The Relationship Between Nurses' Sleep Quality and Their Tendency to Commit Medical Errors

 

 Permissions and Reprints

Abstract

Objective To examine the relationship between nurses' sleep quality and their tendency to commit medical errors.

Materials and Methods The research was conducted in a state hospital, a private hospital, and a university hospital in a province located in the west region of Turkey (n = 378 nurses) between September 2020 and October 2021. Data was collected using a sociodemographic data form, the Medical Error Tendency Scale in Nursing (METSN), and the Pittsburgh Sleep Quality Index (PSQI). Verbal and written consent were obtained from the nurses who participated in the study. The data were collected through face-to-face interviews.

Results The mean score of the nurses was of 8.25 ± 4.81 on the PSQI and of 230.29 ± 14.15 on the METSN. A significant difference was found regarding age, marital status, level of schooling, weekly working hours, and the shift schedule of nurses and their sleep quality (p < 0.001). A significant difference was found regarding age, marital status, level of schooling, the hospital the nurses worked in, and the tendency to commit medical errors (p < 0.001). There was a statistically significant negative and moderate correlation between the PSQI and METSN scores (p < 0.001; r = −0.548).

Conclusion The tendency of nurses to commit medical errors was determined as low, and their sleep quality was poor. We have also determined that, as the sleep quality worsened, the tendency of nurses to commit medical errors increased.

Publication History

Received: 02 February 2023

Accepted: 08 May 2023

Article published online:
30 November 2023

© 2024. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

• References

• 1 Dong H, Zhang Q, Zhu C, Lv Q. Sleep quality of nurses in the emergency department of public hospitals in China and its influencing factors: a cross-sectional study. Health Qual Life Outcomes 2020; 18 (01) 116 DOI: 10.1186/s12955-020-01374-4.
  CrossrefPubMedGoogle Scholar
• 2 Kiymaz D, Koç Z. Identification of factors which affect the tendency towards and attitudes of emergency unit nurses to make medical errors. J Clin Nurs 2018; 27 (5-6): 1160-1169 DOI: 10.1111/jocn.14148.
  CrossrefPubMedGoogle Scholar
• 3 Cerit B, Tok HH, Temelli G. Relationship between work-related strain level in nurses and their medical error tendency. Value in Health Sciences 2022; 12 (01) 130-136 DOI: 10.33631/sabd.1055480.
  CrossrefGoogle Scholar
• 4 Ozer S, Sarsilmaz Kankaya H, Aktas Toptas H, Aykar FS. Attitudes toward patient safety and tendencies to medical error among Turkish cardiology and cardiovascular surgery nurses. J Patient Saf 2019; 15 (01) 1-6 DOI: 10.1097/PTS.0000000000000202.
  CrossrefPubMedGoogle Scholar
• 5 Robertson JJ, Long B. Suffering in silence: Medical error and its impact on health care providers. J Emerg Med 2018; 54 (04) 402-409 DOI: 10.1016/j.jemermed.2017.12.001.
  CrossrefPubMedGoogle Scholar
• 6 Kang J, Noh W, Lee Y. Sleep quality among shift-work nurses: A systematic review and meta-analysis. Appl Nurs Res 2020; 52: 151227 DOI: 10.1016/j.apnr.2019.151227.
  CrossrefPubMedGoogle Scholar
• 7 Pirinçci E, Yaraşır E, Özbey S. et al. Examination of eastern Turkey nurses working in a state hospital sleep quality. [Türkiye'nin Doğusunda Bir Devlet Hastanesinde Çalışan Hemşirelerin Uyku Kalitesinin İncelenmesi]. Balıkesir. Health Sci J 2021; 10 (01) 35-42
  Google Scholar
• 8 Sabanciogullari S, Yilmaz FT, Karabey G. The effect of the clinical nurses' compassion levels on tendency to make medical error: A cross-sectional study. Contemp Nurse 2021; 57 (1-2): 65-79 DOI: 10.1080/10376178.2021.1927772.
  CrossrefPubMedGoogle Scholar
• 9 Pérez-Fuentes MDC, Molero Jurado MDM, Simón Márquez MDM, Gázquez Linares JJ. Analysis of sociodemographic and psychological variables involved in sleep quality in nurses. Int J Environ Res Public Health 2019; 16 (20) 3846 DOI: 10.3390/ijerph16203846.
  CrossrefPubMedGoogle Scholar
• 10 Beebe D, Chang JJ, Kress K, Mattfeldt-Beman M. Diet quality and sleep quality among day and night shift nurses. J Nurs Manag 2017; 25 (07) 549-557 DOI: 10.1111/jonm.12492.
  CrossrefPubMedGoogle Scholar
• 11 Sun Q, Ji X, Zhou W, Liu J. Sleep problems in shift nurses: A brief review and recommendations at both individual and institutional levels. J Nurs Manag 2019; 27 (01) 10-18 DOI: 10.1111/jonm.12656.
  CrossrefPubMedGoogle Scholar
• 12 Zhang Y, Punnett L, McEnany GP, Gore R. Contributing influences of work environment on sleep quantity and quality of nursing assistants in long-term care facilities: A cross-sectional study. Geriatr Nurs 2016; 37 (01) 13-18 DOI: 10.1016/j.gerinurse.2015.08.010.
  CrossrefPubMedGoogle Scholar
• 13 Jember A, Hailu M, Messele A, Demeke T, Hassen M. Proportion of medication error reporting and associated factors among nurses: a cross sectional study. BMC Nurs 2018; 17 (09) 9 DOI: 10.1186/s12912-018-0280-4.
  CrossrefPubMedGoogle Scholar
• 14 Vaziri S, Fakouri F, Mirzaei M, Afsharian M, Azizi M, Arab-Zozani M. Prevalence of medical errors in Iran: a systematic review and meta-analysis. BMC Health Serv Res 2019; 19 (01) 622 DOI: 10.1186/s12913-019-4464-8.
  CrossrefPubMedGoogle Scholar
• 15 Slawomirski L, Auraaen A, Klazinga N. The economics of patient safety in primary and ambulatory care: Flying blind. Paris: OECD; 2018. http://www.oecd.org/health/health-systems/The-Economics-of-Patient-Safety-in-Primary-and-Ambulatory-Care-April2018.pdf , accessed April 12, 2022)
  Google Scholar
• 16 Di Simone E, Fabbian F, Giannetta N. et al. Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Eur Rev Med Pharmacol Sci 2020; 24 (12) 7058-7062 DOI: 10.26355/eurrev_202006_21699.
  CrossrefPubMedGoogle Scholar
• 17 Karadağ G, Ovayolu Ö, Parlar Kiliç S, Ovayolu N, Göllüce A. Malpractic in nursing: The experience in Turkey. Int J Nurs Pract 2015; 21 (06) 889-895 DOI: 10.1111/ijn.12263.
  CrossrefPubMedGoogle Scholar
• 18 Özata M, Altunkan H. Development of the tendency for medical errors scale in nursing and its validation and reliability analysis. [Hemşirelikte tıbbi hatalara eğilim ölçeğinin geliştirilmesi ve geçerlilik ve güvenirlik analizi. II. Uluslararası Sağlık Performansı ve Kalitesi Kongresi. Bilimsel Araştırma ve En İyi Uygulama Ödülleri Kitabı.] II. Congress of the International Health Performance and Quality. Scientific Research & Best Practice Awards Book. Editor: Harun Kırılmaz 1. Edition, April 2010:3–20.
  Google Scholar
• 19 Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28 (02) 193-213 DOI: 10.1016/0165-1781(89)90047-4.
  CrossrefPubMedGoogle Scholar
• 20 Ağargün MY, Kara H, Anlar Ö. Validity and reliability of the Pittsburgh Sleep Quality Index. [Pittsburgh Uyku Kalitesi İndeksi'nin geçerliliği ve güvenirliliği]. Turk Psikiyatr Derg 1996; 7 (02) 107-115
  Google Scholar
• 21 Palhares VdeC, Corrente JE, Matsubara BB. Association between sleep quality and quality of life in nursing professionals working rotating shifts. Rev Saude Publica 2014; 48 (04) 594-601 DOI: 10.1590/s0034-8910.2014048004939.
  CrossrefPubMedGoogle Scholar
• 22 Kamkar M, Salimi Z, Kheili SGK, Shahini N. The relationship between quality of sleep and quality of life in nurses. Journal of Fundamentals of Mental Health. 2021; 23 (02) 125-134
  Google Scholar
• 23 Tarhan M, Aydin A, Ersoy E, Dalar L. The sleep quality of nurses and its influencing factors. Eurasian Journal of Pulmonology. 2018; 20 (02) 78-84 DOI: 10.4103/ejop.ejop_35_18.
  CrossrefGoogle Scholar
• 24 Khatony A, Zakiei A, Khazaie H, Rezaei M, Janatolmakan M. International Nursing: A Study of sleep quality among nurses and its correlation with cognitive factors. Nurs Adm Q 2020; 44 (01) E1-E10 DOI: 10.1097/NAQ.0000000000000397.
  CrossrefPubMedGoogle Scholar
• 25 Aliyu I, Ibrahim ZF, Teslim LO, Okhiwu H, Peter ID, Michael GC. Sleep quality among nurses in a tertiary hospital in North-West Nigeria. Niger Postgrad Med J 2017; 24 (03) 168-173 DOI: 10.4103/npmj.npmj_79_17.
  CrossrefPubMedGoogle Scholar
• 26 Morimoto H, Tanaka H, Ohkubo R. et al. Self-help therapy for sleep problems in hospital nurses in Japan: a controlled pilot study. Sleep Biol Rhythms 2016; 14: 177-185 DOI: 10.1007/s41105-015-0037-3.
  CrossrefPubMedGoogle Scholar
• 27 Salehi K, Alhani F, Sadegh-Niat KH, Mahmoudifar Y, Rouhi N. Quality of sleep and related factors among Imam Khomeini hospital staff nurses. Iran J Nurs 2010; 23 (63) 25-18 DOI: 10.4103/iahs.iahs_8_17.
  CrossrefGoogle Scholar
• 28 Bazrafshan MR, Rahimpoor R, Moravveji F. et al. Prevalence and effects of sleep disorders among shift work nurses. Jundishapur J Chron Dis Care 2019; 8 (01) e81185 DOI: 10.5812/jjcdc.81185.
  CrossrefGoogle Scholar
• 29 McDowall K, Murphy E, Anderson K. The impact of shift work on sleep quality among nurses. Occup Med (Lond) 2017; 67 (08) 621-625 DOI: 10.1093/occmed/kqx152.
  CrossrefPubMedGoogle Scholar
• 30 Stimpfel AW, Fatehi F, Kovner C. Nurses' sleep, work hours, and patient care quality, and safety. Sleep Health 2020; 6 (03) 314-320 DOI: 10.1016/j.sleh.2019.11.001.
  CrossrefPubMedGoogle Scholar
• 31 Farag A, Moon C, Xiao Q. Work and personal characteristics associated with sleep behavior among acute care nurses. J Nurs Regul 2021; 12 (01) 40-51 DOI: 10.1016/S2155-8256(21)00019-3.
  CrossrefGoogle Scholar
• 32 Özen N, Onay T, Terzioğlu F. Determination of nurses' tendency to make medical errors and affecting factors. [Hemşirelerin tıbbi hata eğilimlerinin ve etkileyen faktörlerin belirlenmesi]. J Health Sci Prof 2019; 6 (02) 283-292 DOI: 10.17681/hsp.451510.
  CrossrefGoogle Scholar