Predictors of nurse job satisfaction in intensive care nursing staff with medication administration errors
DOI:
https://doi.org/10.5281/zenodo.22814838Keywords:
job satisfaction, intensive care nursing, medication administration errors, nurse burnout, staffingAbstract
Background: Intensive care nurses work at the intersection of two demanding processes, sustained high-acuity monitoring and a dense, high-alert medication regimen, and multinational audits find that a substantial share of ICU drug administrations involve an error or near-miss.
Objective: This review synthesizes the published evidence on the predictors of job satisfaction among intensive care nursing staff and examines how those same predictors relate to the occurrence of medication administration errors on the same units.
Methods: We synthesized cross-sectional and longitudinal nurse-survey studies, multi-hospital and multinational staffing analyses, and direct observational studies of medication administration in intensive care and comparable acute-care settings.
Findings: Staffing adequacy and patient-to-nurse ratio, workload and interruption frequency, burnout, and practice-environment quality, including leadership, empowerment, and a non-punitive learning climate, emerge repeatedly as predictors in both the job-satisfaction literature and the medication administration error literature, with burnout and missed care acting as plausible mediating pathways between the two.
Conclusions: Nurse job satisfaction and medication administration safety in intensive care appear to be governed by a shared, largely modifiable set of workforce predictors rather than separate causal chains, arguing for interventions that address staffing, interruptions, and psychological safety together.
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Copyright (c) 2020 Liam Walsh, et al.
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