funf "grossen" Personlichkeitsfaktoren [Brief versions of Ostendorf 's MRS inventory for the assessment of the big-five personality factors]. Zurich (Switzerland): Psychologisches Institut der Universitat Zurich; 1999. p. 1-51.
  38. Semmer NK, Tschan F, Elfering A, Kalin W, Grebner S. Young adults entering the workforce in Switzerland: Working conditions and well-being. In: Kriesi H. Farago P, Kohli M, Zarin M, eds. Contemporary Switzerland: Revisiting the special case. Houndmills (UK): Palgrave Macmillan; 2005. p. 163-89.
  39. Humphrey SE, Nahrgang JD, Morgeson FP. Integrating motivational, social, and contextual work design features: a meta-analytic summary and theoretical extension of the work design literature. J Appl Psychol 2007;92:1332-56. https://doi.org/10.1037/0021-9010.92.5.1332
  40. Christian MS, Bradley JC, Wallace JC, Burke MJ. Workplace safety: a meta-analysis of the roles of person and situation factors. J Appl Psychol 2009;94:1103-27. https://doi.org/10.1037/a0016172
  41. Semmer NK, Grebner S, Elfering A. Psychische Kosten von Arbeit. Enzyklopadie der Psychologie. Band: Arbeitspsychologie. [Psychological costs of work]. In: German 'Encyclopedia for Psychology', Volume: Work psychology. Gottingen: Hogrefe; 2010. p. 325-70.
  42. Kompier M. Dealing with workplace stress. In: Cooper CL, ed. Handbook of stress medicine and health. Boca Raton (FL): CRC; 2005. p. 349-74.
  43. Reason J. Human error: models and management. BMJ 2000;320:768-70. https://doi.org/10.1136/bmj.320.7237.768
  44. Davidoff F. Shame: the elephant in the room. BMJ 2002;324:623-4. https://doi.org/10.1136/bmj.324.7338.623
  45. Firth-Cozens J. Anxiety as a barrier to risk management. Qual Saf Health Care 2002;11:115. https://doi.org/10.1136/qhc.11.2.115

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