TY - JOUR
T1 - A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units
AU - Carayon, Pascale
AU - Gürses, Ayşe P.
N1 - Funding Information:
Funding was provided by the Agency for Healthcare Research and Quality (Grant # P20 HS11561-01; PI: Pascale Carayon, and Dissertation Grant # 1 R36 HS014517).
PY - 2005/10
Y1 - 2005/10
N2 - 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.
AB - 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.
KW - Intensive care units
KW - Nursing workload
KW - Patient safety
KW - Performance obstacles
KW - Quality of working life
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U2 - 10.1016/j.iccn.2004.12.003
DO - 10.1016/j.iccn.2004.12.003
M3 - Article
C2 - 16182125
AN - SCOPUS:25844530468
VL - 21
SP - 284
EP - 301
JO - Intensive and Critical Care Nursing
JF - Intensive and Critical Care Nursing
SN - 0964-3397
IS - 5
ER -