The purpose of this study is to identify the determinants of the perceived workload of intensive care and pediatric continuous monitoring nurses (factors liked to the care service, staff, patients treated)
In intensive care and pediatric continuous monitoring unit (RSCP), the workload of nurses (registered nurses) is high. It is important to distribute the workload correctly among caregivers in order to guarantee the quality and safety of care. Workload can be measured by different means. The measure of the perceived workload has the advantage of taking into account not only the acts and care performed, but also the time pressure felt, the feeling of having been efficient in its task, the efforts made and the level of frustration felt. Measuring the workload of RSCP registered nurses will help highlight the factors that may influence the workload. The aim is to allow an adequate distribution of patients between nurses, taking into account the determinants identified during this study. Primary objective : Measure RSCP's nurses workload Secondary objectives: Highlight the determinants of the overall perceived workload of RSCP nurses (organizational characteristics, of the individual, of the patient and of his entourage). Highlight the determinants of each dimension of the perceived workload of RSCP nurses. The calendar of data collection days will be defined by drawing lots. The day drawn for data collection will proceed normally, with no change in practice for nurses. A study investigator will inform the legal representative (s) of the possible data collection in their child that day and will trace their non-opposition in the medical file. At the end of the day, registered nurses should collect data relating to family circles and individual characteristics. In addition, nurses must complete a NASA TLX grid for each patient treated during their working time. The grids will be assembled at the end of the day (around 7 p.m.) and handed over to an investigator. The same procedure will apply to the night shift, the grids will be handed over at 7 a.m. to an investigator. In the following days, the principal investigator will collect the data related to the organizational characteristics and characteristics of the patients. The perceived workload of nurses working in Intensive care and Continuous Monitoring Unit will be measured for each nurse who has at least 1 patient in charge during a period of 24 hours over 2 days (a day service and a night service, i.e. from 7 a.m. to 7 a.m. / D + 1 ), once a month for a year. The measurement periods will be drawn at the rate of a period of 24 hours per month for one year, ie 12 periods in total.
Study Type
OBSERVATIONAL
Enrollment
484
Perceived workload takes into account the acts and care performed but also the pressure felt of having been efficient in its task, the efforts made and the level of frustration felt.
Necker Enfants malades hospital
Paris, France
Task Load indeX scale (TLX scale)
TLX scale is a workload scale according to 6 dimensions: mental demands, physical demands, time pressure, performance, effort and frustration.Each dimension is evaluated on a 100-points scale. A total score from 0 to 600 points is obtained. A higher score means a worse outcome.
Time frame: 1 day
Seniority in the profession
Seniority in the profession in years Seniority in the service in years Age Previous patient management (at least once in the previous 12 months) Supervision of a student Tutoring a new nurse
Time frame: 1 day
Seniority in the service
Seniority in the service in years Seniority in the service in years Age Previous patient management (at least once in the previous 12 months) Supervision of a student Tutoring a new nurse
Time frame: 1 day
Age of nurse
Age of nurse in years Day / night work Number of patient transportations Reception of an incoming patient Participation in an ethics meeting
Time frame: 1 day
Age of nurse
Age of nurse in years
Time frame: 1 day
Previous patient management
Previous patient management (at least once in the previous 12 months)
Time frame: 1 day
Supervision of a student
Supervision of a student (yes/no)
Time frame: 1 day
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Tutoring a new nurse
Tutoring a new nurse (yes/no)
Time frame: 1 day
Ratio patient/nurse
Number of patient split by the number of nurse
Time frame: 1 day
Period of work
Day / night work
Time frame: 1 day
Patient transport
Number of patient transportations outside the ward.
Time frame: 1 day
New patient
Reception of an incoming patient
Time frame: 1 day
Ethics meeting
Participation of nurse to an ethics meeting
Time frame: 1 day
Age of patient
Age of patient in years
Time frame: 1 day
Weight of patient
Weight of patient in kilograms
Time frame: 1 day
Lengh of Hospitalisation
Number of days in hospital
Time frame: 1 day
Glasgow score
Glasgow score of patient. Scored on a total score from 3 to 15 points is obtained. A higher score means a better outcome.
Time frame: 1 day
Vascular supply
Type of vascular catheter present on the patient
Time frame: 1 day
Supportive system
Number of supportive systems necessary
Time frame: 1 day
Treatment
Number of treatments administered / 24 hours
Time frame: 1 day
Resuscitation maneuver
Resuscitation maneuver necessary (yes/no)
Time frame: 1 day
Death
Death of patient (yes/no)
Time frame: 1 day
Family support
Number of hours of presence of at least one of the two parents
Time frame: 1 day
Phone calls
Number of phone calls from parents
Time frame: 1 day
Family interview
Family interview realised ( Yes/No)
Time frame: 1 day