Analysis of Nurses’ Workload in a Therapeutic Profile Department
Abstract
Background. The goal of healthcare institutions is to provide high-quality and safe services to patients. Nursing workload in hospitals is discussed worldwide, as it affects the quality of patient care. Studies show that a low number of nursing staff is associated with a negative impact on patient health.
Aim. To assess the workload of nurses working in the Internal Medicine Department of Hospital X in Lithuania.
Methods. The study was conducted at the Hospital X. Patient case histories were used in the study, including patients who were treated in the Hospital X from 1 January 2023 to 1 August 2023. Seven hundred and eleven nursing histories were included in the study. A quantitative study, data collection and analysis were performed. The workload of nurses in the Internal Medicine Department of the Hospital X is a multifaceted and essential aspect that requires careful consideration.
Results. The average working time of nurses in the entire department, including time spent with the patient, assessed according to the NAS methodology, and performing nursing procedures was 526,099.2 hours (over a 7-month period). It was found that on average, one nurse had to complete 35,073.3 hours’ worth of nursing work over a 7-month period. The hours would equate to 48 months if the tasks were performed according to global recommendations for the duration of nursing procedures.
Conclusions. It was found that the workload of nurses is very high. Nurses must perform actions and procedures in less time than they are allocated.
Keywords: Nurses; workload; therapeutic; nursing activities score methodology
References
1. Assaye, A. M., Wiechula, R., Schultz, T. J., & Feo, R. (2021). Missed nursing care, nurse staffing levels and patient safety outcomes in low‑income country acute care settings: An observational study. International Journal of Nursing Practice, 28(1), e13031. https://doi.org/10.1111/ijn.13031
2. Čiarnienė, R., Suprikienė, R., Čiutienė, R., Daunorienė, A., & Riklikienė, O. (2019). Managing human resources in nursing: The relationship of nurses’ working time and patients’ independence level. Journal of Business Economics and Management, 20(1), 192–207. https://doi.org/10.3846/jbem.2019.8339
3. Ferramosca, F. M. P., De Maria, M., Ivziku, D., Raffaele, B., Lommi, M., Tolentino Diaz, M. Y., Montini, G., Porcelli, B., De Benedictis, A., Tartaglini, D., & Gualandi, R. (2023). Nurses’ organization of work and its relation to workload in medical surgical units: A cross‑sectional observational multi‑center study. Healthcare, 11(2), 156. https://doi.org/10.3390/healthcare11020156
4. Ivziku, D., Ferramosca, F. M. P., Filomeno, L., Gualandi, R., De Maria, M., & Tartaglini, D. (2022). Defining nursing workload predictors: A pilot study. Journal of Nursing Management, 30(2), 357–599. https://doi.org/10.1111/jonm.13523
5. Jansson, M. M, Syrjälä, H. P., & Ala‑Kokko, T. I. (2018). Association of nurse staffing and nursing workload with ventilator‑associated pneumonia and mortality: A prospective, single‑center cohort study. American Journal of Infection Control, 101(3), 257–263. https://doi.org/10.1016/j.jhin.2018.12.001
6. Lietuvos Respublikos sveikatos apsaugos ministerija. Lietuvos Respublikos sveikatos apsaugos ministro įsakymas dėl slaugytojų darbo krūvio nustatymo tvarkos aprašo tvirtinimo (2016, gegužės 9, Nr. V-400). https://e-seimas.lrs.lt/portal/legalAct/lt/TAD/TAIS.424374/asr
7. Rypicz, L., Witczak, I., Rosińczuk, J., Karniej, P., & Kołcz, A. (2020). Factors affecting Work Ability Index among Polish nurses working in hospitals – A prospective observational survey. Journal of Nursing Management, 29, 468–476. https://doi.org/10.1111/jonm.13192
8. Sardo, P. M. G., Macedo, R. P. A., Alvarelhão, J. J. M., Simões, J. F. L., Guedes, J. A. D., Simões, C. J., & Príncipe, F. (2023). Nursing workload assessment in an intensive care unit: A retrospective observational study using the Nursing Activities Score. Nursing in Critical Care, 28(2), 288–297. https://doi.org/10.1111/nicc.12854
9. Tamata, A. T., & Mohammadnezhad, M. (2023). A systematic review study on the factors affecting shortage of nursing workforce in the hospitals. NursingOpen, 10(3), 1247–1257. https://doi.org/10.1002/nop2.1434
10. van den Oetelaar, W. F. J. M., Roelen, C. A. M., Grolman, W., Stellato, R. K., & van Rhenen, W. (2021). Exploring the relation between modelled and perceived workload of nurses and related job demands, job resources and personal resources; a longitudinal study. PLoS ONE, 16(2), e0246658. https://doi.org/10.1371/journal.pone.0246658
11. Winter, V., Dietermann, K., Schneider, U., & Schreyögg, J. (2021). Nurse staffing and patient‑perceived quality of nursing care: A cross‑sectional analysis of survey and administrative data in German hospitals. BMJ Open, 11(11), e051133. https://doi.org/10.1136/bmjopen-2021-051133
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