Quantifying emergency department nursing workload at the task level using NASA-TLX: An exploratory descriptive study.

Journal: International emergency nursing

Volume: 74

Issue: 

Year of Publication: 

Affiliated Institutions:  School of Nursing, University of Virginia, Jeanette Lancaster Way, Charlottesville, VA -, USA. Department of Digital Health, Samsung Advanced Institute for Health Science & Technology (SAIHST), Sungkyunkwan University, Irwon-ro Gangnam-gu, Seoul , Republic of Korea. Harvard Medical School, Shattuck Street, Boston MA , MA, USA; Department of Medicine, Division of General Internal Medicine and Primay Care, Brigham and Women's Hospital, Tremont Street, MA, USA. Department of Nursing, Samsung Medical Center, Irwon-ro Gangnam-gu, Seoul , Republic of Korea. Department of Digital Health, Samsung Advanced Institute for Health Science & Technology (SAIHST), Sungkyunkwan University, Irwon-ro Gangnam-gu, Seoul , Republic of Korea; Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Irwon-ro Gangnam-gu, Seoul , Republic of Korea; Digital Innovation Center, Samsung Medical Center, Irwon-ro Gangnam-gu, Seoul , Republic of Korea. Electronic address: wc.cha@samsung.com.

Abstract summary 

Emergency departments (ED) nurses experience high mental workloads because of unpredictable work environments; however, research evaluating ED nursing workload using a tool incorporating nurses' perception is lacking. Quantify ED nursing subjective workload and explore the impact of work experience on perceived workload.Thirty-two ED nurses at a tertiary academic hospital in the Republic of Korea were surveyed to assess their subjective workload for ED procedures using the National Aeronautics and Space Administration Task Load Index (NASA-TLX). Nonparametric statistical analysis was performed to describe the data, and linear regression analysis was conducted to estimate the impact of work experience on perceived workload.Cardiopulmonary resuscitation (CPR) had the highest median workload, followed by interruption from a patient and their family members. Although inexperienced nurses perceived the 'special care' procedures (CPR and defibrillation) as more challenging compared with other categories, analysis revealed that nurses with more than 107 months of experience reported a significantly higher workload than those with less than 36 months of experience.Addressing interruptions and customizing training can alleviate ED nursing workload. Quantified perceived workload is useful for identifying acceptable thresholds to maintain optimal workload, which ultimately contributes to predicting nursing staffing needs and ED crowding.

Authors & Co-authors:  Park Yoo Lee DeGuzman Kang Dykes Shin Cha

Study Outcome 

Source Link: Visit source

Statistics
Citations : 
Authors :  8
Identifiers
Doi : 10.1016/j.ienj.2024.101424
SSN : 1878-013X
Study Population
Male,Female
Mesh Terms
Other Terms
Study Design
Descriptive Study,Descriptive Study,Descriptive Study,Descriptive Study,Descriptive Study,Descriptive Study
Study Approach
Country of Study
Publication Country
England