Stressens effekt på patientsäkerhet utifrån sjuksköterskans yrkesroll : - En litteraturöversikt med kvantitativ ansats.

Sammanfattning: Background: Patient safety is one of the nurse's most important tasks. It includes working preventively and evidence-based under constantly changing conditions. Work routines, burden of care and relationships with colleagues are some of the factors that underlie stress in the nurse's professional role. Safe care means creating the conditions for maintaining good patient safety with an evidence-based working method, cooperation in teams and clear leadership.Aim: To describe how the effects of stress in the nurse's professional role affected patient safety in inpatient care.Method: A literature review with articles of a quantitative approach where research articles published between 2013-2023 was retrieved through the databases Cinahl and Medline. Quality assessment were executed through Jönköping University’s protocol for quantitative literature reviews. The 14 included articles were analyzed in four steps according to Friberg (2022). Results: The main findings of the literature review are staff culture, patient safety culture and burden of care. Nurses' level of stress was found to be negatively affected by factors such as workload, working hours and workplace bullying. The increased degree of stress in the nurse resulted in a less functioning patient safety culture with care-related injuries as a consequence.  Conclusion: The patient safety culture was found to be greatly affected by bullying among nurses as well as by care-heavy and rotating shift work, all factors were found to be affected by the nurse's stress. To increase patient safety, nurses should be strengthened in their knowledge of factors that underlie stress, how stress affects patient safety and how these factors can and should be counteracted. Qualitative research is recommended around collaboration in teams and leadership in order to supplement the results of the literature review.