Workload and performance obstacles of nursing staff in intensive care
DOI:
https://doi.org/10.59282/reincisol.V3(6)1798-1817Keywords:
Workload, nursing staff, intensive care units, professional performance, NAS.Abstract
Nursing staff in intensive care units (ICUs) face a significant workload that affects both their well-being and the quality of care provided to patients. This study aimed to identify the factors that contribute to this workload and the obstacles faced by nursing staff in critical care settings, in order to point out key areas for improving the support and efficiency of the intensive care team. Through a systematic review of the scientific literature in databases such as Scielo, Medline, PubMed, Dialnet, Cochrane, Scopus and ScienceDirect, articles published between 2020 and 2024 addressing workload and performance in ICUs were analyzed, with a focus on the working conditions of nursing staff. The results showed that nurses face a high workload, marked by the care of a considerable number of critically ill patients, the complexity of the care required and insufficient resources. In addition, obstacles such as lack of ongoing training, pressure to meet strict standards, staff shortages, and difficulties in communication and coordination with other health professionals were identified. These conditions increase fatigue, stress, reduce job satisfaction, and increase the risk of errors in patient care.
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Acosta, M., & Maya, G. (2020). Competencias clínicas y carga laboral del profesional de Enfermería en la Unidad de Cuidado Intensivo adulto. Revista Ciencia y Cuidado, 17(2). Obtenido de https://revistas.ufps.edu.co/index.php/cienciaycuidado/article/view/1698
Arnau, L., & Sala, J. (2020). La revisión de la literatura científica: Pautas, procedimientos y criterios de calidad. Obtenido de https://ddd.uab.cat/pub/recdoc/2020/222109/revliltcie_a2020.pdf
Banda, Z., Simbota, M., & Mula, C. (2022). Nurses' perceptions on the effects of high nursing workload on patient care in an intensive care unit of a referral hospital in Malawi. MC Nurs, 21(1), 136. doi:10.1186/s12912-022-00918-x.
Cáceres, D., Torres, L., & Romero, L. (2021). Factores asociados a la carga de trabajo de enfermería en tres Unidades de Cuidado Intensivo. Revista da Escola de Enfermagem(55). doi:10.1590/1980-220X-REEUSP-2020-0272
CEPAL/OIT. (2020). Coyuntura Laboral en América Latina y el Caribe. En El trabajo en tiempos de pandemia: desafíos frente a la enfermdad por coronavirus (COVID-19) (pág. 60). Santiago: CEPAL. Obtenido de https://repositorio.cepal.org/server/api/core/bitstreams/9e2b1ebd-1c89-405a-8aa7-e4fffd4121b8/content
Fasoi, G. P., Stavropoulou, A., Kaba, E., Papageorgfiou, D., & Toylia, G. (2021). Assessment of Nursing Workload as a Mortality Predictor in Intensive Care Units (ICU) Using the Nursing Activities Score (NAS) Scale. MDPI, 18(1). doi:10.3390/ijerph18010079
Garcez, P., Antunes, R., Marques, J., Lindo, J., Domingues, J., & Simoes, C. (2022). Nursing workload assessment in an intensive care unit: A retrospective observational study using the Nursing Activities Score. Nursing in Critical Care, 28(2), 288-297. doi:10.1111/nicc.12854
Gee, P., Kelly, L., & Butler, R. (2021). Impact of nurse burnout on organizational and position turnover. Nurs Outlook, 69(1). doi:10.1016/j.outlook.2020.06.008
Guevara, G., & Verdesoto, N. (2020). Metodologías de investigación educativa (descriptivas, experimentales, participativas, y de investigación-acción). Recimundo, 4(3), 163-173. doi:10.26820/recimundo/4.(3).julio.2020.163-173
Hernández, R., & Mendoza, R. (2020). La ruta de la investigación cualitativa. En Metodología de la investigación. Las rutas cuantitativa, cualitativa y mixta (Segunda ed., pág. 753). México: McGraw-Hill.
ILO. (2020). What is the impact of stress in the working population? En Workplace Stress, a collective challenge (pág. 63). Geneva: International Training Centre.
ILO. (2023). Safe and healthy working environments for all. International Labour Organization. Obtenido de https://www.ilo.org/sites/default/files/wcmsp5/groups/public/@ed_protect/@protrav/@safework/documents/publication/wcms_906187.pdf
McHugh, M., Aiken, L., & Sloane, D. (2021). Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals. Lancet, 397(10288). doi:10.1016/S0140-6736(21)00768-6
OIT. (2022). Trabajadores de la salud en Ecuador: condiciones de empleo, salud y seguridad en el trabajo. OIT Países Andinos. Obtenido de https://www.ilo.org/es/media/374681/download.
OPS. (2020). Desafíos pendiente de la salud pública. En Las funciones esenciales de la salud pública en las Américas. Una renovación para el siglo XXI (pág. 118). Organización Panamericana de la Salud. Obtenido de https://iris.paho.org/bitstream/handle/10665.2/53125/9789275322659_spa.pdf?sequence=1&isAllowed=y
Papastavrou, E., & Suhonen, R. (2021). Impacts of Rationing and Missed Nursing Care: Challenges and Solutions. Switzerland: Springer Nature. Obtenido de https://sjukrarokt.fo/wp-content/uploads/2023/05/2021_Book_ImpactsOfRationingAndMissedNur-2.pdf
Poudyal, S., & Sharma, K. (2023). Performance Obstacles and Workload of Nurses Working in Critical Care Unit at Teaching Hospital. Journal of Karnali Academy of Health Sciences, 6(2). doi:10.61814/jkahs.v6i2.813
Pruna, D. (2022). Working conditions of nursing staff in the Intensive Care Unit. Sapienza, 3(5). doi:10.51798/sijis.v3i5.487
Ramírez, S., Romero, J., Suleiman, N., Gómez, J., Monsalve, C., & Cañadas, G. (2021). Prevalence, Risk Factors and Burnout Levels in Intensive Care Unit Nurse. Int J Environ Res Public Health, 18(21). doi:10.3390/ijerph182111432
Saedpanah, K., Ghasemi, M., Akbari, H., & Adibzadeh, A. (2022). Effects of workload and job stress on the shift work disorders among nurses. Eur J Transl Myol, 33(1). doi:10.4081/ejtm.2022.10909.
Santos, R., Nacimento, H., Santos, F., & Santos, A. (2020). Aplicación del Nursing Activities Score (NAS) en diferentes tipos de UCI’s. Enfermería Global, 18(56). doi:10.6018/eglobal.18.4.362201
Torres, J. (2020). Factores psicosociales labores: una descripción de la clasificación colombiana de los riesgos psicosociales. Editorial Universidad Santiago de Cali. Obtenido de https://libros.usc.edu.co/index.php/usc/catalog/view/190/192/3254
Vaismoradi, M., Tella, S., Logan, P., & Khakurei, J. (2020). Nurses’ Adherence to Patient Safety Principles: A Systematic Review. Int J Environ Res Public Health, 17(6). doi:10.3390/ijerph17062028
Wakefield, M., Williams, D., Le Menestrel, S., & Flaubert, J. (2020). The Nursing Workface. En The future of Nursing 2020-2030, charting a path to achieve health equity (pág. 469). Washington: The National Academies. Obtenido de https://www.researchgate.net/publication/356125792_The_future_of_nursing_2020-2030
Whitebead, D., & Weiss, S. (2020). Empowering Nurses. En Essentials of nursing leadership and management (pág. 293). United States: Davis Company. Obtenido de https://www.atispa.org.ar/images/Lecturas/recomendaciones/nursing-management.pdf
WHO. (2020). Global strategy on human resources for health: Workforce 2030. Geneva: I.World Health Organization. Obtenido de https://iris.who.int/bitstream/handle/10665/250368/9789241511131-eng.pdf
WHO. (2023). National Health Workforce accounts: a handbook. Geneva: World Health Organization. Obtenido de https://iris.who.int/bitstream/handle/10665/374320/9789240081291-eng.pdf?sequence=1
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Copyright (c) 2024 María Auxiliadora Salazar Roldan , Andrea Carolina Venegas Paute, Carmen María de Los Ángeles Alarcón Dalgo
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