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Zaghini F, Calzolari M, Di Nitto M, Longobucco Y, Alvaro R, Cicolini G, Lancia L, Manara DF, Rasero L, Rocco G, Zega M, Mazzoleni B, Sasso L, Bagnasco A. Workload of home care nurses: Italian adaptation, validity, and reliability of the National Aeronautics and Space Administration Task Load Index questionnaire. Public Health Nurs 2024. [PMID: 39092927 DOI: 10.1111/phn.13387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2024] [Revised: 06/14/2024] [Accepted: 07/11/2024] [Indexed: 08/04/2024]
Abstract
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.
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Affiliation(s)
- Francesco Zaghini
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
| | | | - Marco Di Nitto
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Yari Longobucco
- Department of Health Science, University of Florence, Florence, Italy
| | - Rosaria Alvaro
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
- Scientific Committee CERSI-FNOPI, Rome, Italy
| | - Giancarlo Cicolini
- Department of Innovative Technologies in Medicine & Dentistry, "G.d'Annunzio" University of Chieti - Pescara, Chieti, Italy
- FNOPI Board Member, Rome, Italy
| | - Loreto Lancia
- Scientific Committee CERSI-FNOPI, Rome, Italy
- Department of Clinical Medicine, Public Health, Life and Environmental Sciences, University of L'Aquila, Piazzale Salvatore Tommasi, L'Aquila, Italy
| | - Duilio Fiorenzo Manara
- Scientific Committee CERSI-FNOPI, Rome, Italy
- Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy
| | - Laura Rasero
- Department of Health Science, University of Florence, Florence, Italy
- Scientific Committee CERSI-FNOPI, Rome, Italy
| | - Gennaro Rocco
- Scientific Committee CERSI-FNOPI, Rome, Italy
- Centre of Excellence for Nursing Scholarship, Rome, Italy
| | - Maurizio Zega
- FNOPI Board Member, Rome, Italy
- Isola Tiberina Hospital - Gemelli Isola, A. Gemelli IRCCS University Hospital Foundation, Rome, Italy
| | | | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
- Scientific Committee CERSI-FNOPI, Rome, Italy
| | - Annamaria Bagnasco
- Department of Health Sciences, University of Genoa, Genoa, Italy
- Scientific Committee CERSI-FNOPI, Rome, Italy
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Surendran A, Beccaria L, Rees S, Mcilveen P. Cognitive mental workload of emergency nursing: A scoping review. Nurs Open 2024; 11:e2111. [PMID: 38366782 PMCID: PMC10873679 DOI: 10.1002/nop2.2111] [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: 06/14/2023] [Revised: 11/14/2023] [Accepted: 01/16/2024] [Indexed: 02/18/2024] Open
Abstract
AIM Emergency nurses work in an environment of high cognitive mental workload. Excessive cognitive mental workload may result in patient harm and nurses' burnout. Therefore, it is necessary to understand nurses' subjective experience of cognitive workload. This scoping review aimed to curate literature about the subjective experience of cognitive mental workload reported by nurses and psychometric measures of the phenomenon. DESIGN The scoping review was conducted in accordance with JBI methodology and reported using PRISMA extension for scoping review checklist. METHODS A priori protocol was created with Peer Review of Electronic Search Strategies checklist and registered in the OSF registry. Databases including PubMed, CINAHL, ProQuest, Scopus, Science Direct, Web of Science and Google Scholar were searched. Published reports were reviewed against the eligibility criteria by performing Title and Abstract screening, followed by Full-text screening. The initial search yielded 1373 studies. Of these, 57 studies met the criteria for inclusion in this study. RESULTS The search revealed five general measures of cognitive mental workload and their variations. Only one customised measure specifically for medical-surgical nurses was found in the study. Identified measures were collated and categorised into a framework for conceptual clarity. NASA Task Load Index and its variations were the most popular subjective measure of cognitive mental workload in nursing. However, no measure or self-report scale customised for emergency nurses was identified. PATIENT OR PUBLIC CONTRIBUTION The findings of this scoping review can inform future research into the cognitive mental workload of nurses. The findings have implications for workplace health and safety for nurses and patients.
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Affiliation(s)
- Anu Surendran
- Graduate Research School, School of Nursing and MidwiferyUniversity of Southern QueenslandToowoombaQueenslandAustralia
| | - Lisa Beccaria
- School of Nursing and MidwiferyUniversity of Southern QueenslandToowoombaQueenslandAustralia
| | - Sharon Rees
- School of Nursing and MidwiferyUniversity of Southern QueenslandToowoombaQueenslandAustralia
| | - Peter Mcilveen
- School of EducationUniversity of Southern QueenslandToowoombaQueenslandAustralia
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