Nursing workload: influence of indirect care interventions

To evaluate nurses’ perception of the degree of interference of indirect care interventions on the team’s workload and to verify the association between these interventions and the professional and institutional variables.

Method:

A research survey through e-mail conducted with clinical nurses, unit managers and service managers from eight Brazilian states. A questionnaire containing 28 indirect care interventions and their definitions proposed by the Nursing Interventions Classification was applied.

Results:

A total of 151 clinical nurses participated, and a response rate of 14.8% was obtained. The indirect care interventions reported as those which most increase the workload were: Preceptor: employee (M = 3.2), Employee Development (M = 3.1), Physician Support (M = 3.0) and Conflict mediation (M = 3.0). Statistically significant associations between the investigated interventions and the institutional variables (legal nature and size) were evidenced.

Conclusion:

Nurses in different practice scenarios perceive that indirect care interventions influence the workload in a differentiated way, with emphasis on the demands related to the monitoring and qualification of employees.

DESCRIPTORS:
Workload; Workflow; Time Management; Nursing Staff, Hospital

Intervention	*M(SD)*	*MD(Q1-Q3)*
Preceptor: employee	3.2(0.9)	3(4-3)
Employee development	3.1(0.9)	3(4-3)
Conflict mediation	3.0(0.9)	3(4-2)
Physician Support	3.0(0.9)	2(4-2)
Infection control	2.9(0.9)	3(4-2)
Supervision	2.9(0.9)	3(1-2)
Preceptor: student	2.9(0.9)	3(4-2)
Employee supervision	2.9(0.9)	2(4-2)
Technology control	2.9(0.9)	3(4-2)
Documentation	2.9(0.9)	3(4-2)
Health care information exchange	2.9(0.9)	3(4-2)
Interpretation of laboratory data	2.8(0.9)	2(3-2)
Control of supplies	2.8(0.9)	3(3-2)
Transcription of prescriptions	2.7(0.9)	3(3-2)
Quality control	2.7(0.8)	3(3-2)
Environment control	2.7(0.9)	3(3-2)
Delegation	2.6(0.9)	3(3-2)
Emergency cart check	2.6(0.9)	2(3-2)
Incident reports	2.5(0.9)	2(3-2)
Multidisciplinary care evaluation	2.5(0.9)	2(3-2)
Referral	2.5(0.9)	3(3-2)
Verification of controlled substance	2.5(0.8)	2(3-2)
Medication control	2.5(0.9)	3(3-2)
Product evaluation	2.4(0.8)	2(3-2)
Shift change	2.3(1.0)	2(3-1)
Management of financial resources	2.3(0.9)	2(3-1)
Control of sample for exams	2.3(0.9)	2(3-2)
Research data collection	2.3(0.9)	2(3-2)

Intervention	Teaching	Private	Public
Intervention	Md(Q1-Q3)	Md(Q1-Q3)	Md(Q1-Q3)
Legal Nature
Medication Control	2(2-3)	3(2-3)	3(2-3)
Environment Control	2(2-3)	3(2-3)	3(2-4)
Verification of controlled substances	2(2-3)	3(2-3)	3(2-3)
Interpretation of laboratory data	2(-)	3(2-3)	3(2-3)
Physician Support	3(2-3)	4(3-4)	3(2-4)
Preceptor: employee	3(2-4)	4(3-4)	3(3-4)

Intervention	Increase in workload
Intervention	None/little	Moderate/high
Legal nature
Environment control	Teaching	Public*
Physician support	Teaching	Private*
Verification of controlled substance	Teaching	Public*
Interpretation of laboratory data	Teaching	Public**
Employee supervision	Teaching	Private*
Health care information exchange	Teaching	Private**
Multidisciplinary care evaluation meeting	Teaching	Private**
Size
Infection control	Small/Extra	Large*
Multidisciplinary care evaluation meeting	Extra	Medium*
Referral	Extra	Small*
Unit/service
Referral	UESP	Emergency*

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Marcia Galan Perroca Av. Brigadeiro Faria Lima 5416 - Vila São Pedro CEP 15090-000 - São José do Rio Preto, SP, Brazil marcia.perroca@gmail.com

Brasil

Brasil

Nursing workload: influence of indirect care interventions* * *Extracted from the dissertation: “Influência das intervenções de cuidados indiretos sobre a carga de trabalho de enfermagem”, Programa de Pós-Graduação da Faculdade de Medicina de São José do Rio Preto, 2018.

Carga laboral de enfermería: influencia de las intervenciones de cuidados indirectos

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Nursing workload: influence of indirect care interventions^* * *Extracted from the dissertation: “Influência das intervenções de cuidados indiretos sobre a carga de trabalho de enfermagem”, Programa de Pós-Graduação da Faculdade de Medicina de São José do Rio Preto, 2018.