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Nurses’ Organization of Work and Its Relation to Workload in Medical Surgical Units: A Cross-Sectional Observational Multi-Center Study
Introduction: Work contexts can affect nurses’ work and work outcomes. Work context factors of nurses, patients, or workflow can modulate nurses’ organization of work and determine increased workloads. Aim: The aim of this research was to analyze relationships between factors regarding the patient,...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9858832/ https://www.ncbi.nlm.nih.gov/pubmed/36673524 http://dx.doi.org/10.3390/healthcare11020156 |
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author | Ferramosca, Federica Maria Pia De Maria, Maddalena Ivziku, Dhurata Raffaele, Barbara Lommi, Marzia Tolentino Diaz, Maria Ymelda Montini, Graziella Porcelli, Barbara De Benedictis, Anna Tartaglini, Daniela Gualandi, Raffaella |
author_facet | Ferramosca, Federica Maria Pia De Maria, Maddalena Ivziku, Dhurata Raffaele, Barbara Lommi, Marzia Tolentino Diaz, Maria Ymelda Montini, Graziella Porcelli, Barbara De Benedictis, Anna Tartaglini, Daniela Gualandi, Raffaella |
author_sort | Ferramosca, Federica Maria Pia |
collection | PubMed |
description | Introduction: Work contexts can affect nurses’ work and work outcomes. Work context factors of nurses, patients, or workflow can modulate nurses’ organization of work and determine increased workloads. Aim: The aim of this research was to analyze relationships between factors regarding the patient, the nurse, workflow, and nurses’ work organization, to investigate whether work organization is related to physical, mental, and emotional workloads, and to explore whether one dimension of workload influences the other dimensions. Methods: We used a cross-sectional design based on the Job Demand-Resources theory. We asked registered nurses, working in nine medical-surgical wards across three hospitals in Italy, to self-report on work organization and workloads regarding randomized shifts over three consecutive weeks. Four scales from the QEEW 2.0 questionnaire were used on an online survey for data collection. multivariable linear regressions with structural equation modelling were tested. The study was approved by the three local Ethics Committees. Results: We received 334 questionnaires regarding 125 shifts worked. Patient complexity (β = 0.347), patient specialties (β = 0.127), adequacy of staffing (β = −0.204), collaboration with colleagues (β = −0.155), unscheduled activities (β = 0.213), supply search (β = 0.141), and documentation (β = 0.221) significantly influenced nurses’ work organization. Nurses’ work organization was significantly related to physical, mental, and emotional nursing workloads. Conclusions: the patient, the nurse, and workflow aspects influence nurses’ work organization and workloads. Healthcare organizations, managers, and nurses should explore work settings to identify work turbulences early and implement strategies to improve nursing work conditions and workloads. |
format | Online Article Text |
id | pubmed-9858832 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-98588322023-01-21 Nurses’ Organization of Work and Its Relation to Workload in Medical Surgical Units: A Cross-Sectional Observational Multi-Center Study Ferramosca, Federica Maria Pia De Maria, Maddalena Ivziku, Dhurata Raffaele, Barbara Lommi, Marzia Tolentino Diaz, Maria Ymelda Montini, Graziella Porcelli, Barbara De Benedictis, Anna Tartaglini, Daniela Gualandi, Raffaella Healthcare (Basel) Article Introduction: Work contexts can affect nurses’ work and work outcomes. Work context factors of nurses, patients, or workflow can modulate nurses’ organization of work and determine increased workloads. Aim: The aim of this research was to analyze relationships between factors regarding the patient, the nurse, workflow, and nurses’ work organization, to investigate whether work organization is related to physical, mental, and emotional workloads, and to explore whether one dimension of workload influences the other dimensions. Methods: We used a cross-sectional design based on the Job Demand-Resources theory. We asked registered nurses, working in nine medical-surgical wards across three hospitals in Italy, to self-report on work organization and workloads regarding randomized shifts over three consecutive weeks. Four scales from the QEEW 2.0 questionnaire were used on an online survey for data collection. multivariable linear regressions with structural equation modelling were tested. The study was approved by the three local Ethics Committees. Results: We received 334 questionnaires regarding 125 shifts worked. Patient complexity (β = 0.347), patient specialties (β = 0.127), adequacy of staffing (β = −0.204), collaboration with colleagues (β = −0.155), unscheduled activities (β = 0.213), supply search (β = 0.141), and documentation (β = 0.221) significantly influenced nurses’ work organization. Nurses’ work organization was significantly related to physical, mental, and emotional nursing workloads. Conclusions: the patient, the nurse, and workflow aspects influence nurses’ work organization and workloads. Healthcare organizations, managers, and nurses should explore work settings to identify work turbulences early and implement strategies to improve nursing work conditions and workloads. MDPI 2023-01-04 /pmc/articles/PMC9858832/ /pubmed/36673524 http://dx.doi.org/10.3390/healthcare11020156 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ferramosca, Federica Maria Pia De Maria, Maddalena Ivziku, Dhurata Raffaele, Barbara Lommi, Marzia Tolentino Diaz, Maria Ymelda Montini, Graziella Porcelli, Barbara De Benedictis, Anna Tartaglini, Daniela Gualandi, Raffaella Nurses’ Organization of Work and Its Relation to Workload in Medical Surgical Units: A Cross-Sectional Observational Multi-Center Study |
title | Nurses’ Organization of Work and Its Relation to Workload in Medical Surgical Units: A Cross-Sectional Observational Multi-Center Study |
title_full | Nurses’ Organization of Work and Its Relation to Workload in Medical Surgical Units: A Cross-Sectional Observational Multi-Center Study |
title_fullStr | Nurses’ Organization of Work and Its Relation to Workload in Medical Surgical Units: A Cross-Sectional Observational Multi-Center Study |
title_full_unstemmed | Nurses’ Organization of Work and Its Relation to Workload in Medical Surgical Units: A Cross-Sectional Observational Multi-Center Study |
title_short | Nurses’ Organization of Work and Its Relation to Workload in Medical Surgical Units: A Cross-Sectional Observational Multi-Center Study |
title_sort | nurses’ organization of work and its relation to workload in medical surgical units: a cross-sectional observational multi-center study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9858832/ https://www.ncbi.nlm.nih.gov/pubmed/36673524 http://dx.doi.org/10.3390/healthcare11020156 |
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