Evidence map›Paper›PMID 39874174›Full record

ReviewInternational nursing review2025

Factors influencing negative outcomes for nurses who experience patient safety incidents: An integrative review.

Hanseulgi Lee, Nam-Ju Lee, Nari Kim

Abstract readReview
In one paragraph

Review in International nursing review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hanseulgi LeeCollege of Nursing, Seoul, National University, Seoul, South Korea.ORCID https://orcid.org/0009-0002-1388-3036
Nam-Ju LeeCollege of Nursing, Seoul, National University, Seoul, South Korea.ORCID https://orcid.org/0000-0003-0453-4088
Nari KimCollege of Nursing, Seoul, National University, Seoul, South Korea.ORCID https://orcid.org/0000-0002-1386-7936

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo synthesize evidence on factors influencing negative outcomes following patient safety incidents.

backgroundPatient safety incidents affect not only patients and families but also healthcare workers (second victims) and institutions (third victims). Nurses are at risk due to stressful environments and direct patient care, leading to defensive practices, job turnover, and errors. Identifying these factors and developing support strategies are crucial.

methodsThis integrative review followed Whittemore and Knafl's method, guided by the middle-range theory of nurses' psychological trauma. Seven databases (PubMed, CINAHL, PsycINFO, Cochrane Library, KISS, KMbase, and RISS) were searched for English and Korean articles from 2014 to 2023. Study quality was evaluated using Joanna Briggs Institute tools, and reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist.

resultsA review of 24 cross-sectional studies from the United States and China revealed factors such as genetic/biological (e.g., gender and age), environmental (e.g., work experience and organizational support), and psychological (e.g., distress and coping). Nonpunitive cultures reduced negative emotions, while high harm and preventable incidents increased negative impacts, mitigated by spirituality. These findings underscore the need for targeted interventions and supportive policies.

conclusionMultidimensional support strategies are necessary to improve nurses' working environments and patient care quality. Further research should explore additional mitigating factors and third victim studies. IMPLICATIONS FOR NURSING POLICY: This review highlights the need for global mental health strategies and supportive organizational cultures for nurses. Addressing punitive environments and systemic factors through policy changes can improve nurse well-being and patient care quality. Creating safer environments not only benefits nurses but also enhances the quality and safety of patient care, ultimately driving the provision of better healthcare services.

Indexed as

Medical ErrorsNursing Staff, HospitalPatient SafetyAdultChinaFemaleHumansMaleMiddle AgedUnited StatesWorkplaceclinical errorsHealth service managementnursingpatient safetystressworkforce issues

Identifiers

PMID39874174
PMCPMC11883856

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.