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What drives perceived work intensity in neonatal intensive care units? Empirical evidence from a longitudinal study
Author(s) -
Sülz Sandra,
Langhammer Kristina,
BeckerPeth Michael,
Roth Bernhard
Publication year - 2017
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13301
Subject(s) - work intensity , intensive care , work (physics) , intensity (physics) , medicine , empirical evidence , psychology , intensive care medicine , philosophy , epistemology , mechanical engineering , physics , quantum mechanics , engineering
Aim To investigate the drivers of perceived work intensity among neonatal intensive care unit nurses. Background The consequences of high work intensity have been studied extensively, yet setting‐specific drivers have received less attention. Design Prospective, longitudinal and monocentric study design. Methods The study combined data from standardized diary surveys and passive observations of study nurses. Data were collected over a period of 6 months in 2015. We considered two scenarios: (1) the perception of normal work intensity relative to non‐normal work intensity; and (2) the perception of high work intensity relative to non‐high work intensity. Perceived work intensity was then analysed using mixed‐effects probit regression models. Results We found that when direct and indirect care were provided more frequently than administrative and other duties were performed, the evaluated nurses perceived their work intensity to be higher. We also found that nurses who more frequently provided care for sick and preterm infants were less likely to perceive their work intensity as normal and this effect was stronger among nurses who cared for infants under mechanical ventilation than nurses who cared for infants receiving non‐invasive respiratory support. Conclusion In the interest of both nurses and infants and the pursuit of a reduction in perceived work intensity and the provision of better neonatal care, caution must be applied when assigning infants to nurses. Further research is needed to validate these findings using a multicentre study design.