作者
Richard J Holden, Matthew C Scanlon, Neal R Patel, Rainu Kaushal, Kamisha Hamilton Escoto, Roger L Brown, Samuel J Alper, Judi M Arnold, Theresa M Shalaby, Kathleen Murkowski, Ben-Tzion Karsh
发表日期
2011/1/1
期刊
BMJ quality & safety
卷号
20
期号
1
页码范围
15-24
出版商
BMJ Publishing Group Ltd
简介
Background
Nursing workload is increasingly thought to contribute to both nurses' quality of working life and quality/safety of care. Prior studies lack a coherent model for conceptualising and measuring the effects of workload in healthcare. In contrast, we conceptualised a human factors model for workload specifying workload at three distinct levels of analysis and having multiple nurse and patient outcomes.
Methods
To test this model, we analysed results from a cross-sectional survey of a volunteer sample of nurses in six units of two academic tertiary care paediatric hospitals.
Results
Workload measures were generally correlated with outcomes of interest. A multivariate structural model revealed that: the unit-level measure of staffing adequacy was significantly related to job dissatisfaction (path loading=0.31) and burnout (path loading=0.45); the task-level measure of mental workload related to interruptions, divided …
引用总数
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