Sandra Sülz1, Kristina Langhammer2, Michael Becker-Peth3, Bernhard Roth2,4. 1. Institute of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands. 2. Department of Neonatology and Paediatric Intensive Care, Children's Hospital, University Hospital of Cologne, Cologne, Germany. 3. Department of Supply Chain Management & Management Science, Faculty of Management, Economics and Social Science, University of Cologne, Cologne, Germany. 4. Department of Business Administration and Health Care Management, Faculty of Management, Economics and Social Science, University of Cologne, Cologne, Germany.
Abstract
AIM: To investigate the drivers of perceived work intensity among neonatal intensive care unit nurses. BACKGROUND: The consequences of high work intensity have been studied extensively, yet setting-specific drivers have received less attention. DESIGN: Prospective, longitudinal and monocentric study design. METHODS: The study combined data from standardized diary surveys and passive observations of study nurses. Data were collected over a period of 6 months in 2015. We considered two scenarios: (1) the perception of normal work intensity relative to non-normal work intensity; and (2) the perception of high work intensity relative to non-high work intensity. Perceived work intensity was then analysed using mixed-effects probit regression models. RESULTS: We found that when direct and indirect care were provided more frequently than administrative and other duties were performed, the evaluated nurses perceived their work intensity to be higher. We also found that nurses who more frequently provided care for sick and preterm infants were less likely to perceive their work intensity as normal and this effect was stronger among nurses who cared for infants under mechanical ventilation than nurses who cared for infants receiving non-invasive respiratory support. CONCLUSION: In the interest of both nurses and infants and the pursuit of a reduction in perceived work intensity and the provision of better neonatal care, caution must be applied when assigning infants to nurses. Further research is needed to validate these findings using a multicentre study design.
AIM: To investigate the drivers of perceived work intensity among neonatal intensive care unit nurses. BACKGROUND: The consequences of high work intensity have been studied extensively, yet setting-specific drivers have received less attention. DESIGN: Prospective, longitudinal and monocentric study design. METHODS: The study combined data from standardized diary surveys and passive observations of study nurses. Data were collected over a period of 6 months in 2015. We considered two scenarios: (1) the perception of normal work intensity relative to non-normal work intensity; and (2) the perception of high work intensity relative to non-high work intensity. Perceived work intensity was then analysed using mixed-effects probit regression models. RESULTS: We found that when direct and indirect care were provided more frequently than administrative and other duties were performed, the evaluated nurses perceived their work intensity to be higher. We also found that nurses who more frequently provided care for sick and preterm infants were less likely to perceive their work intensity as normal and this effect was stronger among nurses who cared for infants under mechanical ventilation than nurses who cared for infants receiving non-invasive respiratory support. CONCLUSION: In the interest of both nurses and infants and the pursuit of a reduction in perceived work intensity and the provision of better neonatal care, caution must be applied when assigning infants to nurses. Further research is needed to validate these findings using a multicentre study design.
Authors: Tatiane Araújo Dos Santos; Handerson Silva Santos; Elieusa E Silva Sampaio; Cristina Maria Meira de Melo; Ednir Assis Souza; Cláudia Geovana da Silva Pires Journal: Rev Lat Am Enfermagem Date: 2020-05-11
Authors: Nadine Scholten; Sebastian Bretthauer; Kerstin Eilermann; Anna Hagemeier; Martin Hellmich; Jan Hoffmann; Dirk Horenkamp-Sonntag; Christiane Jannes; Ludwig Kuntz; Pauline Mantell; Laura Mause; Andreas Müller; Alinda Reimer; Christina Samel; Indra Spiecker Genannt Döhmann; Stefanie Wobbe-Ribinski; Christiane Woopen; Till Dresbach Journal: BMC Health Serv Res Date: 2021-05-12 Impact factor: 2.655