Identification of the Determinants of the Perceived Workload of Nurses

NCT ID: NCT05140473

Last Updated: 2024-04-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

484 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-06-20

Study Completion Date

2023-11-02

Brief Summary

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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

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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.

Conditions

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Nurses's Workload

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Interventions

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perceived workload

Perceived workload takes into account the acts and care performed but also the pressure felt of having been efficient in its task, the efforts made and the level of frustration felt.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 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

Exclusion Criteria

* 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
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sophie CRETE, BSc nursing

Role: PRINCIPAL_INVESTIGATOR

Assistance Public-Hôpitaux de Paris

Medhi OUALHA, MD, PhD

Role: STUDY_CHAIR

Assistance Public-Hôpitaux de Paris

Locations

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Necker Enfants malades hospital

Paris, , France

Site Status

Countries

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France

References

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Lebet RM, Hasbani NR, Sisko MT, Agus MSD, Nadkarni VM, Wypij D, Curley MAQ. Nurses' Perceptions of Workload Burden in Pediatric Critical Care. Am J Crit Care. 2021 Jan 1;30(1):27-35. doi: 10.4037/ajcc2021725.

Reference Type BACKGROUND
PMID: 33385203 (View on PubMed)

Helmreich RL. On error management: lessons from aviation. BMJ. 2000 Mar 18;320(7237):781-5. doi: 10.1136/bmj.320.7237.781. No abstract available.

Reference Type BACKGROUND
PMID: 10720367 (View on PubMed)

Llenore E, Ogle KR. Nurse-patient communication in the intensive care unit: a review of the literature. Aust Crit Care. 1999 Dec;12(4):142-5. doi: 10.1016/s1036-7314(99)70599-0.

Reference Type BACKGROUND
PMID: 11271028 (View on PubMed)

Gurses AP, Carayon P, Wall M. Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life. Health Serv Res. 2009 Apr;44(2 Pt 1):422-43. doi: 10.1111/j.1475-6773.2008.00934.x. Epub 2008 Dec 16.

Reference Type BACKGROUND
PMID: 19207589 (View on PubMed)

Nasirizad Moghadam K, Chehrzad MM, Reza Masouleh S, Maleki M, Mardani A, Atharyan S, Harding C. Nursing physical workload and mental workload in intensive care units: Are they related? Nurs Open. 2021 Jul;8(4):1625-1633. doi: 10.1002/nop2.785. Epub 2021 Feb 17.

Reference Type BACKGROUND
PMID: 33596333 (View on PubMed)

Young G, Zavelina L, Hooper V. Assessment of workload using NASA Task Load Index in perianesthesia nursing. J Perianesth Nurs. 2008 Apr;23(2):102-10. doi: 10.1016/j.jopan.2008.01.008.

Reference Type BACKGROUND
PMID: 18362006 (View on PubMed)

Tubbs-Cooley HL, Mara CA, Carle AC, Gurses AP. The NASA Task Load Index as a measure of overall workload among neonatal, paediatric and adult intensive care nurses. Intensive Crit Care Nurs. 2018 Jun;46:64-69. doi: 10.1016/j.iccn.2018.01.004. Epub 2018 Feb 12.

Reference Type BACKGROUND
PMID: 29449130 (View on PubMed)

Other Identifiers

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2021-A01542-39

Identifier Type: OTHER

Identifier Source: secondary_id

APHP211025

Identifier Type: -

Identifier Source: org_study_id

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