Evaluation of nurses’ workload in intensive care unit of a tertiary care university hospital in relation to the patients’ severity of illness: A prospective study

Kraljić, Snježana; Žuvić, Marta; Deša, Kristian; Blagaic, Ana; Tokmadžić, Vlatka Sotošek; Antončić, Dragana; Likić, Robert

doi:10.1016/j.ijnurstu.2017.09.004

Cited by 30 publications

(25 citation statements)

References 32 publications

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“…The number of participants observed, however, accounted for 87.5% (14/16) of all nurses working in the study setting, validly representing nursing activities in the study unit. Although patient disease severity can be a key factor accounting for nursing management (Buffel du Vaure et al, ) and workload (Kraljic et al, ), the conditions of most patients in the study unit were similarly stable; thus it is not possible for us to identify the relationship between patients’ disease severity and nursing work arrangement in this natural setting.…”

Section: Discussionmentioning

confidence: 96%

Work pattern of neurology nurses in a Chinese hospital: A time and motion study

Song

Qian

et al. 2018

J Nurs Manag

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Aim To investigate nursing work patterns in a neurology department in a Chinese hospital. Background Knowledge of nursing work patterns is important for nursing management and work design, and for the evaluation of organizational process change associated with the introduction of an innovation. Methods A time‐and‐motion method was used to observe 14 registered nurses’ (RNs’) work patterns in a neurology department in a Chinese hospital. Results There were 147 hr of observation. Overall, the most time‐consuming activities were verbal communication (28.5%) and documentation (28.3%), followed by indirect care (14.6%) and direct care (14%). Compared to support RNs, charge RNs spent 20% more time on documentation and 11% more time on verbal communication. Two‐thirds of the observed activities had a duration of less than 40 s. Conclusions Communication, in verbal and written forms, consumed more than half of the nursing time. Conversely, nurses only spent about a quarter of their worktime on preparation for care provision and direct care provision. This reflects the significant role and resource‐consuming nature of communication to provide safe and quality care. Implications for Nursing Management Communication methods need to be enhanced to improve nursing productivity. This may be achieved through the introduction of more effective nursing documentation methods.

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Section: Discussionmentioning

confidence: 96%

Work pattern of neurology nurses in a Chinese hospital: A time and motion study

Song

Qian

et al. 2018

J Nurs Manag

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“…The former patients were probably those who were near discharge because their rehabilitative path was almost finished, whereas the latter were those recently admitted to the hospital. (Kraljic et al, 2017). Conversely, patients with a high level of autonomy, who are close to discharge, may need less assistance during rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, each one of these studies primarily focused on only one professional group rather than analysing the distribution of activities across all professional categories. Finally, the relationship between workload and patients' severity of disease has been poorly investigated (Kraljic et al, 2017). Therefore, the WST has been mainly used to investigate the time spent by one working category per study, without providing a generalised overview and without relating the workload to inpatients' severity of disease.…”

Section: Introductionmentioning

confidence: 99%

Clinical staff work sampling in a neurorehabilitation hospital and its relationship to severity of disease

et al. 2018

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“…that morning shifts are noisier and more crowded, which may increase the barriers (25). Krajilic, 2017 also reported higher scores of workload and patient admission on day shifts compare to night shifts in the ICU, that can explain the results of multiple regression (26). The study showed that in spite of different settings, the nurses are confronted with same the problems and obstacles.…”

Section: Discussionmentioning

confidence: 92%

Barriers to Nursing Performance from the Perspective of Nurses Working in Intensive Care Units

Rajaeian¹,

MasoudiAlavi²

2018

Crit Care Nurs J

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Background: There are many performance obstacles in intensive care units (ICU) that can waste a nurse's time and energy. Detection and elimination of these obstacles can improve efficacy in ICUs. Objectives: This study was carried out to identify the performance obstacles experienced by nurses in ICUs of selected hospitals in Kashan/Iran, 2015. Methods: In this descriptive analytical cross-sectional study, all 80 nurses working in ICUs reported their performance obstacles in 240 working shifts. The research instrument had 2 parts: 1-information of nurses and their working shift; 2-nursing performance obstacles questionnaire of Gurses. The questionnaire evaluates performance obstacles in 4 dimensions of environment, task, technology, and organization. The data analyzed with the descriptive and analytical statistics including Mann-Whitney U and Krukall-Wallis tests, and multiple regression analysis using SPSS 16. Results: The most common obstacles were: receiving too many phone calls from family members (75%), delay in getting medications from pharmacy (54.6%), insufficient space to sit down and do paperwork (52.9%), and disorganized unit (51.6%). In the field of technology, having to use equipment in poor condition (35%) was the most frequent obstacle. Delay in seeing new medical orders (48.3%) and inadequate information from physicians (30.4%) were other common obstacles. The nurses with less than 3 years of experience working in ICUs, those working morning shifts, and nurses who had admitted more patients reported significantly more obstacles. Conclusions: Nursing performance obstacles were different. Many obstacles such as receiving too many phone calls and having to use equipment in poor condition can be managed by simple interventions such as using technology to give information to the family members. Management policies and enhancing team works are needed to reduce obstacles such as inadequate information from physicians and disorganized unit. We need further studies, to evaluate how the elimination of these obstacles can improve the nursing care in ICUs.

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Evaluation of nurses’ workload in intensive care unit of a tertiary care university hospital in relation to the patients’ severity of illness: A prospective study

Cited by 30 publications

References 32 publications

Work pattern of neurology nurses in a Chinese hospital: A time and motion study

Work pattern of neurology nurses in a Chinese hospital: A time and motion study

Clinical staff work sampling in a neurorehabilitation hospital and its relationship to severity of disease

Barriers to Nursing Performance from the Perspective of Nurses Working in Intensive Care Units

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