[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 16, Issue 1 (1-2019) ::
jgbfnm 2019, 16(1): 82-92 Back to browse issues page
Workload and its Associated Factors among Nurses in Teaching Hospitals of Shiraz University of Medical Sciences in 2017
Ali Reza Yusefi1 , Zahra Ebrahim2 , Sanaz Zargar Balaye Jame3 , Peivand Bastani * 4
1- candidate of health services management, Student Research Committee, Aliasghar Hoapital, Shiraz University of Medical Sciences, Shiraz, Iran
2- Ph.D. candidate of health services management, Science and Research Branch, Islamic Azade University, Tehran, Iran.
3- Assistant Professor, Department of Health Management and Economics, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.
4- Assistant Professor, Health Human Resources Research Center
Abstract:   (85 Views)
Introduction: Workload is one of the most important occupational factors of anxiety. The present study aimed to investigate workload and its associated factors among nurses working in teaching hospitals of Shiraz University of Medical Sciences in Iran.
Methods: This cross-sectional descriptive-analytic study was conducted in 2017. A total of 340 nurses from the hospitals were selected using the stratified random sampling method, and finally 312 individuals were recruited in this study. The data collection instrument included the National Aeronautics and Space Administration Task Load Index. The data were also analyzed through descriptive indices as well as t-test, analysis of variance, Pearson’s correlation coefficient, and multiple linear regression. SPSS Software, Version 16, was used to analyze the data at a significance level of 0.05 (α=0.05).
Results: The mean score of workload was 73.47±21.81. The mean scores of the effort rate (79.09±21.81) and frustration and failure level (59.51±30.76) also received the highest and the lowest values, respectively. Moreover, statistically significant relationships were observed between level of education (p=0.03), employment relationships (p=0.001), number of patients under the nurses’ monitoring per work shift, and the mean score assigned to workload among nurses (p=0.04, r=0.117).
Conclusion: The workload among nurses examined in this study was reported at a high level. Therefore, managers should implement programs such as motivational incentives and welfare services to moderate the workload in nursing.
Keywords: Workload, Nurses, NASA, Hospitals
Full-Text [PDF 343 kb]   (10 Downloads)    
Type of Study: Research | Subject: Nursing
* Corresponding Author Address: School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
1. Salehi H.R. [Schematics of a civil liability of nurses]. Journal of Medical Ethics. 2013; 7(25): 164-186.[Persian]
2. Levy BS, Wegman DH. Occupational Health. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2000.
3. Allaf Javadi M, Parandeh A, Ebadi A, Haji Amini Z. Comparison of life quality between special care units and internal-surgical Nurses. Iranian Journal of Critical Care Nursing. 2010; 3(3): 9-10.[Persian]
4. Neill D. Nursing workload and the changing health care environment: a review of the literature. Administrative Issues Journal: Education, Practice, and Research. 2011; 1(2): 132-143. [DOI:10.5929/2011.1.2.11]
5. Zakerian SA, Abbasinia M, Mohammadian F, Fathi A, Rahmani A, Ahmadnezhad I, et al. The Relationship between Workload and Quality of Life among Hospital Staffs. Journal of Ergonomics. 2013; 1(1):43-56.[Persian]
6. Young G, Zavelina L, Hooper V. Assessment of workload using NASA Task Load Index in perianesthesia nursing. Journal of PeriAnesthesia Nursing. 2008; 23(2): 102-110. [DOI:10.1016/j.jopan.2008.01.008]
7. Owens JA. Sleep loss and fatigue in healthcare professionals. The Journal of perinatal & neonatal nursing. 2007; 21(2): 92-100. [DOI:10.1097/01.JPN.0000270624.64584.9d]
8. Sarsangi V, Saberi H.R, Hannani M, Honarjoo F, Salim Abadi M, Goroohi M, Kazemi H. Mental Workload and Its Affected Factors among Nurses in Kashan Province during 2014. Journal of Rafsanjan University of Medical Sciences. 2015; 13(1): 25-36. [Persian]
9. Malekpour F, Mohammadian Y, Malekpour A, Mohammadpour Y, Sheikh Ahmadi A, Shakarami A. Assessment of mental workload in nursing by using NASA- TLX. Journal of Urmia Nursing Midwifery Faculty. 2014; 11(11): 23-36. [Persian]
10. Morris R, MacNeela P, Scott A, Treacy P, Hyde A. Reconsidering the conceptualization of nursing workload: literature review. Journal of advanced Nursing. 2007; 57(5): 463-71. [DOI:10.1111/j.1365-2648.2006.04134.x]
11. Kiekkas P, Sakellaropoulos GC, Brokalaki H, Manolis E, Samios A, Skartsani C, et al. Association between nursing workload and mortality of intensive care unit patients. Journal of Nursing Scholarship. 2008; 40(4): 385 90. [DOI:10.1111/j.1547-5069.2008.00254.x]
12. Baggs JG, Schmitt MH, Mushlin AI, Mitchell PH, Eldredge DH, Oakes D, et al. Association between nurse-physician collaboration and patient outcomes in three intensive care units. Critical care medicine.1999; 27(9): 1991-98. [DOI:10.1097/00003246-199909000-00045]
13. Holmes S. Work-related stress: a brief review. The journal of the Royal Society for the Promotion of Health. 2001; 121(4): 230-35. [DOI:10.1177/146642400112100406]
14. Holden RJ, Scanlon MC, Patel NR, Kaushal R, Escoto KH, Brown RL, et al. A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. BMJ quality & safety. 2011; 20(1):15-24. [DOI:10.1136/bmjqs.2008.028381]
15. Myny D, Van Hecke A, De Bacquer D, Verhaeghe S, Gobert M, Defloor T, et al. Determining a set of measurable and relevant factors affecting nursing workload in the acute care hospital setting: A cross-sectional study. International journal of nursing studies. 2012; 49(4):427-36. [DOI:10.1016/j.ijnurstu.2011.10.005]
16. Zhang Y, Luximon A. Subjective mental workload measures. Ergonomia IJE&HF. 2005; 27(3):199-206.
17. Mohammadi M, Mazloumi A, Nasl seraji J, Zeraati H. Designing questionnaire of assessing mental workload and determine its validity and reliability among ICUs nurses in one of the TUMS's hospitals.. Journal of School of Public Health and Institute of Public Health Research. 2013; 11(2): 87-96. [Persian]
18. Ferreira PC, Machado RC, Martins QCS, Sampaio SF. Classification of patients and nursing workload in intensive care: comparison between instruments. Revista gaucha de enfermagem. 2017; 38(2): e62782. [DOI:10.1590/1983-1447.2017.02.62782]
19. Ducci AJ, Padilha KG. Nursing activities score: a comparative study about retrospective and prospective applications in intensive care units. Acta Paulista de Enfermagem. 2008; 21(4): 581-587. [DOI:10.1590/S0103-21002008000400008]
20. Stafseth SK, Solms D, Bredal IS. The characterisation of workloads and nursing staff allocation in intensive care units :a descriptive study using the Nursing Activities Score for the first time in Norway. Intensive and Critical Care Nursing. 2011; 27(5): 290-294. [DOI:10.1016/j.iccn.2011.07.003]
21. Hughes RG, Carayon P, Gurses AP. Nursing Workload and Patient Safety-A human factors Engineering Perspective. In: Hughes R, editor. Patient Safety and Quality: An Evidence-Based handbook for nurses. US: Agency for Healthcare Research and Quality 2008.
22. Rahimian Boogar I, Ghodrati Mirkouhi M. Role of workload, sleep, mental health and individual factors in occurrence of nursing errors. Journal of Gorgan University of Medical Sciences. 2013; 15(3):103-9. [Persian]
23. Nikpeyma N, Gholamnejad H. Reasons for Medication Errors in Nurses' Veiws. Advances in Nursing & Midwifery. 2009; 19(64):18-24. [Persian]
24. Zheng B, Jiang X, Tien G, Meneghetti A, Panton ON, Atkins MS. Workload assessment of surgeons: correlation between NASA TLX and blinks. Surgical Endoscopy. 2012; 26(10): 2746- 50. [DOI:10.1007/s00464-012-2268-6]
25. Levin S, France DJ, Hemphill R, Jones I, Chen KY, Rickard D, et al. Tracking workload in the emergency department. Human Factors: The Journal of the Human Factors and Ergonomics Society. 2006; 48(3):526-39. [DOI:10.1518/001872006778606903]
26. Safari S. Mohamadi-Bolbanabad H, Kazemi M. Evaluation Mental Work Load in Nursing Critical Care Unit with National Aeronautics and Space Administration Task Load Index (NASA-TLX). Researches Journal of Health System. 2013; 9(6): 613-619. [Persian]
27. Rafiee N, Bahrami MA, Hajimaghsoudi M, Ghasemi N, Mazrooei M. Evaluation nurses' mental work load in Emergency Department: case study.Quarterly Journal of Nursing Management. 2015; 3(4): 43-50. [Persian]
28. Baljani E, Rahimi Z, Safari S. Nurses' Health Promotion Needs, Stress Sources and Workplace Problems. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2013; 21(1):49-59. [Persian]
29. Rouhi G, Hosseini SA, Rahmani Anaraki H, Mollaie E, Nasiri H. Distribution of Workload and Efficacy of Nursing Staff in Internal Medicine Ward in a Selected Hospital of Golestan University of Medical Sciences. Journal of Research Development in Nursing & Midwifery. 2013; 9(2):65-73. [Persian]
30. Sarsangi V, Khajevandi A.A, Sarsangi F, Honarjoo F, Abadi M.S, Mehrizi E.A. Assessing Mental Workload and Factors that Influence it among Nursing Staff in Emergency Departments. Journal of Mazandaran University of Medical Sciences. 2015; 25(126): 155-158. [Persian]
Add your comments about this article
Your username or Email:


XML     Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Yusefi A R, Ebrahim Z, Zargar Balaye Jame S, Bastani P. Workload and its Associated Factors among Nurses in Teaching Hospitals of Shiraz University of Medical Sciences in 2017 . jgbfnm. 2019; 16 (1) :82-92
URL: http://goums.ac.ir/jgbfnm/article-1-1117-en.html

Volume 16, Issue 1 (1-2019) Back to browse issues page
مجله توسعه پژوهش در پرستاری و مامایی Journal of Research Development in Nursing & Midwifery
Persian site map - English site map - Created in 0.05 seconds with 32 queries by YEKTAWEB 3897