Identification of the Determinants of the Perceived Workload of Nurses

Study Overview
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Brief Summary
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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)

Detailed Description
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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.

Official Title
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Identification of the Determinants of the Perceived Workload of Intensive Care and Pediatric Continuous Monitoring Nurses

Conditions
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Nurses's Workload

Intervention / Treatment
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* Behavioral: perceived workload


Participation Criteria
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Eligibility Criteria
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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
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: perceived workload|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.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | 1 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 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 | 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 | 1 day | 
| Age of nurse | Age of nurse in years | 1 day | 
| Previous patient management | Previous patient management (at least once in the previous 12 months) | 1 day | 
| Supervision of a student | Supervision of a student (yes/no) | 1 day | 
| Tutoring a new nurse | Tutoring a new nurse (yes/no) | 1 day | 
| Ratio patient/nurse | Number of patient split by the number of nurse | 1 day | 
| Period of work | Day / night work | 1 day | 
| Patient transport | Number of patient transportations outside the ward. | 1 day | 
| New patient | Reception of an incoming patient | 1 day | 
| Ethics meeting | Participation of nurse to an ethics meeting | 1 day | 
| Age of patient | Age of patient in years | 1 day | 
| Weight of patient | Weight of patient in kilograms | 1 day | 
| Lengh of Hospitalisation | Number of days in hospital | 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. | 1 day | 
| Vascular supply | Type of vascular catheter present on the patient | 1 day | 
| Supportive system | Number of supportive systems necessary | 1 day | 
| Treatment | Number of treatments administered / 24 hours | 1 day | 
| Resuscitation maneuver | Resuscitation maneuver necessary (yes/no) | 1 day | 
| Death | Death of patient (yes/no) | 1 day | 
| Family support | Number of hours of presence of at least one of the two parents | 1 day | 
| Phone calls | Number of phone calls from parents | 1 day | 
| Family interview | Family interview realised ( Yes/No) | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nurses, Workload, Intensive car unit