Intensity of nursing work in a primary healthcare center: An observational study.
In the sphere of occupational intensity, nursing stands recognized for its inherently demanding nature, marked by a rapid succession of tasks. Our primary aim was to assess the level of job intensity within nursing by analyzing the frequency and duration of activities performed by nurses, instances...
| Publicado en: | International Journal of Nursing Sciences Vol. 11; no. 5; pp. 536 - 544 |
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| Autor principal: | |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Nov2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181194475&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181194475 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20966296 MD0M jtl: International Journal of Nursing Sciences issn: 20966296 maglogo: N pubinfo: dt: Nov2024 vid: 11 iid: 5 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 181194475 181194475 181194475 10.1016/j.ijnss.2024.10.007 181194475 ppf: 536 ppct: 8 formats: tig: atl: Intensity of nursing work in a primary healthcare center: An observational study. aug: au: Peršolja, Melita affil: Faculty of Health Sciences, University of Primorska, Slovenia sug: subj: Primary Health Care Primary Care Nurse Practitioners Psychosocial Factors Nursing Intensity Evaluation Personnel Staffing and Scheduling Workload Measurement Task Performance and Analysis Human Nursing Staff, Hospital Descriptive Research Nonexperimental Studies Questionnaires Factor Analysis Descriptive Statistics Fisher's Exact Test Work Environment Workload Patient Care ab: In the sphere of occupational intensity, nursing stands recognized for its inherently demanding nature, marked by a rapid succession of tasks. Our primary aim was to assess the level of job intensity within nursing by analyzing the frequency and duration of activities performed by nurses, instances of task overlap, and the distribution of break times within a primary healthcare center. This study was conducted using a descriptive working method. Nursing activities were recorded with the observation of six nurses, each monitored for 37.5 h. We used the Maribor System for measuring Quantity in Nursing Care in Primary Health Care Settings to measure the nursing care activities about direct patient care, indirect patient care, and other unproductive aspects through direct non-participant observations. About 41.5% (n = 1,640) of all nursing activities involving direct contact with patients, about 38.2% (n = 1,508) was indirect patient care, where a large amount worked with paper files (n = 666, 16.9%). In addition, about 15.0% were other nursing activities (mostly computer work), and just 5.3% (n = 210) of tasks were unproductive. The observational findings indicate a pronounced level of work intensity experienced by nurses in primary health clinics. Significantly, nurses were predominantly engaged in direct patient care tasks, often managing multiple activities simultaneously. Their transitions between tasks occurred approximately every 3 min, frequently without adequate intervals for breaks. This study highlights the need to shift nurses' focus from a task-centric approach to one centered on patient care. The prevailing emphasis on tasks may contribute to enduring fatigue and professional dissatisfaction. Consequently, there is an urgent need to redefine the scope of a nurse's role and implement a comprehensive computer information system as an integral part of this redefined approach. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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