Nursing workload in the acute-care setting: A concept analysis of nursing workload

Nurs Outlook. 2016 May-Jun;64(3):244-54. doi: 10.1016/j.outlook.2016.01.003. Epub 2016 Feb 12.

Abstract

Background: A pressing need in the field of nursing is the identification of optimal staffing levels to ensure patient safety. Effective staffing requires comprehensive measurement of nursing workload to determine staffing needs. Issues surrounding nursing workload are complex, and the volume of workload is growing; however, many workload systems do not consider the numerous workload factors that impact nursing today.

Purpose: The purpose of this concept analysis was to better understand and define nursing workload as it relates to the acute-care setting.

Methods: Rogers' evolutionary method was used for this literature-based concept analysis.

Discussion: Nursing workload is influenced by more than patient care. The proposed definition of nursing workload may help leaders identify workload that is unnoticed and unmeasured.

Conclusion: These findings could help leaders consider and identify workload that is unnecessary, redundant, or more appropriate for assignment to other members of the health care team.

Keywords: Concept analysis; Nursing workload; Workload measurement.

Publication types

  • Review

MeSH terms

  • Critical Care / organization & administration*
  • Critical Illness / nursing*
  • Humans
  • Nursing Staff, Hospital / organization & administration*
  • Nursing Staff, Hospital / psychology*
  • Personnel Staffing and Scheduling / organization & administration*
  • Personnel Staffing and Scheduling / statistics & numerical data
  • Workload / psychology*
  • Workload / statistics & numerical data