Cerrahi Yoğun Bakım Ünitelerinde Hemşirelik İş Yükü Algısı ve İş Yükünün İncelenmesi

Abstract

This study was carried out as a descriptive and prospective study in order to examine the workload perception and workload of nurses working in surgical intensive care units. The sample of this study consisted of 159 patients in 3 intensive care units and 39 nurses working in these units. Data were collected from 9 April 2018 to 3 September 2018 using the instruments Nursing Activities Score (NAS), Nursing Activities Duration and Frequency Observation Form, Workload Scale and Acute Physiology and Chronic Health Evaluation-II (APACHE-II) tools. SPSS 23v, package program was used for data analysis. Data were analysed using descriptive statistics, parametric and nonparametric statistical tests. According to the results, the mean workload score of nurses was 24,33 ± 4,09, and the majority of the nurses (61,5%) stated that the workload was higher in the day shift than night shift. During the research, through 1344 hours’ participant observation within 56 days and 56 night shifts, 21862 nursing activities were performed and 4994 nursing activities’ time period were recorded. Most frequent performed ten nursing activities at all intensive care units were identified as evaluation of vital signs, intravenous medication administration, monitoring input and outputs, intravenous fluid administration, shift delivery, measuring blood glucose level with portable glucose meters, providing hygienic care, airway aspiration, positioning and blood sampling. Top ten nursing activities that took longest time as hours within the study period were recorded as providing hygienic care, intravenous medication administration, evaluation of vital signs, patient transfer patient transfer to another ward, shift delivery, changing wound dressing, taking a blood sample, renewing the nurse observation forms and giving position. The NAS median score, obtained from 667 NAS forms of 159 patients was calculated as 45,50, and their mean APACHE II score was 14,40±6,81. There was a positive correlation between patients NAS scores and APACHEII scores, while both NAS and APACHEII scores were highest at patients in general intensive care units. Based on the results appropriate suggestions were made.