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Park S, Yoo J, Lee Y, DeGuzman PB, Kang MJ, Dykes PC, Shin SY, Cha WC. Quantifying emergency department nursing workload at the task level using NASA-TLX: An exploratory descriptive study. Int Emerg Nurs 2024; 74:101424. [PMID: 38531213 DOI: 10.1016/j.ienj.2024.101424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 01/20/2024] [Accepted: 02/14/2024] [Indexed: 03/28/2024]
Abstract
BACKGROUND Emergency departments (ED) nurses experience high mental workloads because of unpredictable work environments; however, research evaluating ED nursing workload using a tool incorporating nurses' perception is lacking. Quantify ED nursing subjective workload and explore the impact of work experience on perceived workload. METHODS Thirty-two ED nurses at a tertiary academic hospital in the Republic of Korea were surveyed to assess their subjective workload for ED procedures using the National Aeronautics and Space Administration Task Load Index (NASA-TLX). Nonparametric statistical analysis was performed to describe the data, and linear regression analysis was conducted to estimate the impact of work experience on perceived workload. RESULTS Cardiopulmonary resuscitation (CPR) had the highest median workload, followed by interruption from a patient and their family members. Although inexperienced nurses perceived the 'special care' procedures (CPR and defibrillation) as more challenging compared with other categories, analysis revealed that nurses with more than 107 months of experience reported a significantly higher workload than those with less than 36 months of experience. CONCLUSION Addressing interruptions and customizing training can alleviate ED nursing workload. Quantified perceived workload is useful for identifying acceptable thresholds to maintain optimal workload, which ultimately contributes to predicting nursing staffing needs and ED crowding.
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Affiliation(s)
- Sookyung Park
- School of Nursing, University of Virginia, 225 Jeanette Lancaster Way, Charlottesville, VA 22903-3388, USA
| | - Junsang Yoo
- Department of Digital Health, Samsung Advanced Institute for Health Science & Technology (SAIHST), Sungkyunkwan University, 115 Irwon-ro Gangnam-gu, Seoul 06355, Republic of Korea
| | - Yerim Lee
- Department of Digital Health, Samsung Advanced Institute for Health Science & Technology (SAIHST), Sungkyunkwan University, 115 Irwon-ro Gangnam-gu, Seoul 06355, Republic of Korea
| | - Pamela Baker DeGuzman
- School of Nursing, University of Virginia, 225 Jeanette Lancaster Way, Charlottesville, VA 22903-3388, USA
| | - Min-Jeoung Kang
- Harvard Medical School, 25 Shattuck Street, Boston MA 02115, MA, USA; Department of Medicine, Division of General Internal Medicine and Primay Care, Brigham and Women's Hospital, 1620 Tremont Street, MA, USA
| | - Patricia C Dykes
- Harvard Medical School, 25 Shattuck Street, Boston MA 02115, MA, USA; Department of Medicine, Division of General Internal Medicine and Primay Care, Brigham and Women's Hospital, 1620 Tremont Street, MA, USA
| | - So Yeon Shin
- Department of Nursing, Samsung Medical Center, 81 Irwon-ro Gangnam-gu, Seoul 06351, Republic of Korea
| | - Won Chul Cha
- Department of Digital Health, Samsung Advanced Institute for Health Science & Technology (SAIHST), Sungkyunkwan University, 115 Irwon-ro Gangnam-gu, Seoul 06355, Republic of Korea; Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 115 Irwon-ro Gangnam-gu, Seoul 06355, Republic of Korea; Digital Innovation Center, Samsung Medical Center, 81 Irwon-ro Gangnam-gu, Seoul 06351, Republic of Korea.
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Erol Ö, Küçükkaya B, Yenici E. The effect of the intensive care unit nurse manpower on care behaviours and stress level on the nurses. Work 2024:WOR220710. [PMID: 38306077 DOI: 10.3233/wor-220710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2024] Open
Abstract
BACKGROUND Nurses working in the intensive care units (ICU) regarding the work-index-nursing work environment, the effect level ICU environment has on the nurses' care behaviors and stress levels of the nurses should be determined. OBJECTIVE The study aimed to investigate the effect of the nurse manpower on care behaviours and stress level of the nurses working in the ICU. METHODS This was a cross-sectional and correlational study. The sample of the study consisted of 123 nurses working in the ICUs. The data were collected using the survey form, Distress Thermometer (DT), The Practice Work Environment Scale of the Nursing Work Index (PES-NWI), and Caring Behaviors Scale-24 (CBS-24). RESULTS The mean age of nurses in the ICU was 30.2±5.6 and the mean of working time in the intensive care unit of nurses in the ICU was 3.7±3.1 years. The mean of the DT was 4.8±3.4, and the mean score of PES-NWI was 2.6±1.0 and the mean score of CBS-24 was 4.7±1.1 in nurses in the ICU. The regression model which was studied to investigate the relationship between caring behaviors and stress and nurse manpower of nurses working in intensive care unit was significant. CONCLUSION Care behaviors and stress levels of nurses working in intensive care units are negatively affected by insufficient nurse manpower.
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Affiliation(s)
- Özgül Erol
- Trakya University, Faculty of Health Science, Department of Nursing, Division of Internal Diseases Nursing, Edirne/Türkiye
| | - Burcu Küçükkaya
- Bartın University, Facultyof Health Science, Department of Nursing, Division of Women Healthand Diseases Nursing, Bartın/Türkiye
| | - Ecehan Yenici
- Trakya University, Institute of Health Science, Department of Nursing, Edirne/Türkiye
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Soto-Castellón MB, Leal-Costa C, Pujalte-Jesús MJ, Soto-Espinosa JA, Díaz-Agea JL. Subjective mental workload in Spanish emergency nurses. A study on predictive factors. Int Emerg Nurs 2023; 69:101315. [PMID: 37348237 DOI: 10.1016/j.ienj.2023.101315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 05/13/2023] [Accepted: 05/25/2023] [Indexed: 06/24/2023]
Abstract
INTRODUCTION Mental workload refers to the cognitive or intellectual requirements that a worker is subjected to in a workday. The objective of the present work was to discover the subjective mental workload of nursing staff at Hospital Emergency Units, and its relationship with sociodemographic, work, environmental factors at the workplace, and personality variables. METHOD A quantitative, descriptive, observational, and crosssectional study was conducted with 201 emergency nurses from 13 different provinces in Spain. Each participant completed 5 questionnaires (sociodemographic, work conditions, environmental conditions, personality, and subjective mental workload). Descriptive statistics were obtained, and Pearson's correlations and multivariate models (multiple linear regression) were performed. RESULTS The nurses had medium to high levels of mental workload. The environmental conditions had a direct relationship with the mental workload, especially with respect to noise and lighting. The participants obtained high scores in kindness, responsibility, openness/intellect, and extraversion. Positive and statistically significant relations were found between neuroticism and mental workload. Being female, older, and having stable employment or a permanent contract were associated with a greater mental workload of emergency nurses. CONCLUSION The domain of neuroticism personality, and the hygienic conditions in the workplace were the predictors with the most weight in the model. This study could be useful for defining aspects that need to be considered for the well-being of emergency nurses, such as lighting conditions or environmental noise in the workplace. It also invites reflection on the influence of personal factors (age, gender, personality) and work factors (type of contract, professional experience) on the mental workload of emergency nurses.
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Affiliation(s)
- María Belén Soto-Castellón
- Faculty of Nursing, Universidad Católica de Murcia (UCAM), Av. de los Jerónimos, 135, Guadalupe 30107, Murcia, Spain
| | - César Leal-Costa
- Faculty of Nursing, Universidad de Murcia (UM), Campus de Espinardo, 30100 Murcia, Spain.
| | - María José Pujalte-Jesús
- Faculty of Nursing, Universidad Católica de Murcia (UCAM), Av. de los Jerónimos, 135, Guadalupe 30107, Murcia, Spain
| | - Jesús Antonio Soto-Espinosa
- Faculty of Nursing, Universidad Católica de Murcia (UCAM), Av. de los Jerónimos, 135, Guadalupe 30107, Murcia, Spain
| | - José Luis Díaz-Agea
- Faculty of Nursing, Universidad de Murcia (UM), Campus de Espinardo, 30100 Murcia, Spain
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Kaya A, İşler Dalgıç A. Evaluating workload and manpower planning among pediatric emergency department nurses in Turkey during COVID-19: A cross-sectional, multicenter study. J Pediatr Nurs 2022; 65:69-74. [PMID: 35410734 PMCID: PMC8990504 DOI: 10.1016/j.pedn.2022.03.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Revised: 03/21/2022] [Accepted: 03/28/2022] [Indexed: 11/08/2022]
Abstract
PURPOSE Quality nursing care in pediatric emergency departments (PEDs) can be achieved only through sustained workload-based manpower planning. The purpose of this paper to evaluate perceptions of workload and manpower planning in the PED setting in Turkey from the nurses' point of view. DESIGN AND METHODS This cross-sectional, multicenter study that was conducted among 187 nurses working in a PED setting in Turkey between June and September 2021. Data were collected using a questionnaire that measured nurses' perceptions of workload and manpower planning. The reporting of this study adhered to STROBE guidelines. RESULTS The majority of the respondents perceived the number of patients-per-nurse during a shift to be too high, the number of nurses to be insufficient in proportion to the workload, and the nursing manpower-planning to be insufficient and biased. Those with ≤1 year of nursing experience in the PED perceived an increased workload and more burnout during the COVID-19 pandemic period. CONCLUSIONS Nurses working in PED setting perceived the workload and manpower planning to be inadequate. In addition, nurses who were less experienced or felt burnout perceived their workload to be increased during the COVID-19 pandemic. PRACTICE IMPLICATIONS Further exploration of workload and manpower planning in PEDs is required. Quantifying nurses' perspectives of workload and manpower when managing emergency pediatric patients is essential for designing appropriate interventions to improve the working environment. Future studies should focus on comparing nurses' perceptions with actual workloads and manpower planning in PEDs using appropriate measurement tools.
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Affiliation(s)
- Ayla Kaya
- Pediatric Nursing Department, Faculty of Nursing, Akdeniz University, Antalya, Turkey.
| | - Ayşegül İşler Dalgıç
- Pediatric Nursing Department, Faculty of Nursing, Akdeniz University, Antalya, Turkey.
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Chen YT, Chiu YC, Teng ML, Liao PH. The effect of medical material management system app on nursing workload and stress. BMC Nurs 2022; 21:19. [PMID: 35039036 PMCID: PMC8761961 DOI: 10.1186/s12912-022-00806-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Accepted: 01/03/2022] [Indexed: 12/02/2022] Open
Abstract
Aims To develop a clinical medical material management App for nurses, in order to reduce their workload and improve the efficacy of medical material management. Design The single-group pre- and post-test experimental design was adopted. Methods The subjects were nurses in the intensive care units of a regional hospital in Hsinchu City enrolled by purposive sampling. Single-group pre-tests and post-tests were conducted. The research period was from November 2019 to March 2020. The workload, stress, and information acceptance of 57 nurses before and after the intervention of the Medical Equipment App were collected. The research tools included a structured questionnaire, which includes open questions that cover the aspects of workload, stress, and information acceptance intention of nurses, as well as a demographic questionnaire, which collects the basic personal data, including gender, age, years of service, educational level, nursing ability level, use ability of IT products, and unit type. The results were analyzed and compared using SPSS, APP Inventor, and data mining modeling to determine the effects of the App. Results After employing the Shift Check App, the average workload of nurses was effectively reduced, in particular, the workload reduction of the N1 level nursing ability was greater than that of N2. In addition to satisfaction, the scores of information acceptance intention in all aspects, including behavioral intention, technology use intention, and contributing factors, all increased. Conclusion The use of information technology products to assist medical material management in clinical practice has a significant effect on the load reduction of nurses and improvement of satisfaction. Clinical relevance The App developed in this study can improve nurses’ work satisfaction, quality of care and workload reduction.
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Affiliation(s)
- Yi-Tsao Chen
- College of Nursing, National Taipei University of Nursing and Health Sciences, No. 365, Ming-te Road, Peitou District, Taipei City, 112, Taiwan.,Department of Nursing, National Taiwan University Hospital Hsin-Chu Branch, No.25, Lane 442, Sec.1, Jingguo Rd., Hsinchu City, 300, Taiwan
| | - Yi-Cheng Chiu
- Department of Nursing, National Taiwan University Hospital Hsin-Chu Branch, No.25, Lane 442, Sec.1, Jingguo Rd., Hsinchu City, 300, Taiwan
| | - Meng-Lan Teng
- Department of Nursing, National Taiwan University Hospital Hsin-Chu Branch, No.25, Lane 442, Sec.1, Jingguo Rd., Hsinchu City, 300, Taiwan
| | - Pei-Hung Liao
- School of Nursing, National Taipei University of Nursing and Health Sciences, No. 365, Ming-te Road, Peitou District, Taipei City, 112, Taiwan.
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Bonfim AKS, Passos ICMDO, Saleh CMR, Padilha KG, Nogueira LDS. Nursing workload of trauma patients in the emergency room: A prospective cohort study. Int Emerg Nurs 2021; 59:101071. [PMID: 34571452 DOI: 10.1016/j.ienj.2021.101071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2020] [Revised: 08/03/2021] [Accepted: 08/11/2021] [Indexed: 11/24/2022]
Affiliation(s)
- Ane Karoline Silva Bonfim
- Medical-Surgical Nursing Department, School of Nursing, University of São Paulo. Avenida Doutor Enéas de Carvalho Aguiar, 419 São Paulo, 05403-000, Brazil.
| | | | - Carmen Mohamad Rida Saleh
- Nursing Division, Central Institute of Clinical Hospital, Faculty of Medicine, University of São Paulo. Avenida Doutor Enéas de Carvalho Aguiar, 255 São Paulo, 05403-000, Brazil.
| | - Katia Grillo Padilha
- Medical-Surgical Nursing Department, School of Nursing, University of São Paulo. Avenida Doutor Enéas de Carvalho Aguiar, 419 São Paulo, 05403-000, Brazil.
| | - Lilia de Souza Nogueira
- Medical-Surgical Nursing Department, School of Nursing, University of São Paulo. Avenida Doutor Enéas de Carvalho Aguiar, 419 São Paulo, 05403-000, Brazil.
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Enayati M, Sir M, Zhang X, Parker SJ, Duffy E, Singh H, Mahajan P, Pasupathy KS. Monitoring Diagnostic Safety Risks in Emergency Departments: Protocol for a Machine Learning Study. JMIR Res Protoc 2021; 10:e24642. [PMID: 34125077 PMCID: PMC8240801 DOI: 10.2196/24642] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 03/15/2021] [Accepted: 04/12/2021] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND Diagnostic decision making, especially in emergency departments, is a highly complex cognitive process that involves uncertainty and susceptibility to errors. A combination of factors, including patient factors (eg, history, behaviors, complexity, and comorbidity), provider-care team factors (eg, cognitive load and information gathering and synthesis), and system factors (eg, health information technology, crowding, shift-based work, and interruptions) may contribute to diagnostic errors. Using electronic triggers to identify records of patients with certain patterns of care, such as escalation of care, has been useful to screen for diagnostic errors. Once errors are identified, sophisticated data analytics and machine learning techniques can be applied to existing electronic health record (EHR) data sets to shed light on potential risk factors influencing diagnostic decision making. OBJECTIVE This study aims to identify variables associated with diagnostic errors in emergency departments using large-scale EHR data and machine learning techniques. METHODS This study plans to use trigger algorithms within EHR data repositories to generate a large data set of records that are labeled trigger-positive or trigger-negative, depending on whether they meet certain criteria. Samples from both data sets will be validated using medical record reviews, upon which we expect to find a higher number of diagnostic safety events in the trigger-positive subset. Machine learning will be used to evaluate relationships between certain patient factors, provider-care team factors, and system-level risk factors and diagnostic safety signals in the statistically matched groups of trigger-positive and trigger-negative charts. RESULTS This federally funded study was approved by the institutional review board of 2 academic medical centers with affiliated community hospitals. Trigger queries are being developed at both organizations, and sample cohorts will be labeled using the triggers. Machine learning techniques such as association rule mining, chi-square automated interaction detection, and classification and regression trees will be used to discover important variables that could be incorporated within future clinical decision support systems to help identify and reduce risks that contribute to diagnostic errors. CONCLUSIONS The use of large EHR data sets and machine learning to investigate risk factors (related to the patient, provider-care team, and system-level) in the diagnostic process may help create future mechanisms for monitoring diagnostic safety. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/24642.
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Affiliation(s)
- Moein Enayati
- Health Care Delivery Research, Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, United States
| | | | - Xingyu Zhang
- Thomas E Starzl Transplantation Institute, University of Pittsburgh Medical Center, Pittsburgh, PA, United States
| | - Sarah J Parker
- Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, United States
| | - Elizabeth Duffy
- Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, United States
| | - Hardeep Singh
- Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veterans Affairs Medical Center, Baylor College of Medicine, Houston, TX, United States
| | - Prashant Mahajan
- Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, United States
| | - Kalyan S Pasupathy
- Health Care Delivery Research, Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, United States
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Gillet N, Morin AJS, Mokounkolo R, Réveillère C, Fouquereau E. A person-centered perspective on the factors associated with the work recovery process. ANXIETY STRESS AND COPING 2021; 34:571-596. [PMID: 33380222 DOI: 10.1080/10615806.2020.1866174] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND AND OBJECTIVES This research identified profiles characterized by distinct levels of overcommitment, rumination, psychological detachment (Studies 1 and 2), and need for recovery (Study 2). This research also considers the role of hindrance demands and resources in the prediction of profile membership, and the outcomes of these profiles. METHODS These objectives were addressed in two empirical cross-sectional studies relying on self-reported questionnaires. Study 1 relies on a convenience sample of French workers from a variety of occupations. Study 2 relies on a convenience sample of French nurses and nursing assistants. RESULTS Latent profile analyses revealed four identical profiles in both studies (High Ability to Achieve Recovery, Moderately High Ability to Achieve Recovery, Moderately Low Ability to Achieve Recovery, and Low Ability to Achieve Recovery), accompanied by an additional (Normative) profile in Study 2. The results from both studies revealed well-differentiated outcome associations, which generally matched the theoretical desirability of the identified profiles. Likewise, hindrance demands were associated with a decreased likelihood of membership into the High Ability to Achieve Recovery profile, as well as an increased likelihood of membership into the Low Ability to Achieve Recovery profile across studies. CONCLUSIONS Theoretical contributions and implications for practice are discussed.
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Affiliation(s)
- Nicolas Gillet
- UFR Arts et Sciences Humaines, Département de psychologie, Université de Tours, Tours, France.,UFR Arts et Sciences Humaines, Département de psychologie, Institut Universitaire de France, Tours, France
| | - Alexandre J S Morin
- Substantive Methodological Synergy Research Laboratory, Department of Psychology, Concordia University, Montreal, Canada
| | - René Mokounkolo
- UFR Arts et Sciences Humaines, Département de psychologie, Université de Tours, Tours, France
| | - Christian Réveillère
- UFR Arts et Sciences Humaines, Département de psychologie, Université de Tours, Tours, France
| | - Evelyne Fouquereau
- UFR Arts et Sciences Humaines, Département de psychologie, Université de Tours, Tours, France
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Janhunen K, Kankkunen P, Kvist T. Nurse staffing and care process factors in paediatric emergency department—An administrative data study. J Clin Nurs 2020; 29:4554-4560. [DOI: 10.1111/jocn.15482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 08/05/2020] [Accepted: 08/22/2020] [Indexed: 10/23/2022]
Affiliation(s)
- Katja Janhunen
- Department of Nursing Science University of Eastern Finland Kuopio Finland
| | - Päivi Kankkunen
- Department of Nursing Science University of Eastern Finland Kuopio Finland
| | - Tarja Kvist
- Department of Nursing Science University of Eastern Finland Kuopio Finland
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