A review of inpatient nursing workload measures

2021 ◽  
Author(s):  
Stepney Racy ◽  
Patricia M. Davidson ◽  
Anna Peeler ◽  
David N. Hager ◽  
Lara Street ◽  
...  
Keyword(s):  
Nursing Workload ◽  
Inpatient Nursing

scholarly journals Factors associated with the decision to prescribe and administer antipsychotics for older people with delirium: a qualitative descriptive study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e047247
Author(s):  
Emily J Tomlinson ◽  
Helen Rawson ◽  
Elizabeth Manias ◽  
Nicole (Nikki) M Phillips ◽  
Peteris Darzins ◽  
...  
Keyword(s):  
Decision Making ◽  
Older People ◽  
Health Professionals ◽  
Acute Care Hospital ◽  
Nursing Workload ◽  
Care Hospital ◽  
Antipsychotic Medications ◽  
Factors Associated ◽  
Multiple Factors ◽  
Qualitative Descriptive

ObjectivesTo explore factors associated with decision-making of nurses and doctors in prescribing and administering as required antipsychotic medications to older people with delirium.DesignQualitative descriptive.SettingTwo acute care hospital organisations in Melbourne, Australia.ParticipantsNurses and doctors were invited to participate. Semi-structured focus groups and individual interviews were conducted between May 2019 and March 2020. Interviews were audio-recorded and transcribed verbatim. Data were analysed using thematic analysis.ResultsParticipants were 42 health professionals; n=25 nurses and n=17 doctors. Themes relating to decisions to use antipsychotic medication were: safety; a last resort; nursing workload; a dilemma to medicate; and anticipating worsening behaviours. Nurses and doctors described experiencing pressures when trying to manage hyperactive behaviours. Safety was a major concern leading to the decision to use antipsychotics. Antipsychotics were often used as chemical restraints to ‘sedate’ a patient with delirium because nurses ‘can’t do their job’. Results also indicated that nurses had influence over doctors’ decisions despite nurses being unaware of this influence. Health professionals’ descriptions are illustrated in a decision-making flowchart that identifies how nurses and doctors navigated decisions regarding prescription and administration of antipsychotic medications.ConclusionsThe decision to prescribe and administer antipsychotic medications for people with delirium is complex as nurses and doctors must navigate multiple factors before making the decision. Collaborative support and multidisciplinary teamwork are required by both nurses and doctors to optimally care for people with delirium. Decision-making support for nurses and doctors may also help to navigate the multiple factors that influence the decision to prescribe antipsychotics.

scholarly journals Will the demands by the covid-19 pandemic increase the intent to quit the profession of long-term care managers? A repeated cross-sectional study in Germany

2021 ◽  
Author(s):  
Timo-Kolja Pförtner ◽  
Holger Pfaff ◽  
Kira Isabel Hower
Keyword(s):  
Online Survey ◽  
Long Term Care ◽  
Intention To Leave ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Term Care ◽  
Care Managers ◽  
Care Facilities ◽  
Inpatient Nursing

Abstract The Corona pandemic poses major demands for long-term care, which might have impacted the intention to quit the profession among managers of long-term care facilities. We used cross-sectional data of an online survey of long-term care managers from outpatient and inpatient nursing and palliative care facilities surveyed in April 2020 (survey cycle one; n = 532) and between December 2020 and January 2021 (survey cycle two; n = 301). The results show a significant association between the perceived pandemic-specific and general demands and the intention to leave the profession. This association was significantly stronger for general demands in survey cycle two compared with survey cycle one. The results highlight the pandemic’s immediate impact on long-term care. In view of the increasing number of people in need of care and the already existing scarcity of specialized nursing staff, the results highlight the need for initiatives to ensure the provision of long-term care, also and especially in such times of crisis.

Budgeting nursing workload for required minimum data set assessments

2007 ◽  
Vol 15 (4) ◽  
pp. 442-448 ◽  
Author(s):  
LINDA ADAMS-WENDLING ◽  
JEAN DEDONDER ◽  
SARAH TIDWELL ◽  
CATHY PIMPLE ◽  
LYNNETTE SCHMIOT ◽  
...  
Keyword(s):  
Minimum Data Set ◽  
Nursing Workload ◽  
Data Set ◽  
Minimum Data

Evolution of Nursing Workload Indicators Since the Implementation of the Electronic Health Record at a Tertiary Hospital in Spain

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
María E. Martín-Méndez ◽  
Vanesa García-Díaz ◽  
Paula Zurrón-Madera ◽  
Ana Fernández-Feito ◽  
Franz Jimeno-Demuth ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Tertiary Hospital ◽  
Nursing Workload ◽  
Health Record ◽  
Electronic Health

The burden of not-weighted factors in nursing workload: Can Nursing Activities Score be more suitable than TISS 28 and NEMS?

2019 ◽  
Vol 51 ◽  
pp. 82-83
Author(s):  
Alberto Lucchini ◽  
Christian De Felippis ◽  
Stefano Elli ◽  
Stefano Bambi
Keyword(s):  
Nursing Workload

scholarly journals Nurses' leadership styles in the icu: association with personal and professional profile and workload

2009 ◽  
Vol 17 (1) ◽  
pp. 28-33 ◽  
Author(s):  
Alexandre Pazetto Balsanelli ◽  
Isabel Cristina Kowal Olm Cunha ◽  
Iveth Yamaguchi Whitaker
Keyword(s):  
Leadership Styles ◽  
Leadership Style ◽  
T Test ◽  
Descriptive Statistics ◽  
Nursing Workload ◽  
Comparison Test ◽  
Multiple Comparison Test ◽  
Professional Profile ◽  
Student’S T ◽  
Student’S T Test

This study aims to explore the association between nurses' leadership styles and personal and professional nursing profile and workload. The sample consisted of seven nurses and seven nursing technicians who were grouped into pairs. At the end of three months, nurses were queried regarding what leadership style would be adopted when the nursing technician under their evaluation delivered care to patients admitted to the ICU. Relevant data was analyzed by applying descriptive statistics, Tukey's multiple comparison test and Student's t-test (p< 0.05). Nursing workload reached 80.1% on average. The personal and professional profile variables did not show any relation with the leadership styles chosen by nurses (p>0.05). The determine, persuade, and share leadership styles prevailed. However, whenever the nursing workload peaked, the determine and persuade styles were used (p<0.05).

The influence of delayed admission to intensive care unit on mortality and nursing workload: a cohort study

2018 ◽  
Vol 24 (6) ◽  
pp. 381-386 ◽  
Author(s):  
Ester Góes Oliveira ◽  
Paulo Carlos Garcia ◽  
Clairton Marcos Citolino Filho ◽  
Lilia Nogueira
Keyword(s):  
Intensive Care Unit ◽  
Cohort Study ◽  
Intensive Care ◽  
Nursing Workload
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