Subtle cues: Qualitative elicitation of signs of capacity strain in the hospital workplace.
Capacity strain
Nursing
Socio-technical systems
Strategies
Workload
Journal
Applied ergonomics
ISSN: 1872-9126
Titre abrégé: Appl Ergon
Pays: England
ID NLM: 0261412
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
20
08
2018
revised:
20
06
2019
accepted:
03
07
2019
pubmed:
20
8
2019
medline:
12
2
2020
entrez:
19
8
2019
Statut:
ppublish
Résumé
Through everyday care experiences, nurses develop expertise in recognition of capacity strain in hospital workplaces. Through qualitative interview, experienced nurses identify common activity changes and adaptive work strategies that may signal an imbalance between patient demand and service supply at the bedside. Activity change examples include nurse helping behaviors across patient assignments, increased volume of nurse calls from patient rooms, and decreased presence of staff at the nurses' station. Adaptive work strategies encompass actions taken to recruit resources, move work in time, reduce work demands, or reduce thoroughness of task performance. Nurses' knowledge of perceptible signs of strain provides a foundation for future exploration and development of real-time indicators of capacity strain in hospital-based work systems.
Identifiants
pubmed: 31422247
pii: S0003-6870(18)30297-7
doi: 10.1016/j.apergo.2019.102893
pmc: PMC6834115
mid: NIHMS1041589
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
102893Subventions
Organisme : AHRQ HHS
ID : K12 HS026370
Pays : United States
Organisme : NLM NIH HHS
ID : R00 LM012238
Pays : United States
Organisme : NLM NIH HHS
ID : T15 LM007088
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.
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