Nurse's Workload, Patient Safety and Quality of Care; A Descriptive Study in Tertiary Care Hospital
Workload and Quality of Care in Nurses
DOI:
https://doi.org/10.54393/pbmj.v7i09.1152Keywords:
Nurse Workload, Patient Safety, Quality of Care, Nurse-Patient Ratio, Burnout, Maslach Burnout ScaleAbstract
The study was conducted on Registered Nurses at Mardan Medical Complex, Mardan Khyber Pakhtunkhwa. Objective: To explore the nurses’ workload, its effect on patient safety and quality of care in Mardan Medical Complex, Mardan. Methods: A descriptive cross-sectional design was selected for the study. A sample size of 107 nurses was calculated through Raosoft software. For this, data collection tools consisted of a Demographic profile, the Maslach Burnout Scale, and the Nurses Report of Quality of Care. The collected data were analyzed through a Statistical Package of Social Sciences (SPSS) version 26.0 and Microsoft Excel. Results: On analysis of 115 structured questionnaire responses, the result disclosed most of the nurses were fed up with working all day long and delivered their maximum effort for their patients with the inappropriate number of staff. They rationalized their hard work with the belief in equality and providing care to humanity. With a high workload, they still feel satisfied and treat their patient apathetically. The nurses showed relatedness of poor quality of care to the high workload and low nurse-patient ratio. Conclusions: The nurses' workload has a direct effect on the patient's health. To maintain the quality of care, the nurse-patient ratio needs to be standardized. With an appropriate nurse-patient ratio, the nurses will then not prioritize the major intervention but will comprehensively and holistically care for their patients which will positively affect the quality of patient care.
References
Subramony M, Vogus TJ, Chadwick C, Gowen III C, McFadden KL. Workload, nurse turnover, and patient mortality: Test of a hospital-level moderated mediation model. Health Care Management Review. 2024 Jan; 49(1): 23-34. doi: 10.1097/HMR.0000000000000390. DOI: https://doi.org/10.1097/HMR.0000000000000390
Peng M, Saito S, Mo W, Guan H. Why do nurses miss nursing care? A qualitative meta‐synthesis. Japan Journal of Nursing Science. 2024 Apr; 21(2): e12578. doi: 10.1111/jjns.12578. DOI: https://doi.org/10.1111/jjns.12578
Arıkan A and Esenay FI. Compassion fatigue and burnout in Turkish pediatric emergency nurses during the COVID-19 pandemic. Journal of Pediatric Nursing. 2023 Jul; 71: 120-6. doi: 10.1016/j.pedn.2022.11.004. DOI: https://doi.org/10.1016/j.pedn.2022.11.004
Akkoç İ, Okun O, Türe A. The effect of role‐related stressors on nurses' burnout syndrome: The mediating role of work‐related stress. Perspectives in Psychiatric Care. 2021 Apr; 57(2): 583-96. doi: 10.1111/ppc.12581. DOI: https://doi.org/10.1111/ppc.12581
Jennifer Dillon MP. Registered nurse staffing, workload, and nursing care left undone, and their relationships to patient safety in hemodialysis units. Nephrology Nursing Journal. 2020 Mar; 47(2): 133-42. doi: 10.37526/1526-744X.2020.47.2.133. DOI: https://doi.org/10.37526/1526-744X.2020.47.2.133
Carlesi KC, Padilha KG, Toffoletto MC, Henriquez-Roldán C, Juan MA. Patient safety incidents and nursing workload. Revista latino-americana de enfermagem. 2017 Apr; 25: e2841. doi: 10.1590/1518-8345.1280.2841. DOI: https://doi.org/10.1590/1518-8345.1280.2841
Muhammad D, Naz S, Zeb A. Nurses' perceived work environment in the public sector tertiary care hospitals of Khyber Pakhtunkhwa in Pakistan. 2021 Jan; 28(9):1665. doi: 10.5455/annalsmedres.2020.09.924. DOI: https://doi.org/10.5455/annalsmedres.2020.09.924
El Shahhat Z, Ahmed M, El-Shaer A. Nursing Workload Influence on Nurses Job Injury and Patient Complication. Mansoura Nursing Journal. 2024 Jan; 11(1): 369-82. doi: 10.21608/mnj.2024.350485. DOI: https://doi.org/10.21608/mnj.2024.350485
Khatatbeh H, Al‐Dwaikat T, Rababah J, Olah A, Pakai A. Paediatric nurses' burnout, quality of life and perceived patient adverse events during the COVID‐19 pandemic: Testing an integrated model using structural equation modelling. Journal of Clinical Nursing. 2024 Jan; 33(1): 255-64. doi: 10.1111/jocn.16114. DOI: https://doi.org/10.1111/jocn.16114
Ashipala DO and Nghole TM. Factors contributing to burnout among nurses at a district hospital in Namibia: A qualitative perspective of nurses. Journal of Nursing Management. 2022 Oct; 30(7): 2982-91. doi: 10.1111/jonm.13693. DOI: https://doi.org/10.1111/jonm.13693
Magalhães AM, Costa DG, Riboldi CD, Mergen T, Barbosa AD, Moura GM. Association between workload of the nursing staff and patient safety outcomes. Revista da Escola de Enfermagem da USP. 2017 Dec; 51: e03255. doi: 10.1590/S1980-220X2016021203255. DOI: https://doi.org/10.1590/s1980-220x2016021203255
Fagerström L, Kinnunen M, Saarela J. Nursing workload, patient safety incidents and mortality: an observational study from Finland. BMJ open. 2018 Apr; 8(4): e016367. doi:10.1136/bmjopen-2017-016367. DOI: https://doi.org/10.1136/bmjopen-2017-016367
Shah MK, Gandrakota N, Cimiotti JP, Ghose N, Moore M, Ali MK. Prevalence of and factors associated with nurse burnout in the US. Journal of the American Medical Association Network Open. 2021 Feb; 4(2): e2036469-. doi: 10.1001/jamanetworkopen.2020.36469. DOI: https://doi.org/10.1001/jamanetworkopen.2020.36469
Qureshi SM, Purdy N, Mohani A, Neumann WP. Predicting the effect of nurse-patient ratio on nurse workload and care quality using discrete event simulation. Journal of Nursing Management. 2019 Jul; 27(5): 971-80. doi: 10.1111/jonm.12757. DOI: https://doi.org/10.1111/jonm.12757
Cho E, Lee NJ, Kim EY, Kim S, Lee K, Park KO et al. Nurse staffing level and overtime associated with patient safety, quality of care, and care left undone in hospitals: a cross-sectional study. International Journal Of Nursing Studies. 2016 Aug; 60: 263-71. doi: 10.1136/bmjopen-2017-016367. DOI: https://doi.org/10.1016/j.ijnurstu.2016.05.009
Alves DF and Guirardello ED. Nursing work environment, patient safety and quality of care in pediatric hospital. Revista gaucha de enfermagem. 2016 May; 37: e58817.
MacPhee M, Havaei F, Bookey-Bassett S, Neumann WP, Qureshi SM, Greig MA et al. Commentary on the Past, Present, and Future of Nursing Workload Research. Nursing: Research and Reviews. 2024 Dec: 59-67. doi: 10.2147/NRR.S442571. DOI: https://doi.org/10.2147/NRR.S442571
Saleem S, Saddique H, Tasneem SS, Jabeen R. Assess The Effect of Workload On Patient Safety and Quality of Care: Workload on Patient Safety and Quality of Care. NURSEARCHER (Journal of Nursing & Midwifery Sciences). 2021 Jun: 02-6. doi: 10.54393/nrs.v1i01.5. DOI: https://doi.org/10.54393/nrs.v1i01.5
Papastavrou E, Andreou P, Efstathiou G. Rationing of nursing care and nurse–patient outcomes: a systematic review of quantitative studies. The International journal of health planning and management. 2014 Jan; 29(1): 3-25. doi: 10.1002/hpm.2160. DOI: https://doi.org/10.1002/hpm.2160
Fatima S, Khan S, Rahman A et al. Burnout, Job Satisfaction, Nurse Well-being, and its Influence on Patient Safety and Care Quality at Tertiary care hospital Khyber-Pakhtunkhwa. Journal of Xi'an Shiyou University, Natural Science Edition 2024 Mar; 20: 880-887.
Tønnessen S, Scott A, Nortvedt P. Safe and competent nursing care: An argument for a minimum standard?. Nursing ethics. 2020 Sep; 27(6): 1396-407. doi: 10.1177/0969733020919137. DOI: https://doi.org/10.1177/0969733020919137
Pérez-Francisco DH, Duarte-Clíments G, del Rosario-Melián JM, Gómez-Salgado J, Romero-Martín M, Sánchez-Gómez MB. Influence of workload on primary care nurses’ health and burnout, patients’ safety, and quality of care: Integrative review. InHealthcare 2020 Jan; 8(1): 12. doi: 10.3390/healthcare8010012. DOI: https://doi.org/10.3390/healthcare8010012
Mabona JF, van Rooyen DR, ten Ham-Baloyi W. Best practice recommendations for healthy work environments for nurses: An integrative literature review. Health SA Gesondheid. 2022 Sep; 27(1). doi: 10.4102/hsag.v27i0.1788. DOI: https://doi.org/10.4102/hsag.v27i0.1788
Magalhães AM, Dall'Agnol CM, Marck PB. Nursing workload and patient safety-a mixed method study with an ecological restorative approach. Revista latino-americana de enfermagem. 2013; 21: 146-54. doi: 10.1590/S0104-11692013000700019. DOI: https://doi.org/10.1590/S0104-11692013000700019
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