Clinical trial NCT05140473: Identification of the Determinants of the Perceived Workload of Nurses
Official title: Identification of the Determinants of the Perceived Workload of Intensive Care and Pediatric Continuous Monitoring Nurses
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Nurses's Workload
Keywords: Nurses
Workload
Intensive car unit
Lead sponsor: Assistance Publique - Hôpitaux de Paris
Sponsor class: OTHER
First posted: 2021-12-01
Enrollment: 484
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Nurses works in Pediatric Intensive care and Continuous Monitoring Unit of the Necker Hospital, AP-HP, Paris Child hospitalized in the Intensive care and Continuous Monitoring Unit of the Necker Hospital, AP-HP, Paris

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Task Load indeX scale (TLX scale)
timeFrame: 1 day
Secondary outcomes:
measure: Seniority in the profession
timeFrame: 1 day
measure: Seniority in the service
timeFrame: 1 day
measure: Age of nurse
timeFrame: 1 day
measure: Age of nurse
timeFrame: 1 day
measure: Previous patient management
timeFrame: 1 day
measure: Supervision of a student
timeFrame: 1 day
measure: Tutoring a new nurse
timeFrame: 1 day
measure: Ratio patient/nurse
timeFrame: 1 day
measure: Period of work
timeFrame: 1 day
measure: Patient transport
timeFrame: 1 day
measure: New patient
timeFrame: 1 day
measure: Ethics meeting
timeFrame: 1 day
measure: Age of patient
timeFrame: 1 day
measure: Weight of patient
timeFrame: 1 day
measure: Lengh of Hospitalisation
timeFrame: 1 day
measure: Glasgow score
timeFrame: 1 day
measure: Vascular supply
timeFrame: 1 day
measure: Supportive system
timeFrame: 1 day
measure: Treatment
timeFrame: 1 day
measure: Resuscitation maneuver
timeFrame: 1 day
measure: Death
timeFrame: 1 day
measure: Family support
timeFrame: 1 day
measure: Phone calls
timeFrame: 1 day
measure: Family interview
timeFrame: 1 day
Other outcomes:
Locations:
city: Paris
country: France
facility: Necker Enfants malades hospital
Study officials:
affiliation: Assistance Public-Hôpitaux de Paris
name: Sophie CRETE, BSc nursing
role: PRINCIPAL_INVESTIGATOR
affiliation: Assistance Public-Hôpitaux de Paris
name: Medhi OUALHA, MD, PhD
role: STUDY_CHAIR
References:
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citation: Llenore E, Ogle KR. Nurse-patient communication in the intensive care unit: a review of the literature. Aust Crit Care. 1999 Dec;12(4):142-5. doi: 10.1016/s1036-7314(99)70599-0.
citation: Gurses AP, Carayon P, Wall M. Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life. Health Serv Res. 2009 Apr;44(2 Pt 1):422-43. doi: 10.1111/j.1475-6773.2008.00934.x. Epub 2008 Dec 16.
citation: Nasirizad Moghadam K, Chehrzad MM, Reza Masouleh S, Maleki M, Mardani A, Atharyan S, Harding C. Nursing physical workload and mental workload in intensive care units: Are they related? Nurs Open. 2021 Jul;8(4):1625-1633. doi: 10.1002/nop2.785. Epub 2021 Feb 17.
citation: Young G, Zavelina L, Hooper V. Assessment of workload using NASA Task Load Index in perianesthesia nursing. J Perianesth Nurs. 2008 Apr;23(2):102-10. doi: 10.1016/j.jopan.2008.01.008.
citation: Tubbs-Cooley HL, Mara CA, Carle AC, Gurses AP. The NASA Task Load Index as a measure of overall workload among neonatal, paediatric and adult intensive care nurses. Intensive Crit Care Nurs. 2018 Jun;46:64-69. doi: 10.1016/j.iccn.2018.01.004. Epub 2018 Feb 12.