Time Pressure, Nurse Conscientiousness, and Patient Safety

Thursday, 15 July 2010: 10:30 AM

Si Man Lam
Department of Health Care Management, Chang Gung University, Taoyuan, Taiwan
Ching-I Teng, PhD
Department of Business Administration, Chang Gung University, Taoyuan, Taiwan

Learning Objective 1: The learner will be able to understand the interactive effects of time pressure and nurse conscientiousness on patient safety.

Learning Objective 2: The learner will be able to see nurse conscientiousness may buffer the negative effects of time pressure.

Purpose: Globally, nurses faced strong time pressure in their work. Previous studies have ignored the interactive influences of time pressure and conscientiousness, but conscientiousness may buffer the negative impacts of time pressure. This study thus investigates the interactive influences of time pressure and nurse conscientiousness on patient safety.

Methods: A cross-sectional design and questionnaires were used. The sample comprised 411 nurses working in two Taiwanese hospitals from May to July 2008. Median split was used for categorizing participants into high and low time pressure groups and high and low conscientiousness group. Analysis of variance (ANOVA) and t tests were used for analysis. Scales came from Putrevu and Ratchford (1987) and Teng et al. (2007, 2009).

Results: The interaction of time pressure and nurse conscientiousness revealed the trend to impact patient safety (F(1, 376) = 1.92, p = .17), supporting the subsequent analyses. For nurses with high conscientiousness (n = 223), time pressure was not significantly related to patient safety (t = -1.17, p = .24). However, for nurses with low conscientiousness (n = 157), time pressure was negatively related to patient safety (t = -2.58, p = .01).

Conclusion: Findings of this study support that nurse conscientiousness may buffer the negative impacts of time pressure at workplace.Keywords: Patient safety, time pressure, and nurse conscientiousness.
References
Putrevu, S., Ratchford, B.T., 1997. A model of search behavior with an application to grocery shopping. Journal of Retailing 73 (4), 463-486.
Teng, C.I., Dai, Y.T., Shyu, Y.I.L., Wong, M.K., Chu, T.L., Tsai, Y.H., 2009. Professional commitment, patient safety, and patient-perceived care quality. Journal of Nursing Scholarship 41 (3), 309-317.
Teng, C.I., Hsu, K.H., Chien, R.C., & Chang, H.Y., 2007. Influence of personality on care quality of hospital nurses. Journal of Nursing Care Quality, 22 (4), 358-364.