Literature DB >> 26541418

Nursing performance under high workload: a diary study on the moderating role of selection, optimization and compensation strategies.

Anja Baethge1, Andreas Müller2, Thomas Rigotti1.   

Abstract

AIMS: The aim of this study was to investigate whether selective optimization with compensation constitutes an individualized action strategy for nurses wanting to maintain job performance under high workload.
BACKGROUND: High workload is a major threat to healthcare quality and performance. Selective optimization with compensation is considered to enhance the efficient use of intra-individual resources and, therefore, is expected to act as a buffer against the negative effects of high workload.
DESIGN: The study applied a diary design. Over five consecutive workday shifts, self-report data on workload was collected at three randomized occasions during each shift. Self-reported job performance was assessed in the evening. Self-reported selective optimization with compensation was assessed prior to the diary reporting.
METHODS: Data were collected in 2010. Overall, 136 nurses from 10 German hospitals participated. Selective optimization with compensation was assessed with a nine-item scale that was specifically developed for nursing. The NASA-TLX scale indicating the pace of task accomplishment was used to measure workload. Job performance was assessed with one item each concerning performance quality and forgetting of intentions.
RESULTS: There was a weaker negative association between workload and both indicators of job performance in nurses with a high level of selective optimization with compensation, compared with nurses with a low level. Considering the separate strategies, selection and compensation turned out to be effective.
CONCLUSION: The use of selective optimization with compensation is conducive to nurses' job performance under high workload levels. This finding is in line with calls to empower nurses' individual decision-making.
© 2015 John Wiley & Sons Ltd.

Entities:  

Keywords:  SOC; forgetting of intentions; nurses; nursing; performance quality; workload

Mesh:

Year:  2015        PMID: 26541418     DOI: 10.1111/jan.12847

Source DB:  PubMed          Journal:  J Adv Nurs        ISSN: 0309-2402            Impact factor:   3.187


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