Transitioning from Nurse-Patient Ratios to Workload Intensity Staffing: What Helps and Hinders the Change

Source avec lien : JONA: The Journal of Nursing Administration, 52(7/8). 10.1097/NNA.0000000000001174

L’objectif de cette étude était d’explorer les facilitateurs et les obstacles à la mise en œuvre d’un outil d’intensité de la charge de travail

OBJECTIVE  The aim of this study was to explore the facilitators and barriers in implementing a workload intensity (WI) tool. BACKGROUND  A WI tool was developed to quantify patient needs and more evenly disperse workload among nurses. METHODS  A descriptive phenomenological design was used. Semistructured interviews were conducted with 16 nurses on 5 inpatient units. Questions focused on the factors that helped or hindered the change transition to workload intensity staffing (WIS). RESULTS  WI was perceived as a positive change. Five themes were uncovered as facilitators and barriers to the change: resistance to change, intense workloads, supportive organizational culture, resources/training, and evaluation. CONCLUSIONS  Understanding barriers and facilitators to change is important for successful implementation of WIS. To promote success, leaders should provide support to staff and ensure availability of adequate resources.

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