Open AccessWorkshifting – a tool to manage shortage of nurses? A content analysis at a medical ward at a university hospital in Sweden
Author(s) -
Tove Nyman,
Susanne Trinh,
Kristina Rosengren
Publication year - 2019
Publication title -
journal of hospital administration
Language(s) - English
Resource type - Journals
eISSN - 1927-7008
pISSN - 1927-6990
DOI - 10.5430/jha.v8n2p21
Subject(s) - workload , economic shortage , work (physics) , content analysis , nursing , task (project management) , university hospital , medicine , nursing staff , qualitative research , medical education , family medicine , computer science , management , mechanical engineering , social science , philosophy , linguistics , government (linguistics) , sociology , engineering , economics , operating system
Background: Workshifting is a new model for redistributing tasks due to the shortage of health professionals such as registered nurses (RNs). Therefore, this study aim to describe registered nurses' experiences with workshifting in a medical ward at a university hospital in Sweden.Methods: Manifest qualitative content analysis with an inductive approach was used based on seven semi-structured interviews with RNs working in a medical ward at Sahlgrenska University Hospital in Gothenburg, Sweden.Results: One category, communication skills for increased cooperation, and three subcategories, Manage different skills, Changed work content and Lack of holistic nursing, were described. A healthy work environment (reasonable workload, interesting work tasks/content) is an important factor for attracting health professionals such as RNs.Conclusion: Workshifting redistributes tasks to added staff members such as pharmacists and assistant nurses, which decreases the RN workload; however, task-oriented work results in the lack of a holistic view of nursing. Moreover, enlarged teams need well-developed communication arenas to ensure patient safety and efficient work organization.