IDEAS home Printed from https://ideas.repec.org/a/gam/jadmsc/v7y2017i1p7-d92212.html
   My bibliography  Save this article

The Impact of Heavy Perceived Nurse Workloads on Patient and Nurse Outcomes

Author

Listed:
  • Maura MacPhee

    (School of Nursing, The University of British Columbia, Vancouver, BC V6T 2B5, CanadaVancouver, BC V6T 2B5, Canada)

  • V. Susan Dahinten

    (School of Nursing, The University of British Columbia, Vancouver, BC V6T 2B5, CanadaVancouver, BC V6T 2B5, Canada)

  • Farinaz Havaei

    (School of Nursing, The University of British Columbia, Vancouver, BC V6T 2B5, CanadaVancouver, BC V6T 2B5, Canada)

Abstract

This study investigated the relationships between seven workload factors and patient and nurse outcomes. (1) Background: Health systems researchers are beginning to address nurses’ workload demands at different unit, job and task levels; and the types of administrative interventions needed for specific workload demands. (2) Methods: This was a cross-sectional correlational study of 472 acute care nurses from British Columbia, Canada. The workload factors included nurse reports of unit-level RN staffing levels and patient acuity and patient dependency; job-level nurse perceptions of heavy workloads, nursing tasks left undone and compromised standards; and task-level interruptions to work flow. Patient outcomes were nurse-reported frequencies of medication errors, patient falls and urinary tract infections; and nurse outcomes were emotional exhaustion and job satisfaction. (3) Results: Job-level perceptions of heavy workloads and task-level interruptions had significant direct effects on patient and nurse outcomes. Tasks left undone mediated the relationships between heavy workloads and nurse and patient outcomes; and between interruptions and nurse and patient outcomes. Compromised professional nursing standards mediated the relationships between heavy workloads and nurse outcomes; and between interruptions and nurse outcomes. (4) Conclusion: Administrators should work collaboratively with nurses to identify work environment strategies that ameliorate workload demands at different levels.

Suggested Citation

  • Maura MacPhee & V. Susan Dahinten & Farinaz Havaei, 2017. "The Impact of Heavy Perceived Nurse Workloads on Patient and Nurse Outcomes," Administrative Sciences, MDPI, vol. 7(1), pages 1-17, March.
    • Handle: RePEc:gam:jadmsc:v:7:y:2017:i:1:p:7-:d:92212
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2076-3387/7/1/7/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/2076-3387/7/1/7/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Editorial Article, 0. "The Information for Authors," Economics of Contemporary Russia, Regional Public Organization for Assistance to the Development of Institutions of the Department of Economics of the Russian Academy of Sciences, issue 4.
    2. Editorial Article, 0. "The Information for Authors," Economics of Contemporary Russia, Regional Public Organization for Assistance to the Development of Institutions of the Department of Economics of the Russian Academy of Sciences, issue 3.
    3. Editorial Article, 0. "The Information for Authors," Economics of Contemporary Russia, Regional Public Organization for Assistance to the Development of Institutions of the Department of Economics of the Russian Academy of Sciences, issue 2.
    4. Editorial Article, 0. "The Information for Authors," Economics of Contemporary Russia, Regional Public Organization for Assistance to the Development of Institutions of the Department of Economics of the Russian Academy of Sciences, issue 2.
    5. מחקר - ביטוח לאומי, 2006. "Summary for 2005," Working Papers 29, National Insurance Institute of Israel.
    6. Editorial Article, 0. "The Information for Authors," Economics of Contemporary Russia, Regional Public Organization for Assistance to the Development of Institutions of the Department of Economics of the Russian Academy of Sciences, issue 4.
    7. Editorial Article, 0. "The Information for Authors," Economics of Contemporary Russia, Regional Public Organization for Assistance to the Development of Institutions of the Department of Economics of the Russian Academy of Sciences, issue 3.
    8. Editorial Article, 0. "The Information for Authors," Economics of Contemporary Russia, Regional Public Organization for Assistance to the Development of Institutions of the Department of Economics of the Russian Academy of Sciences, issue 1.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. A. E. M. Liljas & N. K. Jensen & J. Pulkki & I. Andersen & I. Keskimäki & B. Burström & J. Agerholm, 2022. "The influence of sociodemographic factors and close relatives at hospital discharge and post hospital care of older people with complex care needs: nurses’ perceptions on health inequity in three Nord," European Journal of Ageing, Springer, vol. 19(2), pages 189-200, June.
    2. Ann E. M. Liljas & Natasja K. Jensen & Jutta Pulkki & Janne Agerholm, 2023. "Nurses’ Roles, Responsibilities and Actions in the Hospital Discharge Process of Older Adults with Health and Social Care Needs in Three Nordic Cities: A Vignette Study," IJERPH, MDPI, vol. 20(19), pages 1-14, September.
    3. I Seul Ryu & JaeLan Shim, 2021. "The Influence of Burnout on Patient Safety Management Activities of Shift Nurses: The Mediating Effect of Compassion Satisfaction," IJERPH, MDPI, vol. 18(22), pages 1-12, November.
    4. María del Carmen Pérez-Fuentes & María del Mar Molero Jurado & África Martos Martínez & José Jesús Gázquez Linares, 2019. "Analysis of the Risk and Protective Roles of Work-Related and Individual Variables in Burnout Syndrome in Nurses," Sustainability, MDPI, vol. 11(20), pages 1-17, October.
    5. Chieh-Liang Wu & Chia-Hua Liou & Shih-An Liu & Cheng-Hsu Chen & Wayne H-H Sheu & I-Ju Chou & Shang-Feng Tsai, 2020. "Quality Improvement Initiatives in Reforming Patient Support Groups—Three-Year Outcomes," IJERPH, MDPI, vol. 17(19), pages 1-11, September.
    6. Farinaz Havaei & Maura MacPhee & Andy Ma & Vivien W. Wong & Cecilia Li & Irene Cheung & Lina Scigliano & Amera Taylor, 2022. "Implementation of the Synergy Tool: A Potential Intervention to Relieve Health Care Worker Burnout," IJERPH, MDPI, vol. 20(1), pages 1-11, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kritana Prueksakorn & Cheng-Xu Piao & Hyunchul Ha & Taehyeung Kim, 2015. "Computational and Experimental Investigation for an Optimal Design of Industrial Windows to Allow Natural Ventilation during Wind-Driven Rain," Sustainability, MDPI, vol. 7(8), pages 1-22, August.
    2. Hualin Xie & Jinlang Zou & Hailing Jiang & Ning Zhang & Yongrok Choi, 2014. "Spatiotemporal Pattern and Driving Forces of Arable Land-Use Intensity in China: Toward Sustainable Land Management Using Emergy Analysis," Sustainability, MDPI, vol. 6(6), pages 1-17, May.
    3. Stephan E. Maurer & Andrei V. Potlogea, 2021. "Male‐biased Demand Shocks and Women's Labour Force Participation: Evidence from Large Oil Field Discoveries," Economica, London School of Economics and Political Science, vol. 88(349), pages 167-188, January.
    4. Tie Hua Zhou & Ling Wang & Keun Ho Ryu, 2015. "Supporting Keyword Search for Image Retrieval with Integration of Probabilistic Annotation," Sustainability, MDPI, vol. 7(5), pages 1-18, May.
    5. T. Karski, 2019. "Opinions and Controversies in Problem of The So-Called Idiopathic Scoliosis. Information About Etiology, New Classification and New Therapy," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 12(5), pages 9612-9616, January.
    6. Sung-Won Park & Sung-Yong Son, 2017. "Cost Analysis for a Hybrid Advanced Metering Infrastructure in Korea," Energies, MDPI, vol. 10(9), pages 1-18, September.
    7. Wesley Mendes-da-Silva, 2020. "What Makes an Article be More Cited?," RAC - Revista de Administração Contemporânea (Journal of Contemporary Administration), ANPAD - Associação Nacional de Pós-Graduação e Pesquisa em Administração, vol. 24(6), pages 507-513.
    8. Martin Valtierra-Rodriguez & Juan Pablo Amezquita-Sanchez & Arturo Garcia-Perez & David Camarena-Martinez, 2019. "Complete Ensemble Empirical Mode Decomposition on FPGA for Condition Monitoring of Broken Bars in Induction Motors," Mathematics, MDPI, vol. 7(9), pages 1-19, August.
    9. Akca Yasar & Gokhan Ozer, 2016. "Determination the Factors that Affect the Use of Enterprise Resource Planning Information System through Technology Acceptance Model," International Journal of Business and Management, Canadian Center of Science and Education, vol. 11(10), pages 1-91, September.
    10. Julián Miranda & Angélica Flórez & Gustavo Ospina & Ciro Gamboa & Carlos Flórez & Miguel Altuve, 2020. "Proposal for a System Model for Offline Seismic Event Detection in Colombia," Future Internet, MDPI, vol. 12(12), pages 1-17, December.
    11. Wisdom Akpalu & Mintewab Bezabih, 2015. "Tenure Insecurity, Climate Variability and Renting out Decisions among Female Small-Holder Farmers in Ethiopia," Sustainability, MDPI, vol. 7(6), pages 1-16, June.
    12. Wei Chen & Shu-Yu Liu & Chih-Han Chen & Yi-Shan Lee, 2011. "Bounded Memory, Inertia, Sampling and Weighting Model for Market Entry Games," Games, MDPI, vol. 2(1), pages 1-13, March.
    13. David Harborth & Sebastian Pape, 2020. "Empirically Investigating Extraneous Influences on the “APCO” Model—Childhood Brand Nostalgia and the Positivity Bias," Future Internet, MDPI, vol. 12(12), pages 1-16, December.
    14. Ping Wang & Jie Wang & Guiwu Wei & Cun Wei, 2019. "Similarity Measures of q-Rung Orthopair Fuzzy Sets Based on Cosine Function and Their Applications," Mathematics, MDPI, vol. 7(4), pages 1-23, April.
    15. Peterson, Willis L., 1973. "Publication Productivities Of U.S. Economics Department Graduates," Staff Papers 14105, University of Minnesota, Department of Applied Economics.
    16. Taeyeoun Roh & Yujin Jeong & Byungun Yoon, 2017. "Developing a Methodology of Structuring and Layering Technological Information in Patent Documents through Natural Language Processing," Sustainability, MDPI, vol. 9(11), pages 1-19, November.
    17. He-Yau Kang & Amy H. I. Lee & Tzu-Ting Huang, 2016. "Project Management for a Wind Turbine Construction by Applying Fuzzy Multiple Objective Linear Programming Models," Energies, MDPI, vol. 9(12), pages 1-15, December.
    18. Vasilyeva, Olga, 2021. "Agro-food clusters in the Republic of Kazakhstan: assessment and prospects of development," Economic Consultant, Roman I. Ostapenko, vol. 34(2), pages 13-20.
    19. Chris Lytridis & Anna Lekova & Christos Bazinas & Michail Manios & Vassilis G. Kaburlasos, 2020. "WINkNN: Windowed Intervals’ Number kNN Classifier for Efficient Time-Series Applications," Mathematics, MDPI, vol. 8(3), pages 1-14, March.
    20. Richard J. Ciotola & Jay F. Martin & Juan M. Castańo & Jiyoung Lee & Frederick Michel, 2013. "Microbial Community Response to Seasonal Temperature Variation in a Small-Scale Anaerobic Digester," Energies, MDPI, vol. 6(10), pages 1-18, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jadmsc:v:7:y:2017:i:1:p:7-:d:92212. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.