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J Occup Health year 2004 volume 46 number 6 page 448 - 454
Classification Original
Title Mental Health Status, Shift Work, and Occupational Accidents among Hospital Nurses in Japan
Author Kenshu SUZUKI1, Takashi OHIDA1, Yoshitaka KANEITA1, Eise YOKOYAMA1, Takeo MIYAKE1, Satoru HARANO1, Yuko YAGI1, Eiji IBUKA1, Akiyo KANEKO1, Takako TSUTSUI1 and Makoto UCHIYAMA2
Organization 1Department of Public Health, School of Medicine, Nihon University and 2Department of Psychophysiology, National Institute of Mental Health, National Center of Neurology and Psychiatry, Japan
Keywords Mental-health status, General Health Questionnaire (GHQ-12), Occupational accidents, Shift work, Nurses, Japan
Correspondence Y. Kaneita, Department of Public Health, School of Medicine, Nihon University, 30-1 Ohyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan (e-mail: qwu00740@nifty.ne.jp)
Abstract Mental Health Status, Shift Work, and Occupational Accidents among Hospital Nurses in Japan: Kenshu Suzuki, et al. Department of Public Health, School of Medicine, Nihon University-A questionnaire survey was conducted with questions from the 12-item General Health Questionnaire, among others, targeting 4,407 nurses in 8 general hospitals in Japan, in the hope of improving the work environment of nurses and to provide data that will allow a discussion of the measures necessary for preventing medical errors, thus improving occupational health. For each type of accident, the percentage of those who had made medical errors was significantly higher for the "mentally in poor health" group than for the "mentally in good health" group (p<0.0001). The percentage of nurses in the "mentally in good health" and "mentally in poor health" groups who had experienced occupational accidents over the past 12 months (i.e., whether they were "with errors" or "without errors") was calculated for each of the following four types of medical accident: (1) drug-administration errors, (2) incorrect operation of medical equipment, (3) errors in patient identification, and (4) needlestick injuries. For each type of accident, the percentage of those who had made medical errors was significantly higher for the "mentally in poor health" group than for the "mentally in good health" group (p<0.0001). Multiple logistic regression analyses revealed significant associations between experience of medical errors in the past 12 months and being mentally in poor health, with night or irregular shift work, and age.