Workload Of Nurses Research Articles

A Comparison of Nursing Activity Score Means for Missed Care Dimensions in Intensive Care Unit Patients

Background. The workload of nurses in the intensive care unit (ICU) can affect the quality of nursing services. Aim. This study aimed to determine the relationship between the nursing activity score and missed care in patients hospitalized in the ICU in Zanjan, Iran. Methods. This observational and prospective study was conducted from April 3 to September 18 in 2021. The study utilized a patient and nurse profile questionnaire, the Nursing Activity Score (NAS), and a checklist for missed care as research tools. Missed care was observed in the 301 patients for whom the NAS was calculated. Analysis of variance (ANOVA) was used to investigate the differences in mean levels of missed care. Logistic regression models were used to assess the association between factors and missed nursing care. Results. Results show that the medical ICU’s mean NAS was 76.31 (95% CI: −13.06–14.89). In 9 dimensions of care, the extent of missed care was 40.7%. In the care dimensions of assessment, hand hygiene, and infection control, the mean NAS had a statistically significant increase at higher levels of missed care ( P < 0.5). Furthermore, work experience was identified as a protective factor for missed care (OR = 0.59, 95% CI: 0.37–0.94, χ2 = = 4.97, p = 0.026). Conclusion. The study revealed a high incidence of missed care. The study revealed that the mean workload was high in certain dimensions of care such as assessment, hand hygiene, and infection control. The increase in workload for nurses results in lost care. Nonetheless, the utilization of experienced nurses can help mitigate this problem. However, utilizing experienced nurses can help reduce this problem.

Entropy Optimization by Redesigning Organization in Hospital Operations.

A redesign of hospitals (i.e., partitioning departments and delegating decision authority) may be needed to deal with variable demand. Uncertain demands and throughput times often need short reaction times. In this study, we develop quantitative methods to guide a redesign through an information-processing approach. To demonstrate how the methods can be used in practice, we tested them by applying them to a large perinatology care system in the Netherlands. We used the following two methods: 1. portfolio optimization and 2. efficient coordination of workload and reallocation of nurses. Our case study of a large perinatology care system showed that several designs of clustered units minimized the demand uncertainty in the perinatology care system. For the coordination strategy, the information and decision uncertainty is minimized when the decision power is positioned at the operation level and with the help of a centralized information system. When the operation decision-making power is not supplemented with the centralized and system-wide information system, hospitals can better use the hierarchy model, where the manager holds decision-making power with a system-wide overview. We also found that the speed of decision-making in real-time depends on the level of information aggregation set up by the system. We conclude that combining the correlation perspectives and the entropy theory is a way of quantifying how organizations can be (re)designed.

Use of pain assessment tools and associated factors among nurses caring for hospitalized children in District Hospital in Rwanda


 
 
 INTRODUCTION: The majority of children will experience pain in their childhood. Nurses play a crucial role in caring for children in pain. Pain assessment tools aid nurses in providing effective care for these children. This study aimed to assess the use of pain assessment tools and associated factors among nurses caring for hospitalized children at a selected district hospital in Rwanda. METHOD: This descriptive cross-sectional study occurred at Kabgayi District Hospital in Southern Province, Rwanda. 153 nurses caring for children below 15 years were sampled. Pretested and validated questionnaires, in addition to patients' files, were used as data collection tools. Descriptive and inferential statistics were used to analyze the data.
 RESULTS: At Kabgayi District Hospital, the majority (60.4%) of nurses used pain assessment tools, mostly the verbal pain rating scale. More than eighty percent (83.8%) cited inadequate resources hindering tool utilization. A high workload for nurses made performing appropriate pain assessment procedures difficult. The use of pain assessment tools was associated with the nurses' working shifts (p=0.022). Day-shift nurses implemented tools more than their night-shift counterparts.
 CONCLUSION: The findings indicate that there are still barriers to the use of pain assessment tools among nurses caring for hospitalized children at Kabgayi District Hospital. Reducing a high workload for nurses will improve the effective use of pain assessment tools. Training for nurses in the form of continuing professional development (CPD) using other appropriate types of pain assessment tools, such as Face, Legs, Activity, Cry, Consolability (FLACC), and Wong-Baker Faces pain rating scale, should be enhanced.
 
 

Relationship between nurses knowledge level and workload about implementation of patient identification

Patient safety incidents can originate from patient identification errors. From the preliminary study, it was found that there were 3 cases of patient identification errors in the year 2022. The objective of this research was to determine the relationship between nurses knowledge level and workload with patient identification implementation. This study employed a quantitative method with a cross-sectional research design. This research aims to analyze the relationship between variables where the independent variable and dependent variable are identified at one unit of time. In this case, to determine the relationship between the level of knowledge and workload of nurses with the implementation of patient identification. The sample consisted of 93 individuals distributed across the inpatient wards. The research sample was selected used random sampling. The knowledge level and workload of nurses were independent variables, while the implementation of patient identification was the dependent variable. Data collected was used of a level of knowledge, workload, and application of identification questionnaire. Data analyzed used were with Chi-square test. The obtained p-value for the relationship between nurses knowledge level and the implementation of patient identification is p=0.018 (p<0.05). Therefore, there is a significant relationship between nurses knowledge level and the implementation of patient identification. P-value for the relationship between nurses workload and the implementation of patient identification is p=0.564 (p>0.05). This explains that there is no significant relationship between nurses workload and the implementation of patient identification. There is a significant relationship between nurses knowledge level and the implementation of patient identification. The majority of nurses demonstrated a good implementation of patient identification. It is recommended for the hospital management to make efforts to improve nurses knowledge, especially in the area of patient safety.

Quantitative Evaluation of the Impact of Ward-based Clinical Pharmacy Practices on the Workload of Physicians and Nurses

Quantitative Evaluation of the Impact of Ward-based Clinical Pharmacy Practices on the Workload of Physicians and Nurses

Discussion to: Remote telemonitoring is associated with improved patient safety and decreased workload of nurses

Discussion to: Remote telemonitoring is associated with improved patient safety and decreased workload of nurses

Info-NAS: A Computer Program for the Calculation of Intensive Care Unit Nurse Workload.

The purpose of this study was to design an algorithm that allows automatic calculation of nursing workload in intensive care units, based on the Nursing Activities Score scale, through a computer program. Three methodological steps were used: (1) Delphi method (group of experts); (2) identification of the correspondence: Nursing Activities Score items-variables in the EHR, namely, standardized terminology, laboratory values, and prescriptions; and (3) weighting of variables independently by a group of experts. Finally, the algorithm of the computer program was tested. The results showed an algorithm that calculates the nursing workload in an ICU. The calculation is objective and automatic through the EHRs. This study shows the feasibility of the algorithm as a rapid and objective strategy to quantify adequate nurse staffing in intensive care units. Moreover, it provides nurses with a practical resource for the correct completion of records and is thus an incentive to maintain or improve their quality.

Computer models in healthcare shed light on the roots of missed care in system design: Nurse workload.

Computer models in healthcare shed light on the roots of missed care in system design: Nurse workload.

Remote telemonitoring is associated with improved patient safety and decreased workload of nurses

ObjectiveThere is significant interest in exploring new technologies to improve efficiency and work-life quality for nurses. We aimed to evaluate the impact of a remote video monitoring (RVM) solution that provides continuous in-hospital patient audio-video (AV) monitoring by technicians. MethodsThe RVM system that we developed, consisting of 2-way AV communication and a continuous O2 saturation monitoring device, has been deployed in all inpatient units within our hospital network, including 3 acute care hospitals and 2 rehabilitation facilities. Data were collected before and after implementation on safety measures including fall rates and adverse events, along with device utilization and number of escalation events requiring nursing intervention. Nurse job satisfaction was assessed with surveys. ResultsData were collected from April 2020 to May 2022. A total of 2087 patients were monitored at 5 hospital sites. The technicians identified 54,716 safety concerns that required them to intervene remotely and address with the patient. Of these, 46,289 required escalation of nursing staff, who were called to the bedside through the RVM alerting technology. Importantly, 8427 safety concerns were managed solely by the technicians without the need for nursing intervention, resulting in 8427 avoided nursing visits to the bedside. The surveyed nurses reported that the RVM technology provided reassurance that additional support was available to assist them in managing their patients. Patients and their families also expressed high degree of satisfaction. Since implementation, the rates of falls and other adverse events have been reduced, with the greatest impact in patients on high-flow oxygen. Code blue and mortality rates decreased from 7% to 1%. ConclusionsThe use of RVM has proven to be a successful innovation at our hospital and has led to improved patient safety. RVM was able to reduce 8427 individual nurse visits to the bedside, allowing nurses to manage the care of patients more effectively while improving both patient and staff satisfaction.

The Relationship Between Workload and Burnout Incidence in Nurses in Critical Care Room

The high workload that nurses have in critical care rooms can cause burnout events that impact not only nurses, but also patients and hospitals. Based on global data in 2020, nurses who experience the highest burnout work in intensive & critical care rooms at 14.36%. This type of research is descriptive research with a quantitative approach with a cross sectional research design. Data collection was carried out using the NASA-TLX Workload measurement questionnaire and the MBI Burnout measurement questionnaire (Maslach Burnout Inventory) for 84 nurses in the critical care room of Hospital X Kota Bekasi. Data were analyzed using SPSS with Chi-square test. The results of this study indicate that there is no relationship between workload and burnout events in nurses in the Critical Care Room at Hospital X Bekasi City which is indicated by a significance value (p-value) of 0.580 (? > 0.05) and has a very weak relationship indicated by a correlation coefficient of 0.088. It was concluded that workload was not related to the incidence of burnout in nurses in the Critical Care Room of Hospital X Bekasi City.

Nurse Self-Management Experience as a Covid-19 Vaccinator

Changes in work patterns during a pandemic will certainly impact changes in the work habits of nurses who must be able to adapt to any work situation in the field, especially for nurses vaccinated with the COVID-19 vaccine. More than 11 billion people in the world have received a dose of the Covid-19 vaccine. Data for receiving the Covid-19 vaccine in Indonesia is 208,265,720 people. Achievements in the implementation of Vaccination in Palangka Raya City reached 223,414 people with the first phase vaccine distribution of 264,173 people, the second phase amounted to 228,457 people, and the third phase vaccine reached 88,282 people. Amost 80% of nurses experienced mental health problems, namely stress during the COVID-19 pandemic. The increased workload can affect the physical and psychological health of nurses. Based on the analysis of the data, the nurse's self-management ability is needed to deal with any job demands or workload that is obtained while being a Covid-19 Vaccinator. This study aimed to explore self-management experiences among nurses as COVID-19 vaccine providers. The study used a qualitative research method with a phenomenological approach with in-depth interviews with 11 participants who served in five areas of the city of Palangka Raya and were selected based on purposive sampling inclusion criteria. The results of qualitative analysis of thematic data using the Colaizzi technique found seven themes, four of which were very relevant to self-management, namely: 1) Professional Attitude in Discrediting Tasks; 2) Coping Strategy; 3) Job Satisfaction and Altruism; 4) Teamwork Atmosphere; and three additional themes, namely: 5) Factors that cause work stress; 6) Workload of Nurses as Stressors; and 7) Holistic Response experienced by Vaccination

Health anxiety and its association with perceived subjective workload in psychiatric nurses during the COVID-19 outbreak: a correlational study.

Health care professionals, especially nurses, experience added workload, and psychological impact during the COVID-19 outbreak. This study aimed to investigate health anxiety and its association with perceived subjective workload in nurses working in psychiatric hospital wards. This descriptive correlational study was conducted on 206 nurses working in the psychiatric wards of Razi Psychiatry Hospital in Tabriz, Iran, in 2020-2021. Census sampling was applied and data were collected using the National Aeronautics and Space Administration Task Load Index, and the Health Anxiety Inventory. Data were analyzed using descriptive statistics, t-tests, and Pearson correlation in SPSS software version 16. The mean (SD) of health anxiety and workload of nurses was 23/22(6/86) score range of 0-54 and 71.46 (12.37) score range of 0-100, respectively. The correlation between the mean of health anxiety and workload was significant only in the temporary dimension. Given the high workload and moderate level of health anxiety and the significant correlation between health anxiety and the temporary dimension of workload and the important role of appropriate workload in the health of nurses and the quality of nursing care, organizations and nursing managers should provide some strategies, like stuff shortage management in psychiatric wards and creating a suitable organizational culture.

Performance Obstacles and Workload of Nurses Working in Critical Care Unit at Teaching Hospital

Background: Performance obstacles are the elements of immediate workplace that restrict nurses' capacity to perform their duties. Performance obstacles are significant predictor of nurses' workload, which lowers their satisfaction and, in turn, affects their quality of work life. This study aimed to assess the performance obstacles and workload of nurses working in critical care unit. Methods: The descriptive cross-sectional study was carried out among all the 103 nurses working in critical units of selected hospital. Non-probability total enumerative sampling technique was used. Data were collected using self-administered questionnaire from 5th March 2023 to 5th April 2023. Data were analyzed in SPSS version 15 using descriptive statistics for the description of variables, and Spearmann correlation coefficient was calculated to measure the relationship between variables. Results: Study revealed that, among the four domains of obstacles, nurses experienced higher performance obstacles in task domain (50.0%), followed by work environment (37.5%), whereas lowest in organization domain (28.5%). The median overall performance obstacle score reported by nurses was 36%. There was positive correlation between performance obstacles related to tasks with workload domains of mental demand (r=0.257, p=0.009), physical demand (r=0.258, p=0.009), temporal demand (r=0.212, p=0.031) and efforts (r=0.250, p=0.011). Likewise, performance obstacles related to organization was positively correlated with mental demand (r=0.236, p=0.017), physical demand (r=0.246, p=0.012), temporal demand (r=0.361, p<0.001) and efforts (r=0.309=, p=0.001). Further, positive correlation was found between performance obstacles related to tools with temporal demand (r=0.300, p=0.002) and efforts (r=0.201, p=0.042). Conclusions: Nurses experience performance obstacles in the critical care units. Performance obstacles are positively correlated with the workload of the nurses. Therefore, efforts are needed to reduce performance obstacles of the nurses in the critical care unit.

Relationship Length of Stay (Los) with Service Quality at the Emergency Room of Pratama Nawacita Datah Dave Hospital

Length of Stay (LOS) in the emergency room is used to see the level of density and clinical workload of nurses. This type of research is quantitative and the population is patients who receive health services in the Emergency Room of Pratama Nawacita Datah Dave Hospital with an average visit in 1 month is 37 people. The characteristics of the respondents were seen from the age of the majority of respondents> 60 years (51.4%), female sex totaling 19 people (51.4%), the diagnosis of disease most of the respondents with hypertension amounted to 17 people (45.9%). The level of Length of Stay (LOS) is mostly from less respondents (59.5%) and service quality is mostly from less respondents (56.8%) There is a relationship between Length of Stay (LOS) and service quality (p value 0.042 < α : 0.05). That means there is a relationship between Length of Stay (LOS) and service quality.

Stress situation and associated factors among nursre in clinical departments at Sa Dec General Hospital, Dong Thap province, in 2021

Objectives: Nursing is an occupation that has high levels of stress. This study was to find out the degree of work-related stress among nurses and some associated factors at Sa Dec General Hospital, Dong Thap province in 2021. Methods: This cross-sectional survey design study was conducted with the participation of 200 nurses in clinical departments of the Sa Dec General Hospital, Dong Thap province, in 2021. Results: 29% of nurses had stress. Divided by four levels of stress, 17.0% nurses had mild stress, 7.0% had moderate stress, 3.0% had severe stress and 2.0% had extremely severe stress. Some factors of job characteristics were associated to the stress’s nurses: work overload; high intensity workplace; a large number of patients requiring care per day; witnessing the patient’dead dying and pain. Working environment factors were associated with increased stress of nurses: facilities and work equipment; cramped space; working in a noisy workplace; working in conditions of extreme heat; being disrespected, no opportunities for further professional learning. Conclusions: The hospital need to ensure a suitable workload for nurses and to avoid exceeding the capacity of the nurse. Workplace condition in hospital should be improve. Keywords: Nursing, clinical department, hospital, mental health, stress.

The relationship of workload with nurses’ work stress at Kartini Hospital Lebak Regency year 2022

Background. Nurses are one of the health human resources that are considered for their existence in hospitals. However, the problem of HRK conditions is still an obstacle in hospitals. One of them is planning the number of nursing staff. If this is not addressed then the workload of nurses can increase and risk reducing the quality of service. In addition, in a company a workload that is too heavy can cause work stress. Research purposes. Describe the relationship between workload and work stress of nurses at Kartini Hospital, Lebak Regency in 2022. Research Methods. This type of research is a descriptive correlational quantitative research. The research approach used is cross sectional. The population in this study were all nurses who worked at Kartini Hospital with a total of 111 people. While the number of samples studied as many as 87 respondents with the data collection method is Consecutive Sampling. The data of this study used primary data by filling out a questionnaire. The collected data was then processed computerized and processed by the statistical technique of Kendall Tau correlation. Research results. The results showed that of the 87 respondents, most of them experienced a heavy workload, 41 (47.1%) respondents and 41 (47.1%) respondents experienced light work stress. The results of the Kendall's Tau statistical test showed that the p value = 0.006 which means it is smaller than 0.05 (p < ) so it can be concluded that there is a significant relationship between the workload and work stress of nurses with the Correlation Coefficient value of 0.271 which indicates the strength of the relationship. Workload with work stress is at a fairly strong level with a positive relationship direction. Conclusions and recommendations. There is a significant relationship between the workload and work stress of nurses with the strength of the work relationship at a fairly strong level. This research is expected to be input for hospitals in terms of planning the number of workers, especially nurses.

The Effect of COVID-19 Pandemic on the Quality of Work Life, Workload, and Burnout in Intensive Care Nurses

Objective: To examine the quality of work-life, workload, and burnout in ICU nurses during the COVID-19 pandemic in Turkey.
 Methods: Cross-sectional online survey study conducted. The data were collected with the Nurse Information Form, Quality of Nursing Work Life Scale (QNWLS), Individual Workload Perception Scale-Revised (IWPS-R), and Burnout Measure-Short version (BMS). For a better understanding of the impact of the pandemic, nurses were asked to evaluate the questions on these scales twice, taking into account the working conditions/environment in the (1) pre-pandemic and (2) pandemic periods.
 Results: A total of 249 nurses were included. Total and subscales of QNWLS, IWPS-R and BMS scores indicated significantly lower quality of work life, high workload and burnout during the pandemic period compared to pre-pandemic (128.12±10.86 vs. 71.46±7.37 points for QNWLS; 101.93±8.98 vs. 61.09±7.41 points for IWPS-R; 20.93±2.03 vs. 56.02±2.46 points for BMS; p=0.001 for all). A significant correlation was found between nurses' workload and burnout level and their work hours in the pandemic ICU, weekly work hours, and the nurse:patient ratio (p

Nurses' professional discretion in the purchaser-provider split in home care in Norway.

To explore how nurses' professional discretion is operationalized in home care services that follow a purchaser-provider organization in Norway. A qualitative descriptive study. Semi-structured interviews with open-ended questions were used, and data were collected from in-depth interviews with 15 registered nurses working in home care in four Norwegian local authority areas between April and November 2020. Braun and Clark's six-step analysis was used to analyse the empirical data. The analysis yielded two main themes, namely 'The purchaser's instructions: facilitating and constraining care' and 'Professional discretion meets the purchaser-provider organisation of healthcare,' with five associated codes. Nurses are dependent on an organizational framework due to the complexity of health care services and the number of tasks involved. At the same time, they perform considerable compensatory work and need the ability to be flexible to enable this work and to perform actions related to the unforeseen needs of individual patients or those involving professional discretion. The purchaser-provider model both facilitates and constrains nursing practice and professional responsibility in home nursing. Home nursing services need to be well organized because of their complexity and the wide variety of tasks they involve. In this context, the element of constraint is associated with the need for flexibility and professional discretion. Despite a strict framework, the nurses perform additional and compensatory tasks. Reforms inspired by 'New Public Management,' such as the purchaser-provider split, limit the workload for nurses; however, there is still a need to exercise discretion. The findings of this study may help home care managers and health policy-makers understand the interaction between management logic and health care logic, leading to a more appropriate organization of health care services where the nurses, as actors, gain more trust. This study highlights home care nurses' opportunities to exercise discretion in an organizational framework that strives towards standardization. The nurses' ability to exercise discretion is important for individual and holistic patient care. At the same time, an organizational framework is needed because nurses cannot attend to all the needs the patients may have, as this will overload both home health services and the nurses.

The Relationship Between Workload and Nurse Satisfaction During Pandemic in the Pendalungan Jember Area

Workload is an analysis process of the time used by someone in completing a job task, a disproportionate workload will have an impact on stress and can have a negative impact, namely job dissatisfaction. Objectives in this study is to see how workload related to nursing satisfaction during a pandemic in the Pendaluangan Jember area. The research design is a cross-sectional correlation description, Spearman Rho data analysis, the total population of all practicing nurses is 115 nurses with the sampling technique using the Slovin formula with a margin of error of 5% so that 112 nurses are taken as a sample (simple random sampling). The results showed that there was no relationship between workload and nurse satisfaction at the Pendalungan Jember Hospital (p=0.067). The majority's workload assessment was moderate (50%) where out of 112 nurse respondents, the majority of 84 nurses had worked > 5 years (75%), while in terms of education, the majority of Vocational Nursing graduates were 82 nurses (73.2%). Hospitals can increase nurse satisfaction by providing workloads for nurses according to the clinical authority and competence of each nurse so that the nurse's workload becomes lighter and nurse satisfaction can increase.

Analysis of the Effect of Work Stress and Workload on Work Performance in FMC Bogor Hospital Nurses in 2023

The hospital provides services in inpatient, outpatient and emergency departments. The increase in the number of hospitals every year from 2016 amounted to 2046, expanding in 2021 to a total of 2514 public hospitals in Indonesia. (Statistics Center data for 2016-2021). This shows that the level of hospital competition is getting tighter, so the demands for hospitals to improve nurse performance are getting higher. Work performance can be affected by several things, including stress and workload based; research in local Indian hospitals showed 34% of nurses experienced moderate stress, and as many as 2% experienced high stress, to cause physical and mental health problems; another study involving nurse subjects at Makassar hospital also showed nurses who experienced stress and felt a heavy workload until work performance decreased by 91.7%. This study aims to see the relationship and significant influence between work stress and nurse workload on nurses' work performance. The research method is a cross-sectional analytical study and a method of research sampling with total sampling techniques. The results of univariate studies showed that most subjects were female, 65.7%, age range 26-30 years, high level of work stress (53.9%), and moderate workload (76.3%). The bivariate results in this study showed a relationship between nurses' work stress and workload (p value 0.024). Research shows no workload relationship to work performance (p value 0.84). The results of multivariate analysis with logistic regression showed that the variable work stress was associated with p value 0.011, with high stress having 11,014 times and low stress 3.522 against low work performance. The conclusion of the study can be seen in the relationship of work performance variables to stress, and high stress causes nurses to have a risk of 11,014 times experiencing low work performance.