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Identifier 000454818
Title Συγκριτική μελέτη συσχέτισης του φόρτου εργασίας των νοσηλευτών με την παραλειπόμενη νοσηλευτική φροντίδα στην Παθολογική Κλινική
Alternative Title Comparative study of association of nurse workload with missed nursing care in medical wards
Author Ανωγειανάκη, Ευανθία
Thesis advisor Ηλία, Σταυρούλα
Reviewer Μπριασούλης, Γεώργιος
Ραϊσάκη Μαρία
Abstract Background: Nursing care is part of the role of nurses who assess, make nursing diagnosis, plan, implement and evaluate the results of patient care. Increased workload can lead to higher levels of nurse burnout and stress. This leads to the affected ability of nurses to work and the reduced effectiveness of providing quality care to patients or even to the omission of certain nursing procedures. Objective: The purpose of the study is to evaluate the correlation of nurses’ workload with missed nursing care in the Pathology Clinic of the University Hospital of Heraklion, Crete. Methods: This is a cross sectional study using weighted questionnaires among the nursing staff of the Pathology Clinic of PAGNI. The study lasted 6 months during the period June 2022 - November 2022. The sample of the study included all the nursing staff of the pathology clinic of the University Hospital of Heraklion, Crete. Samples were collected in each nursing shift and were related to working conditions such as number of patients, duty roster of shift nurses, ratio of nurse to patient, number of admissions-discharges. Results: 18 nurses participated in the study and a total of 215 questionnaires were completed. Responses corresponded to records of morning shift 75, afternoon 83, and night shift 57. All nurses were women with a cyclical work schedule and working time greater than 37.5 hours per week. Among the receipts that are frequently or always recorded in a large percentage are the follow-up of the doctors' visit (87%), the mobilization of the patients especially in the night shift (67.5%), the change of position every 4 hours in all shifts (67 .5%), and patient bathing and skin care (51.6%). Also, nurses often or always fail to wash their hands at a rate of 30.2%. The most important reasons according to the nurses for the omission of nursing care seem to be insufficient coverage with nursing staff (93.5%), urgent patient situations (79.1%), the large number of admissions and discharges in the department (78.1%) and the unexpected increase in the number of patients or the severity of the department (76.7%). The average score values in the whole and in the individual activities of the NASA_TLX score for the assessment of workload showed similarities but also differences in different nursing shifts. High scores were given for the physical demand and effort in all shifts. The performance requirement of the morning shift was lower compared to the afternoon shift (p<0.001), while the time demand of the morning and afternoon shift was significantly higher compared to the night shift (p=0.001). Conclusion: Omissions in patient care mainly involve activities of daily living, such as attending to the doctor's visit, mobilizing patients, changing position every 4 hours, grooming patients, and omitting hand washing by nurses. Omissions do not concern nursing care in relation to the patient's current state of health and treatment. Important reasons for omission are the improper operation of supplies or equipment and the tension or problematic communication with supporting departments-nursing team.
Language Greek
Subject Nursing workload
Νοσηλευτικός φόρτος
Issue date 2023-04-05
Collection   School/Department--School of Medicine--Department of Medicine--Post-graduate theses
  Type of Work--Post-graduate theses
Permanent Link https://elocus.lib.uoc.gr//dlib/1/a/6/metadata-dlib-1681986142-187663-26962.tkl Bookmark and Share
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