Identification of the Determinants of the Perceived Workload of Nurses (CHARMIREA)

Assistance Publique - Hôpitaux de Paris

Status: Completed

Conditions: Nurses's Workload

Treatments: Behavioral: perceived workload

Study type: Observational

Funder types: Other

Identifiers

NCT05140473

2021-A01542-39 (Other Identifier)

APHP211025

Details and patient eligibility

About

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)

Full description

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.

Enrollment: 484 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Registered nurses from Pediatric Intensive care and Continuous Monitoring Unit agreeing to participate in the study,
• Having at least one patient in charge over the period considered
• Child regardless of age hospitalized in the Pediatric Intensive care and Continuous Monitoring unit.
• Non-opposition of the legal representative (s) to the collection of data

Exclusion criteria

• Nurse in job adaptation training
• Interim nurse
• Nurse not usually working in intensive care
• Reference nurses of the service
• Legal guardian of the child who doesn't speak or understand French