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Determining a set of measurable and relevant factors affecting nursing workload in the acute care hospital setting: a cross-sectional study

Dries Myny UGent, Ann Van Hecke UGent, Dirk De Bacquer UGent, Sofie Verhaeghe UGent, Micheline Gobert, Tom Defloor UGent and Dirk Van Goubergen UGent (2012) INTERNATIONAL JOURNAL OF NURSING STUDIES. 49(4). p.427-436
abstract
Background: While there has been great interest in the effect of nurse staffing levels have on the quality of care in hospitals, less attention has been given to determining the factors that affect the nursing workload. There are no existing studies that help define measurable factors that have a clear relation to nursing workload. Objectives: The aim of this study was to determine the most important and measurable factors, other than patient acuity, that influence nursing workload. Design: A cross-sectional design. Settings: Hospitals within the acute hospital care setting. Participants: Persons with a nursing educational background, working in Belgian acute care hospitals. Methods: A self-administered questionnaire was developed based on the results of an integrative review, the use of focus groups and a survey on measurability and relevance of the included factors. The questionnaire listed relevant and measurable factors related to nursing workload. Weight and frequency of each factor was assessed. Results: The initial list consisted of 94 factors. These factors were regrouped and organised into a questionnaire of 28 measurable and sufficiently relevant factors affecting the nursing workload. More than half of the initial factors seemed to be relevant, but hard to measure on a daily basis. Based on the impact of each factor, the number of work interruptions was the most important factor related to nursing workload. Conclusions: It is unlikely that a workload instrument will ever be able to take into account all possible factors affecting the nursing workload. Nevertheless, the number of workinterruptions, the patient turnover rate and the number of mandatory registrations should be included in the development or revision of a workload measurement tool.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
influencing factors, Cross-sectional studies, focus groups, nursing, questionnaires, workload, PATIENT SATISFACTION, NURSES, MORTALITY, INTERRUPTIONS, INTENSITY, TURNOVER, ADEQUACY, EMPLOYEE, CHURN, STAFF
journal title
INTERNATIONAL JOURNAL OF NURSING STUDIES
Int. J. Nurs. Stud.
volume
49
issue
4
pages
427 - 436
Web of Science type
Article
Web of Science id
000302980200007
JCR category
NURSING
JCR impact factor
2.075 (2012)
JCR rank
5/101 (2012)
JCR quartile
1 (2012)
ISSN
0020-7489
DOI
10.1016/j.ijnurstu.2011.10.005
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2136487
handle
http://hdl.handle.net/1854/LU-2136487
date created
2012-06-07 18:47:01
date last changed
2015-06-17 10:04:48
@article{2136487,
  abstract     = {Background: While there has been great interest in the effect of nurse staffing levels have on the quality of care in hospitals, less attention has been given to determining the factors that affect the nursing workload. There are no existing studies that help define measurable factors that have a clear relation to nursing workload.
Objectives: The aim of this study was to determine the most important and measurable factors, other than patient acuity, that influence nursing workload.
Design: A cross-sectional design.
Settings: Hospitals within the acute hospital care setting.
Participants: Persons with a nursing educational background, working in Belgian acute care hospitals.
Methods: A self-administered questionnaire was developed based on the results of an integrative review, the use of focus groups and a survey on measurability and relevance of
the included factors. The questionnaire listed relevant and measurable factors related to nursing workload. Weight and frequency of each factor was assessed.
Results: The initial list consisted of 94 factors. These factors were regrouped and organised into a questionnaire of 28 measurable and sufficiently relevant factors affecting the
nursing workload. More than half of the initial factors seemed to be relevant, but hard to measure on a daily basis. Based on the impact of each factor, the number of work interruptions was the most important factor related to nursing workload.
Conclusions: It is unlikely that a workload instrument will ever be able to take into account all possible factors affecting the nursing workload. Nevertheless, the number of workinterruptions, the patient turnover rate and the number of mandatory registrations should be included in the development or revision of a workload measurement tool.},
  author       = {Myny, Dries and Van Hecke, Ann and De Bacquer, Dirk and Verhaeghe, Sofie and Gobert, Micheline and Defloor, Tom and Van Goubergen, Dirk},
  issn         = {0020-7489},
  journal      = {INTERNATIONAL JOURNAL OF NURSING STUDIES},
  keyword      = {influencing factors,Cross-sectional studies,focus groups,nursing,questionnaires,workload,PATIENT SATISFACTION,NURSES,MORTALITY,INTERRUPTIONS,INTENSITY,TURNOVER,ADEQUACY,EMPLOYEE,CHURN,STAFF},
  language     = {eng},
  number       = {4},
  pages        = {427--436},
  title        = {Determining a set of measurable and relevant factors affecting nursing workload in the acute care hospital setting: a cross-sectional study},
  url          = {http://dx.doi.org/10.1016/j.ijnurstu.2011.10.005},
  volume       = {49},
  year         = {2012},
}

Chicago
Myny, Dries, Ann Van Hecke, Dirk De Bacquer, Sofie Verhaeghe, Micheline Gobert, Tom Defloor, and Dirk Van Goubergen. 2012. “Determining a Set of Measurable and Relevant Factors Affecting Nursing Workload in the Acute Care Hospital Setting: a Cross-sectional Study.” International Journal of Nursing Studies 49 (4): 427–436.
APA
Myny, D., Van Hecke, A., De Bacquer, D., Verhaeghe, S., Gobert, M., Defloor, T., & Van Goubergen, D. (2012). Determining a set of measurable and relevant factors affecting nursing workload in the acute care hospital setting: a cross-sectional study. INTERNATIONAL JOURNAL OF NURSING STUDIES, 49(4), 427–436.
Vancouver
1.
Myny D, Van Hecke A, De Bacquer D, Verhaeghe S, Gobert M, Defloor T, et al. Determining a set of measurable and relevant factors affecting nursing workload in the acute care hospital setting: a cross-sectional study. INTERNATIONAL JOURNAL OF NURSING STUDIES. 2012;49(4):427–36.
MLA
Myny, Dries, Ann Van Hecke, Dirk De Bacquer, et al. “Determining a Set of Measurable and Relevant Factors Affecting Nursing Workload in the Acute Care Hospital Setting: a Cross-sectional Study.” INTERNATIONAL JOURNAL OF NURSING STUDIES 49.4 (2012): 427–436. Print.