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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,...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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