Abstract
Nursing is a high workload profession, and excessive workload has been shown to have an adverse effect on patient care. Prior research has focused on patient-staff ratios and skill mix to analyze the relationship of workload and degradation of care. This study used a comprehensive, multi-dimensional approach for analyzing nurses’ workload in a large general hospital. Workload drivers were introduced as unique factors that contributed to the totality of nursing workload. Cognitive Work Analysis (CWA) framework was used to map out the work domain of nurses and identify sources of workload within it. The output was a collection of diagrams, tables, and interviews that illustrated areas in nursing that produced the most workload. A detailed integration of the material supported an estimation of workload experienced by nurses.
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