Workload Of Nurses Research Articles

Clinical trial protocol for continuous glucose monitoring in critical care at Hospital Clinic of Barcelona (CGM-UCI23).

Hyperglycaemia is common in intensive care units (ICUs), with a prevalence of up to 86.2%, increasing mortality. Technology has evolved towards continuous glucose monitoring (CGM), and its use in ICUs began especially during the coronavirus pandemic (COVID-19). Various studies have evaluated the reliability of CGM, indicating that it is safe for use in critically ill patients. The aim of this study was to compare the use of CGM with point-of-care glucose (POC-G) testing in ICU. Specific objectives include evaluating the glycaemic control, the frequency of POC-G measurements, the incidence of hyperglycaemia, hypoglycaemia and morbidity and mortality at 90 days. An experimental, controlled and randomized clinical trial with a single-blind design will be conducted at Hospital Clinic of Barcelona (HCB). A sample size of 376 participants will be recruited and randomly assigned to two groups: an experimental group, where glycaemic management will be based on CGM; and a control group, where glucose will be managed through POC-G testing, with a blinded CGM. The primary variable considered will be time in range (TIR), with secondary outcomes including, time above range (TAR), time below range (TBR), number of POC-G measurements, incidence of hyperglycaemia and hypoglycaemia, and mortality. Hypothesis testing will use the Kolmogorov-Smirnov test to assess data normality, with appropriate statistical tests applied, considering a p-value <.05. The results obtained will help us understand the impact of CGM on critically ill patients. CGM could potentially reduce the workload of nurses and improve the efficiency of decision-making by the ICU team, enabling early identification and treatment of glucose complications, thereby enhancing safety. Patient safety, a reduction in patient fingerstick and a decreased care burden are the criteria that add value to this research.

Systematic Literature Review: Nurses' Work Hours and Workload Impact on Patient Safety Incidents

Patient safety is a key indicator in assessing the quality of healthcare services in hospitals, and nurses play a crucial role in maintaining that safety. However, long working hours and high workloads can affect nurses' performance, increasing the risk of fatigue, stress, and burnout, ultimately contributing to medical errors and decreased quality of care. This study aims to conduct a systematic literature review on the effect of nurses' working hours and workload on hospital patient safety incidents. Patient safety is a key indicator in assessing healthcare quality, and nurses play an essential role in maintaining patient safety during daily care. However, long working hours and high workloads can affect nurses' performance, increasing the risk of fatigue, stress, and burnout, ultimately contributing to medical errors and decreased quality of care. Through the analysis of various relevant studies, this review suggests that more flexible working hour arrangements and balanced workload management can reduce the risk of patient safety incidents and improve the quality of care provided. This study also recommends that hospital human resource management to create a healthier and safer working environment for nurses and patients.

Mental workload as a predictor of burnout in intensive care nurses.

Nurses face a high level of mental workload while performing their duties. High levels of mental workload can negatively impact nurses. The aim of this research was to determine the relationship between mental workload and burnout levels of intensive care nurses. Descriptive-correlational design has been adopted in this research. The sample consisted of 156 nurses working in the intensive care units of a hospital in the south of Turkey between September and December 2023. Research data were collected with the 'Participant Information Form', which includes socio-demographic characteristics, 'Mental Workload Scale' and 'Maslach Burnout Scale'. Almost all (95.5%) of the nurses participating in the study reported that their mental workload was high. It has been determined that there is a strong positive relationship between mental workload and burnout. According to the regression model obtained from the research, being a woman (β = .165, p = .008) and emotional workload (β = -695, p < .001) are determinants of emotional exhaustion. These variables explain emotional exhaustion at a rate of 50.1% (adjusted R2 = .501). Emotional workload (β = .399, p = .003) is the most important determinant of personal accomplishment. This variable explains 19.0% (adjusted R2 = .190) of personal accomplishment. The most important determinant of depersonalization is emotional workload (β = .324, p < .001). It was determined that this variable explained 24.4% (adjusted R2 = .244) of depersonalization. This research revealed that there is a strong positive relationship between mental workload and burnout and that increasing mental workload can increase burnout. Nurses' risk of emotional exhaustion increases as mental workload increases. Reducing cognitive workload, temporary workload and emotional workload increases the personal accomplishment experienced by nurses. In addition, as temporary workload, emotional workload and performance-related workload increase, the depersonalization experienced by nurses also increases.

Development and Validation of a Prediction Model for Dysphagia in Community-Dwelling Older Adults.

Objectives. Dysphagia is a geriatric syndrome, which may lead to complications such as dehydration, malnutrition, aspiration, pneumonia, and a significant reduction in quality of life. The purpose of this study was to construct and validate a prediction model for dysphagia in community-dwelling older adults and provide an assessment tool for the prevention and control of dysphagia. Design. Cross-sectional study. Setting. The community-dwelling Chinese older adults. Participants. 3655 participants aged 65 years and older were involved, who were randomly divided into the training set and the validation set. Methods. Data were collected and analyzed from June 2022 to September 2022. Univariate and multivariate logistic regression analysis were used to identify independent risk factors for dysphagia. We applied R software to develop a nomogram model to predict dysphagia in community-dwelling older adults. The predictive value of the model was assessed by the area under the ROC curve (AUC), the calibration curve was used to evaluate the reliability of the nomogram model for predicting dysphagia in community-dwelling older adults. The model's clinical utility was further evaluated using a Decision Curve Analysis (DCA). Results. The incidence of dysphagia was 11.8% (320/3655). Maximum tongue pressure, number of molars, pneumonia, ADL, sarcopenia, age, neurological diseases, and rheumatic immune diseases were selected as risk predictors for dysphagia. The prediction model demonstrated fair discriminative ability with the AUC was 0.709 (95%CI: 0.679-0.739) in the training set and 0.693 (95%Cl: 0.640-0.747) in the validation set, the calibration is adequate, and the Hosmer and Lemeshow test showed p values of 0.163 and 0.415, respectively. The DCA curve of our model shows a positive clinical net benefit. Conclusions. The prediction model established in this study was of a certain predictive value for the risk of dysphagia in community-dwelling older adults. By estimating the likelihood of future outcomes or the onset of certain diseases, it can assist medical personnel in formulating preventive strategies, lessening the workload of nurses, and also diminishing the financial burden on patients, thereby enhancing their overall quality of life.

Aspects of rational organization of labor of medical staff

The introduction of new technologies, new organizational forms in the treatment and diagnostic process, the formation of new views on disease prevention, structural reorganization in healthcare require the development of a modern regulatory framework for labor and its continuous improvement. Target. Definition of aspects of rational organization of labor of medical personnel and their application in the practice of nursing specialists. Results. The main types of activities of nurses of the therapeutic department are analyzed, the working time costs of the nursing staff are studied by means of photo timing and interviewing, a comparative analysis of the workload of nurses per shift and the quality of medical care is carried out. Conclusion. The labor costs of the nursing staff are influenced by many, so-called, standardforming factors, which include: qualification, professional level of a specialist; composition of patients by nosological forms of the disease, severity of the course, presence of complications, concomitant diseases; gender and age composition of patients; intensity of treatment and diagnostic measures, stage of medical care; the procedure for admission of patients to the hospital, etc. The effect of these factors on the relationship between themselves is quite complex, determining the possibility of taking them into account will allow adjusting the number of positions in each division of the healthcare institution based on local conditions, ongoing changes in the composition of those hospitalized, and determining specific workload standards for each employee.

Barriers and facilitators to narrative nursing implementation for junior nurses: A qualitative study.

This study aimed to explore the experiences of barriers and facilitators to the implementation of narrative nursing by junior nurses. Participants were recruited using purposive sampling. Semi-structured interviews were conducted from October 2023 to February 2024. Data were thematically analyzed using the Colaizzi seven-step method. Five barriers and 3 facilitators to the implementation of narrative nursing by junior nurses emerged in the study. Relevant barriers include lack of practical skills related to narrative nursing, neglect of the concept of humanistic care, negative events, high workload for junior nurses, restricted implementation environment. The facilitators contain patients' and family members' trust, training related to knowledge and skills, as well as harmonious and cooperative working atmosphere. There is still room for improvement in the implementation of narrative nursing for junior nurses, and the systematic training of narrative nursing knowledge and skills should be enhanced; the medical humanistic environment should be optimized; and the psychological resilience of junior nurses should be improved, so as to encourage them to actively implement narrative nursing at the early stage of their careers, and to deepen the high-quality development of nursing humanism.

Oral self-management of palbociclib using mobile technology: Findings from a nurse-led randomized controlled trial

ObjectivesTest the feasibility and effectiveness of a text message reminder intervention for the self-management of oral anticancer medication in patients with metastatic breast cancer. MethodsForty-three females initiating treatment with palbociclib participated in a two-armed prospective randomized clinical trial. Participants were randomized into the control (N ​= ​21) and intervention groups (N ​= ​22) from January 2020 to January 2023. Survey responses were collected at three-time points; 1) at consent, 2)end of treatment cycles, and 3) at a follow-up clinic visit. Surveys included a demographic questionnaire, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, post-study assessment, and the R-15 Participant Satisfaction Questionnaire. Nurse providers completed the Adaptation of Stamps Nurse Workload questionnaire. ResultsThe COVID-19 pandemic and regulatory decisions supporting other CDK4/6 medications negatively influence recruitment; thus, a small sample for each arm only detected large differences between the two arms regarding effectiveness. Feasibility analysis was not conducted due to insufficient data, but the participants frequently used their smartphones for text messaging. Although the survey data were limited, participants provided anecdotal information supporting the use of text messaging as a positive method to remind them to take their medication, have their labs drawn, and attend MD visits. Participants would have liked text messages at the exact time they took their medications as a simple reminder. ConclusionsGiven the importance of cancer treatments and the difficulties patients experience during these treatments, text messages using smartphones can actively improve patients' engagement and their ability to manage their treatment regimens.

Nurse's Workload, Patient Safety and Quality of Care; A Descriptive Study in Tertiary Care Hospital

Nurse's Workload, Patient Safety and Quality of Care; A Descriptive Study in Tertiary Care Hospital

The Impact of the COVID‐19 Pandemic on Nurses' and Junior Doctors' Workloads

ABSTRACTAimsTo explore the impact of the COVID‐19 pandemic on nurses' and junior doctors' workload, changes to direct care and the impact of workload on resource allocation.DesignMixed‐method design was used.MethodsData were collected from direct observation, hospital administrative database and a survey. Nurses and junior doctors were observed on two COVID‐19 wards and one non‐COVID‐19 ward using a semi‐structured observation schedule. Survey data were collected from nurses and junior doctors that had worked on the COVID‐19 ward during the pandemic. Patient data were collected from Web Patient Administration System during the period of March–August 2021 and compared to March–August 2022.ResultsThe results of this study indicated that the workloads of nurses and junior doctors changed on the COVID‐19 wards. Nurses on the COVID‐19 ward spent less time on administration, communication and documentation compared to nurses working on the non‐COVID‐19 ward. For junior doctors, less time was being spent on direct care activities and administrative work compared to the non‐COVID ward. On the COVID‐19 wards, patients were older and had a shorter length of stay compared to the year before. Five themes were identified from the surveys, staffing shortages resulting in higher workloads and the need for overtime, unforeseen time to undertake tasks, lack of support and physical health and patient care compromised.ConclusionThe study highlights the need for systemic changes to staffing shortages and elevated workloads to improve the compromised mental and physical health caused during the pandemic and to retain the workforce for future sustainability.ImplicationsAs we collectively reflect on the lessons learned from this unprecedented period, it is imperative to address the challenges experienced proactively, fostering a healthcare environment that prioritises the well‐being of its front line heroes and, by extension, the quality of patient care.Reporting MethodSTROBE.Patient or Public ContributionNo patient or public contribution.

Workload-Related Issues among Nurses Caring for Patients with Behavioral and Psychological Symptoms of Dementia: A Scoping Review.

As the elderly population grows, the prevalence of dementia is rising, with 70-95% of patients in hospital settings exhibiting problematic behaviors such as aggression. These behaviors significantly contribute to increased nursing workloads, affecting nurses' well-being and patient care quality. This study aims to review workload-related issues among nurses caring for dementia patients, highlighting the need for targeted interventions to mitigate stress and improve care quality. A scoping review was conducted using the five-stage framework of Arksey and O'Malley. The literature search covered studies published between 2013 and 2023, focusing on quantitative research about nurses' workload-related stress when managing patients with dementia and problematic behaviors. Databases such as PubMed and PsycINFO were searched, and 13 studies were selected based on predefined inclusion and exclusion criteria. The review revealed that problematic behaviors, particularly aggression, significantly increase nurses' stress and workload. This stress has negative consequences on nurses' physical and mental health, often leading to burnout, decreased job satisfaction, and a decline in care quality. Inadequate staffing and support systems exacerbate these issues. Targeted education, sufficient staffing, and support are essential to reduce the workload and stress experienced by nurses caring for dementia patients. Implementing these strategies can enhance the quality of care provided and improve the well-being of healthcare professionals.

Enhanced Recovery after Surgery (ERAS): Assessing the Crucial Role of Nurses in Improving Patient Outcomes and Healthcare Efficiency" at Aster Sanad Hospital Riyadh (Cesarean section)

Background: Surgical advancements have led to the development of Enhanced Recovery After Surgery (ERAS) guidelines. This study aims to assess the nurse’s role in improving patient outcomes and healthcare efficiency using ERAS. Methodology: This cross-sectional study was conducted in Aster Sanad Hospital Riyadh, Saudi Arabia. Data were collected using a self-administered questionnaire and from electronic medical records. The study sample was given a self-administered questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS), version 21 (IBM SPSS Statistics, Armonk, NY) to analyze the data. Result: The result shows that there is a significant level of confidence among a notable portion of respondents regarding their understanding of ERAS protocols, there are also areas of uncertainty and variability, indicating the need for targeted interventions to enhance comprehension and implementation. Moreover, there is widespread acknowledgement of the pivotal role of nurses in ERAS implementation, yet significant proportions express reservations about nurses' training, workload constraints, and support from healthcare institutions. Conclusion: Overall, these findings emphasize the multifaceted nature of ERAS implementation, requiring a comprehensive approach that addresses training, communication, workload, and resource allocation to optimize patient outcomes and healthcare efficiency in Cesarean surgery units at Aster Sanad Hospital.

The influencing factors of nurses' job engagement in tertiary, A grade hospitals in East China: A cross-sectional study.

To explore the effects of demographic characteristics, mental workload, and Adversity quotient (AQ) on the job engagement of nurses in East China. A quantitative and cross-sectional study. The survey collected questionnaire data on mental workload, adversity quotient, and job engagement from 473 nurses selected working in 12 Grade-A tertiary hospitals based on informed consent in East China between July 2020 and March 2021. The total score of mental workload was 78.24 ± 11.65, the adversity quotient score was 128.26 ± 15.84, job engagement score was 42.32 ± 7.79. Job engagement has a remarkable positive correlation with adversity quotient (r = 0.613, p<0.001), and a negative correlation with mental workload (r = -0.499, p<0.001). Mental workload has an apparent negative correlation with adversity quotient (r = -0.291, p<0.001). Labor-management relationship with current organization, department, study to get a degree or diploma in spare time, attitude towards a career in Nursing, attitude towards the current career position, satisfaction with marriage, social support, load feelings, self-assessment, control, and endurance could predict 70.9% of job engagement of nurses. The mental workload of nurses was higher, the AQ was at a medium level, and the job engagement of nurses was also slightly higher. Labor-management relationship with current organization, department, study to get a degree or diploma in spare time, attitude towards a career in Nursing, attitude towards the current career position, satisfaction with marriage, social support, load feelings, self-assessment, control, and endurance had predictive effects on nurses' job engagement. It is necessary to take a variety of measures according to the social-demographic characteristics, improve the adversity quotient, and evaluate the mental workload correctly, to improve the job engagement of nurses. The epidemic situation and other emergencies make the work pressure of nurses in Grade-A tertiary hospitals increase suddenly. It should pay attention to the influence of different demographic factors, and pay attention to the correct guidance of work demand-mental workload, as well as the cultivation, and improvement of job resource-AQ, which can improve the job engagement of nurses to some extent. No patient or public contribution.

Case Study of Implementation of Adverse Event Prevention Program: Decubitus Ulcer in Bedrest Patient with Stroke in the ICU Room with S.S.K.I.N Approach

Patient safety is one of the aspects of providing excellent service for patients in hospitals, especially in the ICU. One method of managing patient safety is to prevent pressure ulcers in the ICU. The aim of this study is to explain the management of pressure ulcer prevention in the ICU for bedridden stroke patients using an intervention approach with form chart media. The research method used in this study is a case study design that includes assessment processes, data analysis, diagnostic rehabilitation, intervention, implementation, and evaluation. We collected data through observation, interviews, and physical examinations. We carried out the intervention in two shifts. We measured the risk of pressure ulcers using the Braden scale, provided health education to the family, and ensured the nurse correctly filled out the form. The obstacle to increasing the number of nurses is the workload and the feeling that human resources are still insufficient. There are no signs of pressure sores on the patient's back. In the implementation of the pressure ulcer prevention program using the skin approach, family involvement is necessary to ensure the program continues without adding to the workload of nurses in the ICU. Conclusion: Modifications to the formchart and family involvement in the program are necessary for the implementation of the pressure ulcer prevention program using formchart media in the ICU.

Mapping and Characterizing Instruments for Assessing Family Nurses' Workload: Scoping Review.

The importance of knowing the workload of family nurses lies essentially in the possibility of improving health outcomes, care processes and the nurse's professional life. There is a lack of studies that fully describe the nursing workload in primary care, particularly, in the context of family health nursing, and the ideal metrics to be used remain unknown, making it impossible to characterize and therefore provide the necessary insight to acknowledge the different contributions of several aspects that embody the global workload of family nurses. The objective of this scoping review was to map the known evidence and characterize the instruments used to assess the workload of family nurses. Scoping review, according to the Joanna Briggs Institute, proposed a methodology for scoping reviews, consisting of three research stages: (1) an initial research in Medline and CINHAL; (2) an extended search, using keywords and search terms, in the following databases: JBI, CINAHL Complete, MEDLINE, Cochrane and Scopus; and (3) a search of the reference lists of the selected articles. No time limit was defined. Fourteen studies referring to ten assessment instruments were included. Nine of them analyze workload as a dimension of a broader instrument, and two studies refer to an instrument that focuses exclusively on workload. The diversity of professional competencies and contexts, the conceptual complexity of workload and the absence of a theoretical framework make it difficult to identify consensual instruments to assess the workload of family nurses. This study was prospectively registered with the Open Science Framework® on 6 September 2023, with the registration number: 3k6vr.

Validation of SIPI and comparison with objective nursing workload

ABSTRACT Background Accurately estimating nursing care workload upon hospital admission is crucial for resource allocation. Despite the introduction of tools like the ‘Information System of Nursing Performance’ (SIPI) in Italy, studies evaluating their effectiveness are lacking. Aim This study aimed to validate SIPI based on nursing care demands in an internal medicine ward. Design Single-centre, observational study of all patients admitted to an internal medicine department in an Italian hospital from 1 September to 31 December 2022. Methods Nursing activities were documented over the first 3 days of hospitalization using a standardized form, measured as performance/5 min/patient/day. Multivariate analysis assessed SIPI’s association with nursing workload. SIPI’s ability to predict excessive nurse workload was evaluated using the AUROC curve. Results The study included 306 patients. Mean SIPI value was 53.9 (20.6). Daily average care demands varied by SIPI category: 20.7 performances in very low, 26.8 in medium-low, 28.7 in medium-high, and 32.4 in very high (P = 0.001). SIPI was independently associated with increased care demands (OR: 1.024; 1.002–1.047, P = 0.033). The AUROC for SIPI predicting excessive workload was 0.614 (95% CI: 0.545–0.683). Conclusions SIPI is useful for identifying nursing workload and correlates with patient care demands.

Decision fatigue experience of front-line nurses in the context of public health emergency: an interpretative phenomenological analysis

BackgroundDecision fatigue is a new concept in the field of psychology and refers to a state of fatigue alongside impaired cognitive processing and emotional regulation ability. Previous studies have confirmed that nurses are prone to decision fatigue, and nurses who experience decision fatigue may implement nursing measures that are inconsistent with clinical evidence, thus affecting patients’ benefits. COVID-19, as a large-scale global public health emergency, increased the workload and burden of nurses and aggravated decision fatigue. However, the factors leading to decision fatigue among nurses have not yet been identified.MethodsThis study is guided by interpretative phenomenology. During the epidemic period of COVID-19: From November 2022 to February 2023, a one-to-one, semi-structured in-depth interview was conducted among nurses with decision fatigue experience who were participating in front-line work in Jilin Province using homogenous sampling. The interview recordings and related data were transcribed into text within 24 h, and data analysis was assisted by NVivo 12.0 software.ResultsAfter a total of 14 front-line nurses were analyzed in this study, The thematic level reaches saturation, the findings present a persuasive and coherent narrative, and the study is terminated, and finally extracted and formed three core themes: “Cognition, influence and attitude of decision fatigue”, “Approaching factors of decision fatigue” and “Avoidant factors of decision fatigue”.ConclusionThis study confirmed that decision fatigue was widespread in the work of front-line nurses, affecting the physical and psychological health of nurses, the quality of nursing work, the degree of benefit of patients and the clinical outcome. However, nursing staff do not know enough about decision fatigue, so the popularization and research of decision fatigue should be strengthened. Improve the attention of medical institutions, nursing managers and nursing staff.Some suggestions are put forward for the intervention of decision fatigue through personnel, task, tool and technology, organization and environment.

Delirium care burden of intensive care nurses caring for patients undergoing open-heart surgery: A mixed-method research.

Delirium is an acute confusional state characterized by inattention, cognitive dysfunction and an altered level of consciousness. Delirium causes negative outcomes in patients, and patients with delirium increase the workload of nurses. Therefore, it is important to recognize the challenges and burdens experienced by nurses caring for patients with delirium. To determine the subjective burden experienced by intensive care nurses caring for patients who have undergone open-heart surgery. A mixed-method sequential explanatory design. A non-probability purposive sampling method was used for the quantitative stage. Using OpenEpi, we employed the method of sample calculation with an unknown universe. The sample size of the quantitive study comprised 130 nurses. Quantitative data were collected with Google survey. For gathering qualitative data, online video interviews were conducted with 10 nurses, an interpretive phenomenological approach was used and content analysis was performed. In the quantitative phase, we found that the subjective burden was high. In the qualitative phase, five main themes emerged: difficulty in recognizing delirium, physical burden, emotional burden, burden in care management of patients with delirium and the effect of patients with delirium on other patients. The nurses experienced physical and emotional burden in delirium management and felt lonely while caring for patients with delirium. Because nurses play a key role in the care of patients with delirium, reducing the burden nurses experience when caring for patients with delirium should be considered important in ensuring that this patient population receives adequate care. Delirium patients create a care burden for intensive care nurses. To reduce this burden of care, in-service training in patient management and bedside teaching support should be provided to nurses. Furthermore, the use of a valid scale to diagnose delirium should be integrated into health policies. Nurses should not be left alone in the management of delirium. Managing delirium patients with a team including physicians, nurses and professionals from other health disciplines will ensure that patients receive high-quality care, thereby reducing the care burden of nurses.

Workload of home care nurses: Italian adaptation, validity, and reliability of the National Aeronautics and Space Administration Task Load Index questionnaire.

The aim of this study was to adapt the National Aeronautics and Space Administration Task Load Index (NASA-TLX) to the home care setting and translate and validate it in Italian. An online questionnaire containing the Italian version of the NASA-TLX adapted to the home care setting was administered to home care nurses to measure workload. Content Validity Index, Exploratory, and Confirmatory Factor Analyses were used to measure the psychometric characteristics of the modified NASA-TLX. The modified Italian version of NASA-TLX_HC-IT showed good psychometric characteristics in measuring the workload of home care nurses, with excellent fit indices. The reliability, calculated with Cronbach's alpha, was 0.73, indicating adequate reliability. A negative correlation between workload and job satisfaction among home care nurses, as well as a positive association between high workload and intention to leave the workplace, was verified. The modified Italian version of the NASA-TLX_HC-IT was confirmed to be a valid and reliable instrument to measure workload in home care nursing. Furthermore, the correlation between workload and the intention to leave the workplace among home care nurses was an important result that community nursing managers should consider preventing the shortage of home care nurses.

Departmental Workload and Job Satisfaction of Indonesian Nurses in Saudi Arabia: A Cross Sectional Study

Indonesian foreign nurses working in Saudi Arabia have not been surveyed regarding workload and job satisfaction in the healthcare setting. Understanding the workload at hospital that influences job satisfaction provides an overview of the nurse’s existence at work. This study aimed to determine the prevalence of workload, and job satisfaction of Indonesian nurses in Saudi Arabia. A cross sectional study using self- administered questionnaire by Nasa Task Load Index (NASA-TLX) was used to analyze the workload, and the Minnesota Satisfaction Questionnaire (MSQ) for the satisfaction. Data were analyzed using descriptive methods and univariate statistics by SPSS version 26. A total of 132 nurses participated in this research. Five departments, including intensive care unit (ICU), emergency department (ER), operating room (OR), hemodialysis (HD), and ward department (WD) reported high workload levels (61-80 points). Job satisfaction in five departments was neutral category, while the ward department showed dissatisfied category. The analysis of nurses' characteristics revealed that the majority were aged 31-40 years old (46.2%), length of work was 1-5 years (54.5%), and worked in the outpatient department (42.4%). The study suggests that healthcare management and policymakers should implement programs to improve job satisfaction and reduce workload, especially for foreign nurses working in critical areas, including the five departments mentioned.

The Effect of Academic Model Supervision on the Workload and Stress of Nurses in Hospitals: A Literature Review

Nurses often face high workloads and significant levels of stress due to the demands of complex work and high pressure. The academic supervision model is important because it can help nurses manage workload, improve skills and knowledge, and reduce stress levels. Effective supervision is expected to improve the quality of health services, job satisfaction, and have a positive impact on patients and the health system as a whole. This study aims to determine the influence of academic model supervision on the workload and stress of nurses in hospitals. This study uses a literature review method from research articles in the Scopus and Google Scholar databases published in 2014-2023 with the keywords "Supervision", "Academic Model", "Nurse Workload", and "Nurse Stress". Based on the analysis of 22 research articles, it was found that the supervision of the academic model had a positive impact on nurse performance, job satisfaction, work motivation, quality of nursing care, reduction of stress levels, and improvement of overall health service quality. Academic model supervision can help nurses improve skills and knowledge, improve services provided, develop professionalism, increase independence, improve nursing care, reduce workload, improve nurse performance, provide good emotional support, and continuous learning, and reduce the level of stress experienced by nurses. The implications of this research suggest that implementing academic model supervision in hospitals can lead to better nurse outcomes, including enhanced job satisfaction, reduced stress, and improved quality of care. Consequently, this can result in higher patient satisfaction and a more efficient and effective health care system overall.