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首页> 外文期刊>Journal of Nursing Education and Practice >Perceived representativeness, usefulness and impacts of using the nursing activities score as part of a workload readjustment initiative: A mixed methods study
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Perceived representativeness, usefulness and impacts of using the nursing activities score as part of a workload readjustment initiative: A mixed methods study

机译：作为工作量重新调整倡议的一部分，使用护理活动得分的代表性，有用性和影响：混合方法研究

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Objective: Nursing workload has been shown to have negative impacts on job satisfaction, retention and turnover. The NAS is one of existing tools targeting nursing workload quantification. Although tested in multiple settings, few studies explored nurses’ perception of its representativeness of workload, and its impacts when used to readjust nurse/patient ratios. This study was conducted to validate nurses’ perception of representativeness and potential usefulness of the Nursing Activities Score (NAS) in regard to nurses’ perceived workload and explore its impacts as part of a workload readjustment initiative.Methods: A mixed method design was selected, combining semi-structured interviews (n = 13), and secondary analysis of project monitoring data for an entire intensive care unit (n = 139). Statistical analysis was performed using SPSS v.22 software for quantitative data, and qualitative data was analyzed through NVivo 12 software using a thematic deductive-mixed content analysis, aiming for the emergence of recurring themes.?Results: When taken as a whole, the NAS is perceived to be representative of nursing workload. However, validity concerns were identified at the tool completion level, notably in regard to improper documenting of events and fundamental understanding of the tool by nurses. Numerous impacts related to the use of the NAS were also identified.Conclusions: Although the NAS appears to adequately represent nursing workload, its pertinent utility remains debatable due to high subjectivity described in this study. The sole use of the tool for patient assignment is therefore questionable.
机译：目标：护理工作量已显示对工作满意度，保留和营业额产生负面影响。 NAS是针对护理工作负载量化的现有工具之一。虽然在多种设置中进行了测试，但很少有研究探讨了护士对其工作量的代表性的看法，以及用于重新调整护士/患者比率时的影响。进行了本研究以验证护士的代表性的看法以及护理活动评分（NAS）的潜在有用性，在护士的感知工作负载方面，作为工作量重新调整倡议的一部分，探讨其影响。方法：选择了混合方法设计，结合半结构化访谈（n = 13），以及整个重症监护室的项目监测数据的次要分析（n = 139）。使用SPSS V.22软件进行统计分析，用于定量数据，通过使用专题演绎混合内容分析来分析定性数据，旨在出现反复性主题。当然：作为一个整体时， NAS被认为是护理工作量的代表。但是，在工具完成水平上确定了有效性问题，特别是在护士上对事件的不当文档和对工具的基本理解。还识别了与使用NAS的许多影响。结论：虽然NAS似乎充分代表护理工作量，但由于本研究中描述的高主体性，其相关的效用仍然是值得义的。因此，患者分配工具的唯一使用是可疑的。

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