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Relationship of Adverse Events and Support to RN Burnout

Lewis, Erica J. PhD, RN; Baernholdt, Marianne B. PhD, RN; Yan, Guofen PhD; Guterbock, Thomas G. PhD

doi: 10.1097/NCQ.0000000000000084

Registered nurse (RN) “second victims” are RNs who are harmed from their involvement in medical errors. This study used the conceptual model nurse experience of medical errors and found a relationship between RN involvement in preventable adverse events and 2 domains of burnout: emotional exhaustion (P = .009) and depersonalization (P = .030). Support to RNs involved in preventable adverse events was inversely related to RN emotional exhaustion (P < .001) and depersonalization (P = .003) and positively related to personal accomplishment (P = .002).

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Department of Nursing, James Madison University, Harrisonburg, Virginia (Dr Lewis); School of Nursing, Virginia Commonwealth University, Richmond (Dr Baernholdt); Department of Public Health Sciences (Dr Yan), and Center for Survey Research (Dr Guterbock), University of Virginia, Charlottesville.

Correspondence: Erica J. Lewis, PhD, RN, Department of Nursing, James Madison University, 800 S. Main St, Harrisonburg, VA 22807 (

The authors declare no conflict of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: July 3, 2014

Published online before print: August 21, 2014

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