The Relationship among Workload, Teamwork, and Missed Nursing Care at Intensive Care Units | ||
| Egyptian Journal of Health Care | ||
| Article 37, Volume 11, Issue 3, September 2020, Pages 603-611 PDF (384.16 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2020.163259 | ||
| Authors | ||
| Sanaa Mohammed Soliman1; Nashwa Mahmoud Eldeep2 | ||
| 1Lecturer of nursing administration, Faculty of Nursing, Fayoum University, Egypt | ||
| 2Lecturer of nursing administration, Faculty of Nursing, Damanhour University, Egypt | ||
| Abstract | ||
| Background: Nurses are vital to the delivery of safe and effective care at critical units, but improper team work and high patient workloads may cause missed nursing care. Research Aims: To examine the relationship among workload, teamwork, and missed nursing care at intensive care units Methodology: Correlational research design was conducted at Intensive Care Units (ICU) at Fayoum university hospitals. Intensive care units at Kom Hamada central hospital, Damanhour fever hospital and Damanhour chest hospital. The subjects were 207 nurses. A self-administered questionnaire containing four parts; (Part I: Demographic characteristics of the subjects such as age, gender, marital status, nurse role, qualifications, experience, shift worked, nurse to patient ratio, length of shift time, Part II: Miss care Survey was developed to measure the frequency with which nursing care activities are omitted or delayed, and to identify the factors that contribute to these missed activities as perceived by nursing staff in the acute care setting,Part III: Workload Subscale was used to measure the nursing staff’s perception of workload. This subscale was designed to measure “the extent to which feelings of pressure and urgency dominate the work environment”, Part IV: Nursing Teamwork Survey, This 33-item instrument was designed to measure teamwork among nurses in the acute care setting, but the items generically address teamwork activities across nursing care settings.) Results: The present study showed that less than half of studied nurses had moderate missed care and moderate team work. According to workload perception, about half of studied nurses had moderate workload Conclusions: There was highly significant positive correlation between workload and missed care at p value <0.01. While, there was highly significant negative correlation between teamwork with workload and missed care at p value <0.01. The study recommends that: Nurse managers must monitor missed care and workload daily to ensure proper sizing of staff and safety of care, Educational workshop for nurses about teamwork skills and coping mechanism related workload, Further researches about predictive factors affecting nursing missed care. | ||
| Keywords | ||
| Work load; Team work; Missed nursing care | ||
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