ArticleBMJ open2023
Mediating role of psychological distress in the associations between medical errors, adverse events, suicidal ideation and plan among operating room nurses in China: a cross-sectional study.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 13 citations in OpenAlex.
- Latent Profiles of Nurses' Insomnia, Fatigue, Recovery, Psychological Distress and Burnout During the COVID-19 Pandemic: Examining the Role of Organisational Support.Journal of advanced nursing · 2026Article
- Factors influencing negative outcomes for nurses who experience patient safety incidents: An integrative review.International nursing review · 2025Review
- Factors of suicide-related behaviors based on stress-vulnerability model and prevention strategies among nurses: a scoping review.Frontiers in psychology · 2025Review
- The impact of perfectionism on suicidal ideation among medical residents in Iran: the mediating role of psychological distress.BMC psychiatry · 2024Article
- Non-linear associations between night shifts and adverse events in nursing staff: a restricted cubic spline analysis.BMC nursing · 2024Article
- Pathways linking workplace violence and suicidal ideation/non-suicidal self-injury among nurse staff: the mediating role of loneliness and depressive symptoms.BMC nursing · 2024Article
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Authors and funding
4 authors at 1 institution in 1 country.
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Abstract
objectivesMedical errors (MEs) and adverse events (AEs) both had long-term impacts on healthcare professionals. Studies investigated the associations between MEs, AEs, psychological distress and suicidal behaviours among healthcare professionals. The aim of the current study was to explore the mediating role of psychological distress in the relationship between MEs/AEs and suicidal ideation/suicide plan among operating room nurses in China.
designA cross-sectional study.
settingThe survey was conducted between December 2021 and January 2022 in China.
participantsA total of 787 operating room nurses completed the questionnaires in China. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measures were MEs and AEs. Secondary outcome measures were psychological distress and suicidal behaviours.
resultsThe results showed that 22.1% of operating room nurses were involved in MEs, while 13.9% of operating room nurses were involved in AEs. The associations between suicidal ideation (OR=1.10, p<0.001), suicide plan (OR=1.07, p<0.01) and psychological distress were significant. The associations between suicidal ideation (OR=2.76, 95% CI=1.53 to 4.97, p<0.01), suicide plan (OR=2.80, 95% CI=1.20 to 6.56, p<0.05) and MEs were significant. The associations between suicidal ideation (OR=2.27, 95% CI=1.17 to 4.40, p<0.05), suicide plan (OR=2.92, 95% CI=1.19 to 7.18, p<0.05) and AEs were significant. The psychological distress mediated the relationship between MEs/AEs and suicidal ideation/suicide plan.
conclusionThere were positive associations between MEs, AEs and psychological distress. Moreover, MEs and AEs were also positively associated with suicidal ideation and suicide plan. As expected, psychological distress played an important role in the relationship between MEs/AEs and suicidal ideation/suicide plan.
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