title: Emotional stability of nurses: impact on patient safety.
abstract: OBJECTIVE
  This paper is a report of a study conducted to examine the influence of the emotional stability of nurses on patient safety.
  
  
  BACKGROUND
  Individuals with greater emotional stability are less likely to exhibit strong emotional reactions to stressful situations, and tend to be more proactive and successful in problem-solving. Effectively managing patient safety is a priority concern in countries where nurses face high pressure. A heavy work load leads to burnout (a syndrome associated with negative emotions), reduced job satisfaction and increased turnover. While emotional stability influences job performance in various contexts, its influence on patient safety has not been addressed.
  
  
  METHODS
  A cross-sectional design was adopted. The sample comprised 263 nurses working in two Taiwanese medical centres. The data were collected in 2007-2008, with a response rate of 926%. All participants were nursing college graduates aged below 50 years. Participants provided information on both their emotional stability and patient safety. Staffing adequacy, hospital, and years of nursing experience served as control variables.
  
  
  RESULTS
  Hierarchical regression analysis indicated that emotional stability predicted patient safety (beta = 0.18, P < 001). The addition of emotional stability as a predictor of patient safety increased the associated explained variance (deltaR2 = 0.03, P < 0.01).
  
  
  CONCLUSIONS
  It is important for to managers create an organisational climate that promotes the emotional stability of nurses. This could help to improve global patient safety by reducing the frequency of adverse events.
authors.affiliation: Department of Business Administration, Chang Gung University, Taiwan. chingit@mail.cgu.edu.tw
authors.forename: Ching-I
authors.initials: CI
authors.lastname: Teng
authors.forename: Shin-Shin
authors.initials: SS
authors.lastname: Chang
authors.forename: Kuang-Hung
authors.initials: KH
authors.lastname: Hsu
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000523:psychology; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D019300:Medical Errors / Q000517:prevention & control; D008603:Mental Health; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D009732:Nursing Care / Q000592:standards*; D009741:Nursing Staff, Hospital / Q000523:psychology* / Q000600:supply & distribution; D011340:Problem Solving; D012044:Regression Analysis; D012449:Safety; D011795:Surveys and Questionnaires; D013624:Taiwan; D016526:Workload / Q000523:psychology; D055815:Young Adult