Araştırma Makalesi
How Does Workload Affect the Innovative Approach of Intensive Care Nurses? A Cross-Sectional Descriptive Study
Öz
Objective: Intensive care nurses (ICN) worldwide are engaged in innovative activities and initiatives daily that lead to significant improvements in health with the aim of improving patient care outcomes and reducing health care costs. The workload of the ICNs may affect their creative and innovative approach. The aim of this study is to determine the impact of ICNs workloads during the patient care on attitudes towards innovative approaches.
Material and Methods: This is a cross sectional descriptive study. One hundred and thirty eight nurses working in intensive care units at a city training and research hospital in Turkey constituted the sample. Data was collected using "Participant Information Form", “Individual Innovativeness Scale in Nursing Profession” (IIS) and the “Workload Scale". Kolmogorov-Smirnov normality test, Mann Whitney U test, Kruskall-Wallis test, Spearmans correlation were used for statistical analyses. Demographic statistics are also given.
Results: According to IIS, 2.2% (n=3) of respondents are innovators, 0.7% (n=1) pioneers, 4.3% (n=6) interrogators, 13.8% (n=19) skeptics, and 79% (n=109) traditionalists. Participants had an average score of 5.00±1.17 and a total score of 2.94±0.44. Differences were found between the workload and the innovativeness subscale of IIS (p=0.012).
Conclusion: The results of our study revealed that the ICNs have excessive workloads and most of them have a traditional attitude to individual innovation.
Anahtar Kelimeler
Proje Numarası
yok
Kaynakça
- 1.Alghamdi MG. Nursing workload: a concept analysis. Journal of Nursing Management 2016; 24(4): 449-57.
- 2. de Cordova PB, Lucero RJ, Hyun S, Quinlan P, Price K, Stone PW. Using the nursing interventions classification as a potential measure of nurse workload. J Nurs Care Qual 2010; 25(1): 39–45.
- 3.Tubbs-Cooley HL, Mara CA, Carle AC, Mark BA, Pickler RH. Association of nurse workload with missed nursing care in the neonatal ıntensive care unit. JAMA Pediatr 2020; 173(1):44-51.
- 4. Ross C, Rogers C, King C. Safety culture and an invisible nursing workload. Collegian 2019; 26: 1–7.
- 5.Cusson RM, Meehan C, Bourgault A, Kelley T. Educating the next generation of nurses to be innovators and change agents. Journal of Professional Nursing 2020; 36: 13–9.
- 6. Vila LE, Perez PJ, Coll-Serrano V. Innovation at the workplace: Do professional competencies matter? Journal of Business Research 2014; 67(5): 752-7.
- 7.Chheda K. Effects of nurses' workload on creativity and ınnovation: Examining the role of trait mindfulness as a moderator. University of Central Florida, Electronic Theses and Dissertations, 340. 2020.Available: https://stars.library.ucf.edu/etd2020/340.
- 8. Sulistyowati AD, Rusminingsih E, Prakosa W. Correlatıon nursıng workload wıth therapeutıc communıcatıon ımplementatıon. Journal of Vocational Nursing 2020; 1: 69-72.
- 9. Chang LY, Yu HH, Chao YFC. The relationship between nursing workload, quality of care and nursing payment in ıntensive care units. The Journal of Nursing Research 2019; 27(1):1-9.
- 10.Hoogendoorn ME, Margadant CC, Brinkman S, Haringman JJ, Spijkstra JJ, Keizer NF. Workload scoring systems in the intensive care and their ability to quantify the need for nursing time: a systematic literature review. Int J Nurs Stud 2020; 101: 103408.
- 11. Menemencioğlu A. New technology use in critical patient care. Cukurova Med J (Special Issues 1): 2020; 45: 44-7.
- 12.Jouparinejad S, Foroughameri G, Khajouei R, Farokhzadian J. Improving the informatics competency of critical care nurses: Results of an interventional study in the southeast of Iran. BMC Medical Informatics and Decision Making 2020; 20(220):1-12.
- 13.Polster D, Villines D. An exploratory descriptive study of registered nurse innovation: implications for levels of adoption. Clinical Nurse Specialist 2017; 31(1): 1-9.
- 14. Utli H, Vural Doğru B. Evaluation of ındividual ınnovative characteristics of nursing and midwifery students. Gümüşhane University Journal of Health Sciences 2018; 7(3): 23- 32.
- 15. Yan D, Wen F, Li X, Zhang Y. The relationship between psychological capital and innovation behaviour in Chinese nurses. Journal of Nursing Management 2020; 28(3): 471-9.
- 16.Hurt HT, Joseph K, Cook CD. ''Scales for the measurement ofinnovativeness''. Human Communication Research 1977; 4(1): 58-65.
- 17. Sarıoglu Kemer A, Altuntas S. Adaptation of the ındividual ınnovativeness scale in nursing profesion: Turkish validity - reliability study. Hemşirelikte Eğitim ve Araştırma Dergisi 2017; 14 (1): 52-61.
- 18.Turgut T. Çalışmaya tutkunluk: iş yükü, esnek çalışma saatleri, yönetici desteği ve iş-aile çatışması ile ilişkileri. Atatürk Üniversitesi İktisadi ve İdari Bilimler Dergisi 2011; 25: 3-4.
- 19.Bruyneel A, Tack J, Droguet M, Maes J, Wittebole X, Miranda DR, Di Pierdomenico L. Measuring the nursing workload in intensive care with the Nursing Activities Score (NAS): A prospective study in 16 hospitals in Belgium. Journal of Critical Care 2019; 54: 205-11.
- 20.Holland P, Tham TL, Sheehan C, Cooper B. The impact of perceived workload on nurse satisfaction with work-life balance and intention to leave the occupation. Appl Nurs Res 2019; 49: 70-76.
- 21.Ayvaz MY, Akyol YE, Demiral M. Innovation in nursing and ınnovative attitudes of nurses. In International Journal of Health Administration and Education Congress (Sanitas Magisterium) 2019; 5 (2): 52-9.
- 22.Momennasab M, Karimi F, Dehghanrad F, Zarshenas L. Evaluation of nursing workload and efficiency of staff allocation in a trauma Intensive Care Unit. Trauma Mon 2018; 23(1): e58161.
- 23.Fasoi G. Patsiou E, Stavropoulou A, Kaba E, Papageorgiou D, Toylia G, Goula A, Kelesi M. Assessment of nursing workload as a mortality predictor in ıntensive care units (ICU) using the Nursing Activities Score (NAS) Scale. Int. J. Environ. Res. Public Health 2020; 18(1): 79.
- 24.Saleh AA. An overview on critical care nurses: Challenges & Workload. Journal of Perioperative & Critical Intensive Care Nursing 2021; 7: 168.
- 25.Raj JP, Sen N, John KR. Factors influencing nursing care in a surgical intensive care unit. Indian J Crit Care Med 2006; 10 (1):15-20.
- 26.Wang YX, Yang YJ, Wang Y, Su D, Li SW, Zhang T, Li HP. The mediating role of inclusive leadership: Work engagement and innovative behaviour among Chinese head nurses. Journal of Nursing Management 2019; 27(4): 688-96.
- 27. Abd El Fattah MH. Innovation behavior levels and its relation with TIGER-based nursing informatics competencies among critical care nurses. Egyptian Nursing Journal 2017; 14:59–69.
- 28.Sönmez B, Yıldırım A. The mediating role of autonomy in the effect of pro-innovation climate and supervisor supportiveness on innovativebehavior of nurses. European Journal of Innovation Management 2019; 22(1):41-58.
- 29.Bahari K, Talosig AG, Pizarro JB. Nursing technologies creativity as an expression of caring: A grounded theory study. Global Qualitative Nursing Research 2021; 8:1–10.
- 30.Salge TO, Vera A. Hospital innovativeness and organizational performance: Evidence from English public acute care. Health Care Manage Rev 2009; 34(1):54–67.
- 31.Ravat F, Percier L, Akkal R, Morris W, Fontaine M, Payre J, Poupelin JC. Working time and workload of nurses: The experience of a burn center in a high income country. Burns 2014; 40: 1133–40.
- 32. Abd El-Aziz HS, Shazly EMM, Mahmoud SI. Nurses perception toward nursing workloads and its effect on nurses errors at Benha University Hospital. Egyptian Journal of Health Care 2017; 8 (1): 53-64.
İş Yükü, Yoğun Bakım Hemşirelerinin Yenilikçi Yaklaşımını Nasıl Etkiliyor? Kesitsel-Tanımlayıcı Bir Çalışma
Öz
Amaç: Dünya çapında yoğun bakım hemşireleri, günlük olarak hasta bakım sonuçlarını iyileştirme ve sağlık bakım maliyetlerini düşürme amacıyla, sağlık alanında önemli gelişmelere neden olan yenilikçi faaliyetler ve girişimlerde bulunmaktadır. Yoğun bakım hemşrelerinin iş yükünün fazla olması yaratıcı ve yenilikçi yaklaşımlarını etkileyebilmektedir. Bu çalışmanın amacı yoğun bakım hemşirelerinin hasta bakımı sırasındaki iş yüklerinin yenilikçi yaklaşımlara yönelik tutumları üzerinde etkisini belirlemektir.
Gereç ve Yöntemler: Çalışma, kesitsel ve tanımlayıcı tipte yapılmıştır. Çalışmanın örneklemini Türkiye’de bir şehir eğitim ve araştırma hastanesinin yoğun bakım ünitelerinde çalışan 138 hemşire oluşturdu. Veriler “Tanılama Formu”, “Bireysel Yenilikçilik Ölçeği’nin Hemşireliğe Uyarlanmış Versiyonu” ve “İş Yükü Ölçeği” ile toplanmıştır. İstatistiksel analizlerde Kolmogorov-Smirnov normallik testi, Mann Whitney U test, Kruskall-Wallis test, Spearmans Korelasyon kullanılmıştır. Ayrıca tanıtıcı istatistikler de verilmiştir.
Bulgular: Bireysel Yenilikçilik Ölçeği’ne göre katılımcıların %2,2’si yenilikçi, %0,7’si öncü, %4,3’ü sorgulayıcı, %13,8’i kuşkucu, %79’u ise gelenekçidir. İş yükü ölçeğinin puan ortalamasının 5,00±1,17, Bireysel Yenilikçilik Ölçeği’nin toplam puan ortalamasının 2,94±0,44 olduğu saptandı. İş yükü ile Bireysel Yenilikçilik Ölçeği’nin alt boyutu arasında farklılık bulundu (p=0.012).
Sonuç: Çalışmamızın sonucunda yoğun bakım hemşirelerinin iş yüklerinin fazla ve çoğunluğunun bireysel yenilik konusunda geleneksel bir tutum sergilemekte olduğu saptandı.
Anahtar Kelimeler
Destekleyen Kurum
yok
Proje Numarası
yok
Kaynakça
- 1.Alghamdi MG. Nursing workload: a concept analysis. Journal of Nursing Management 2016; 24(4): 449-57.
- 2. de Cordova PB, Lucero RJ, Hyun S, Quinlan P, Price K, Stone PW. Using the nursing interventions classification as a potential measure of nurse workload. J Nurs Care Qual 2010; 25(1): 39–45.
- 3.Tubbs-Cooley HL, Mara CA, Carle AC, Mark BA, Pickler RH. Association of nurse workload with missed nursing care in the neonatal ıntensive care unit. JAMA Pediatr 2020; 173(1):44-51.
- 4. Ross C, Rogers C, King C. Safety culture and an invisible nursing workload. Collegian 2019; 26: 1–7.
- 5.Cusson RM, Meehan C, Bourgault A, Kelley T. Educating the next generation of nurses to be innovators and change agents. Journal of Professional Nursing 2020; 36: 13–9.
- 6. Vila LE, Perez PJ, Coll-Serrano V. Innovation at the workplace: Do professional competencies matter? Journal of Business Research 2014; 67(5): 752-7.
- 7.Chheda K. Effects of nurses' workload on creativity and ınnovation: Examining the role of trait mindfulness as a moderator. University of Central Florida, Electronic Theses and Dissertations, 340. 2020.Available: https://stars.library.ucf.edu/etd2020/340.
- 8. Sulistyowati AD, Rusminingsih E, Prakosa W. Correlatıon nursıng workload wıth therapeutıc communıcatıon ımplementatıon. Journal of Vocational Nursing 2020; 1: 69-72.
- 9. Chang LY, Yu HH, Chao YFC. The relationship between nursing workload, quality of care and nursing payment in ıntensive care units. The Journal of Nursing Research 2019; 27(1):1-9.
- 10.Hoogendoorn ME, Margadant CC, Brinkman S, Haringman JJ, Spijkstra JJ, Keizer NF. Workload scoring systems in the intensive care and their ability to quantify the need for nursing time: a systematic literature review. Int J Nurs Stud 2020; 101: 103408.
- 11. Menemencioğlu A. New technology use in critical patient care. Cukurova Med J (Special Issues 1): 2020; 45: 44-7.
- 12.Jouparinejad S, Foroughameri G, Khajouei R, Farokhzadian J. Improving the informatics competency of critical care nurses: Results of an interventional study in the southeast of Iran. BMC Medical Informatics and Decision Making 2020; 20(220):1-12.
- 13.Polster D, Villines D. An exploratory descriptive study of registered nurse innovation: implications for levels of adoption. Clinical Nurse Specialist 2017; 31(1): 1-9.
- 14. Utli H, Vural Doğru B. Evaluation of ındividual ınnovative characteristics of nursing and midwifery students. Gümüşhane University Journal of Health Sciences 2018; 7(3): 23- 32.
- 15. Yan D, Wen F, Li X, Zhang Y. The relationship between psychological capital and innovation behaviour in Chinese nurses. Journal of Nursing Management 2020; 28(3): 471-9.
- 16.Hurt HT, Joseph K, Cook CD. ''Scales for the measurement ofinnovativeness''. Human Communication Research 1977; 4(1): 58-65.
- 17. Sarıoglu Kemer A, Altuntas S. Adaptation of the ındividual ınnovativeness scale in nursing profesion: Turkish validity - reliability study. Hemşirelikte Eğitim ve Araştırma Dergisi 2017; 14 (1): 52-61.
- 18.Turgut T. Çalışmaya tutkunluk: iş yükü, esnek çalışma saatleri, yönetici desteği ve iş-aile çatışması ile ilişkileri. Atatürk Üniversitesi İktisadi ve İdari Bilimler Dergisi 2011; 25: 3-4.
- 19.Bruyneel A, Tack J, Droguet M, Maes J, Wittebole X, Miranda DR, Di Pierdomenico L. Measuring the nursing workload in intensive care with the Nursing Activities Score (NAS): A prospective study in 16 hospitals in Belgium. Journal of Critical Care 2019; 54: 205-11.
- 20.Holland P, Tham TL, Sheehan C, Cooper B. The impact of perceived workload on nurse satisfaction with work-life balance and intention to leave the occupation. Appl Nurs Res 2019; 49: 70-76.
- 21.Ayvaz MY, Akyol YE, Demiral M. Innovation in nursing and ınnovative attitudes of nurses. In International Journal of Health Administration and Education Congress (Sanitas Magisterium) 2019; 5 (2): 52-9.
- 22.Momennasab M, Karimi F, Dehghanrad F, Zarshenas L. Evaluation of nursing workload and efficiency of staff allocation in a trauma Intensive Care Unit. Trauma Mon 2018; 23(1): e58161.
- 23.Fasoi G. Patsiou E, Stavropoulou A, Kaba E, Papageorgiou D, Toylia G, Goula A, Kelesi M. Assessment of nursing workload as a mortality predictor in ıntensive care units (ICU) using the Nursing Activities Score (NAS) Scale. Int. J. Environ. Res. Public Health 2020; 18(1): 79.
- 24.Saleh AA. An overview on critical care nurses: Challenges & Workload. Journal of Perioperative & Critical Intensive Care Nursing 2021; 7: 168.
- 25.Raj JP, Sen N, John KR. Factors influencing nursing care in a surgical intensive care unit. Indian J Crit Care Med 2006; 10 (1):15-20.
- 26.Wang YX, Yang YJ, Wang Y, Su D, Li SW, Zhang T, Li HP. The mediating role of inclusive leadership: Work engagement and innovative behaviour among Chinese head nurses. Journal of Nursing Management 2019; 27(4): 688-96.
- 27. Abd El Fattah MH. Innovation behavior levels and its relation with TIGER-based nursing informatics competencies among critical care nurses. Egyptian Nursing Journal 2017; 14:59–69.
- 28.Sönmez B, Yıldırım A. The mediating role of autonomy in the effect of pro-innovation climate and supervisor supportiveness on innovativebehavior of nurses. European Journal of Innovation Management 2019; 22(1):41-58.
- 29.Bahari K, Talosig AG, Pizarro JB. Nursing technologies creativity as an expression of caring: A grounded theory study. Global Qualitative Nursing Research 2021; 8:1–10.
- 30.Salge TO, Vera A. Hospital innovativeness and organizational performance: Evidence from English public acute care. Health Care Manage Rev 2009; 34(1):54–67.
- 31.Ravat F, Percier L, Akkal R, Morris W, Fontaine M, Payre J, Poupelin JC. Working time and workload of nurses: The experience of a burn center in a high income country. Burns 2014; 40: 1133–40.
- 32. Abd El-Aziz HS, Shazly EMM, Mahmoud SI. Nurses perception toward nursing workloads and its effect on nurses errors at Benha University Hospital. Egyptian Journal of Health Care 2017; 8 (1): 53-64.
Toplam 32 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Proje Numarası | yok |
| Erken Görünüm Tarihi | 10 Mayıs 2024 |
| Yayımlanma Tarihi | 1 Mayıs 2024 |
| Gönderilme Tarihi | 25 Nisan 2023 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 10 Sayı: 2 |
