Beyond order-based nursing workload: A retrospective cohort study in intensive care units.

Autor: Chen Y; Department of Industrial Engineering and Decision Analytics, Hong Kong University of Science and Technology, Clear Water Bay, Hong Kong., Chan CW; Columbia Business School, New York City, New York, USA., Dong J; Columbia Business School, New York City, New York, USA., Jackson EM; Presbyterian/Hudson Valley Hospital, Cortlandt Manor, New York, USA., Yip NH; Columbia University Irving Medical Center, New York City, New York, USA., Rossetti SC; Columbia University Irving Medical Center, New York City, New York, USA.
Jazyk: angličtina
Zdroj: Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing [J Nurs Scholarsh] 2024 Sep; Vol. 56 (5), pp. 687-693. Date of Electronic Publication: 2024 May 12.
DOI: 10.1111/jnu.12979
Abstrakt: Introduction: In order to be positioned to address the increasing strain of burnout and worsening nurse shortage, a better understanding of factors that contribute to nursing workload is required. This study aims to examine the difference between order-based and clinically perceived nursing workloads and to quantify factors that contribute to a higher clinically perceived workload.
Design: A retrospective cohort study was used on an observational dataset.
Methods: We combined patient flow, nurse staffing and assignment, and workload intensity data and used multivariate linear regression to analyze how various shift, patient, and nurse-level factors, beyond order-based workload, affect nurses' clinically perceived workload.
Results: Among 53% of our samples, the clinically perceived workload is higher than the order-based workload. Factors associated with a higher clinically perceived workload include weekend or night shifts, shifts with a higher census, patients within the first 24 h of admission, and male patients.
Conclusions: The order-based workload measures tended to underestimate nurses' clinically perceived workload. We identified and quantified factors that contribute to a higher clinically perceived workload, discussed the potential mechanisms as to how these factors affect the clinically perceived workload, and proposed targeted interventions to better manage nursing workload.
Clinical Relevance: By identifying factors associated with a high clinically perceived workload, the nurse manager can provide appropriate interventions to lighten nursing workload, which may further reduce the risk of nurse burnout and shortage.
(© 2024 Sigma Theta Tau International.)
Databáze: MEDLINE
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