Identification of the Determinants of the Perceived Workload of Nurses
- Conditions
- Nurses's Workload
- Registration Number
- NCT05140473
- Lead Sponsor
- Assistance Publique - Hôpitaux de Paris
- Brief Summary
The purpose of this study is to identify the determinants of the perceived workload of intensive care and pediatric continuous monitoring nurses (factors liked to the care service, staff, patients treated)
- Detailed Description
In intensive care and pediatric continuous monitoring unit (RSCP), the workload of nurses (registered nurses) is high. It is important to distribute the workload correctly among caregivers in order to guarantee the quality and safety of care.
Workload can be measured by different means. The measure of the perceived workload has the advantage of taking into account not only the acts and care performed, but also the time pressure felt, the feeling of having been efficient in its task, the efforts made and the level of frustration felt.
Measuring the workload of RSCP registered nurses will help highlight the factors that may influence the workload. The aim is to allow an adequate distribution of patients between nurses, taking into account the determinants identified during this study.
Primary objective : Measure RSCP's nurses workload
Secondary objectives: Highlight the determinants of the overall perceived workload of RSCP nurses (organizational characteristics, of the individual, of the patient and of his entourage).
Highlight the determinants of each dimension of the perceived workload of RSCP nurses.
The calendar of data collection days will be defined by drawing lots. The day drawn for data collection will proceed normally, with no change in practice for nurses. A study investigator will inform the legal representative (s) of the possible data collection in their child that day and will trace their non-opposition in the medical file.
At the end of the day, registered nurses should collect data relating to family circles and individual characteristics. In addition, nurses must complete a NASA TLX grid for each patient treated during their working time. The grids will be assembled at the end of the day (around 7 p.m.) and handed over to an investigator. The same procedure will apply to the night shift, the grids will be handed over at 7 a.m. to an investigator.
In the following days, the principal investigator will collect the data related to the organizational characteristics and characteristics of the patients.
The perceived workload of nurses working in Intensive care and Continuous Monitoring Unit will be measured for each nurse who has at least 1 patient in charge during a period of 24 hours over 2 days (a day service and a night service, i.e. from 7 a.m. to 7 a.m. / D + 1 ), once a month for a year.
The measurement periods will be drawn at the rate of a period of 24 hours per month for one year, ie 12 periods in total.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 484
- Registered nurses from Pediatric Intensive care and Continuous Monitoring Unit agreeing to participate in the study,
- Having at least one patient in charge over the period considered
- Child regardless of age hospitalized in the Pediatric Intensive care and Continuous Monitoring unit.
- Non-opposition of the legal representative (s) to the collection of data
- Nurse in job adaptation training
- Interim nurse
- Nurse not usually working in intensive care
- Reference nurses of the service
- Legal guardian of the child who doesn't speak or understand French
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Task Load indeX scale (TLX scale) 1 day TLX scale is a workload scale according to 6 dimensions: mental demands, physical demands, time pressure, performance, effort and frustration.Each dimension is evaluated on a 100-points scale. A total score from 0 to 600 points is obtained. A higher score means a worse outcome.
- Secondary Outcome Measures
Name Time Method Previous patient management 1 day Previous patient management (at least once in the previous 12 months)
Patient transport 1 day Number of patient transportations outside the ward.
Treatment 1 day Number of treatments administered / 24 hours
Weight of patient 1 day Weight of patient in kilograms
Lengh of Hospitalisation 1 day Number of days in hospital
Supportive system 1 day Number of supportive systems necessary
Death 1 day Death of patient (yes/no)
Family interview 1 day Family interview realised ( Yes/No)
Seniority in the profession 1 day Seniority in the profession in years Seniority in the service in years Age Previous patient management (at least once in the previous 12 months) Supervision of a student Tutoring a new nurse
New patient 1 day Reception of an incoming patient
Age of nurse 1 day Age of nurse in years
Ratio patient/nurse 1 day Number of patient split by the number of nurse
Period of work 1 day Day / night work
Ethics meeting 1 day Participation of nurse to an ethics meeting
Vascular supply 1 day Type of vascular catheter present on the patient
Seniority in the service 1 day Seniority in the service in years Seniority in the service in years Age Previous patient management (at least once in the previous 12 months) Supervision of a student Tutoring a new nurse
Supervision of a student 1 day Supervision of a student (yes/no)
Age of patient 1 day Age of patient in years
Glasgow score 1 day Glasgow score of patient. Scored on a total score from 3 to 15 points is obtained. A higher score means a better outcome.
Resuscitation maneuver 1 day Resuscitation maneuver necessary (yes/no)
Phone calls 1 day Number of phone calls from parents
Family support 1 day Number of hours of presence of at least one of the two parents
Tutoring a new nurse 1 day Tutoring a new nurse (yes/no)
Trial Locations
- Locations (1)
Necker Enfants malades hospital
🇫🇷Paris, France