A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units

Pascale Carayon; Ayşe P. Gürses

doi:10.1016/j.iccn.2004.12.003

A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units

Research output: Contribution to journal › Article › peer-review

Abstract

In this paper, we review the literature on nursing workload in intensive care units (ICUs) and its impact on patient safety and quality of working life of nurses. We then propose a conceptual framework of ICU nursing workload that defines causes, consequences and outcomes of workload. We identified four levels of nursing workload (ICU/unit level, job level, patient level, and situation level), and discuss measures associated with each of the four levels. A micro-level approach to ICU nursing workload at the situation level is proposed and recommended in order to reduce workload and mitigate its negative impact. Performance obstacles are conceptualized as causes of ICU nursing workload at the situation level.

Original language	English (US)
Pages (from-to)	284-301
Number of pages	18
Journal	Intensive and Critical Care Nursing
Volume	21
Issue number	5
DOIs	https://doi.org/10.1016/j.iccn.2004.12.003
State	Published - Oct 2005
Externally published	Yes

Keywords

Intensive care units
Nursing workload
Patient safety
Performance obstacles
Quality of working life

ASJC Scopus subject areas

Critical Care

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