Heavy Workload (heavy + workload)

Distribution by Scientific Domains


Selected Abstracts


Developing person-centred practice: nursing outcomes arising from changes to the care environment in residential settings for older people

INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 2 2010
BSc (Hons) Nursing, Brendan McCormack D.Phil (Oxon), PGCEA
mccormack b., dewing j., breslin l., coyne-nevin a., kennedy k., manning m., peelo-kilroe l., tobin c. & slater p. (2010) Developing person-centred practice: nursing outcomes arising from changes to the care environment in residential settings for older people. International Journal of Older People Nursing 5, 93,107 Aim., To present the nursing outcomes from the evaluation of developments in the care environment in residential settings for older people. Design., The evaluation data reported here is derived from a larger national programme of work that focused on the development of person-centred practice in residential services for older people using an emancipatory practice development framework. A multi-method evaluation framework was utilised. Outcome data were collected at three time points between December 2007 and September 2009. The data reported here were collected using an instrument called the ,Person-Centred Nursing Index'. Findings., Heavy workload was the main cause of stress among nurses. Personal and professional satisfaction with the job was scored highest by the total sample of nurses. Nineteen factors were examined using the Person-Centred Nursing Index. Statistically significant changes were observed in 12 of these. In addition, there were statistically significant changes in nurses' perceptions of caring, indicating a shift from a dominant focus on ,technical' aspects of care, to one where ,intimate' aspects of care were more highly valued. Relevance to clinical practice., The findings highlight the importance of the development of effective teamwork, workload management, time management and staff relationships in order to create a culture where there is a more democratic and inclusive approach to practice and space for the formation of person-centred relationships. [source]


Two approaches to nursing: a study of Iranian nurses

INTERNATIONAL NURSING REVIEW, Issue 2 2007
A. Emami rn
Background:, Studying nurses' experience from a sociocultural perspective can contribute to improving knowledge and understanding in this field. Purpose:, To describe and compare three different groups of Iranian nurses' experiences of their profession. Methods:, The study was conducted in Iran and Sweden. The data were collected from semi-structured telephone interviews and analysed with latent content analysis. The participants were three groups of registered nurses (RNs) (21 persons). All RNs were born and grew up in Iran. The first group (A) were educated and had worked in Iran but were now working and living in Sweden. The second group (B) were educated and worked in Sweden. The third group (C) were educated and worked in Iran. Findings:, The nurses in Sweden worked with a patient-orientated approach while nurses in Iran worked with a task-orientated approach. Nurses in all three groups explained that they suffered from stress, had a heavy workload, were underpaid and understaffed. The findings showed that RNs working with a patient-orientated approach, experienced work satisfaction to a greater extent than RNs working with a task-orientated approach, although other aspects also influenced the nurses' situation considerably. [source]


Maintaining gender sensitivity in the family practice: facilitators and barriers

JOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 6 2009
Halime Celik MSc LLB
Abstract Objective, This study aims to identify the facilitators and barriers perceived by General Practitioners (GPs) to maintain a gender perspective in family practice. Methods, Nine semi-structured interviews were conducted among nine pairs of GPs. The data were analysed by means of deductive content analysis using theory-based methods to generate facilitators and barriers to gender sensitivity. Results, Gender sensitivity in family practice can be influenced by several factors which ultimately determine the extent to which a gender sensitive approach is satisfactorily practiced by GPs in the doctor,patient relationship. Gender awareness, repetition and reminders, motivation triggers and professional guidelines were found to facilitate gender sensitivity. On the other hand, lacking skills and routines, scepticism, heavy workload and the timing of implementation were found to be barriers to gender sensitivity. Conclusion, While the potential effect of each factor affecting gender sensitivity in family practice has been elucidated, the effects of the interplay between these factors still need to be determined. [source]


Sleep habits in Nigerian undergraduates

ACTA NEUROLOGICA SCANDINAVICA, Issue 1 2010
O. S. A. Oluwole
Background,,, Quantity of night sleep is shorter than 8 h in several developed countries, but similar data is not available for most African countries. The objective of this study was to describe the quantity of night sleep, factors that are associated with non-restorative sleep, and sleep habits in a population of undergraduates in Nigeria. Methods,,, Questionnaires were used to collect information about bedtimes, waketimes, intra-night awakenings, non-restorative sleep, and afternoon naps over a period of 14 days. Results,,, Mean duration of night sleep was 6.2 h (median 6.0, range 4.5,9.3), while mean duration of daytime naps was 70 min (median 75, range 10,315). Duration of night sleep was associated with day of the week and gender, but not with BMI. Non-restorative sleep, which occurred 25% of total sleep times, was associated with night sleep ,5 h, hypnotic use, alarm to wake, heavy workload, and afternoon naps. Intra-night sleep awakening occurred 58.5% of total sleep times. Afternon naps were taken by 225 (82%) of subjects. Conclusion,,, Duration of night sleep in this African population is not longer than the duration in Western countries. Intra-night awakening and non-restorative sleep; however, occur more frequently, and afternoon nap is usually in excess of 1 h. [source]


The case management practices of community mental health nurses: ,Doing the best we can'

INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 4 2001
Eimear Muir-Cochrane
ABSTRACT: This paper reports findings from an investigation into the case management practices of a group of community mental health nurses in metropolitan South Australia. Such practices have received little attention in the Australian literature to date. These nurses collectively organized their clients into four informal groups in order to manage the demands of heavy workloads. The implications of these findings and recommendations for further evaluative investigations into the nature of case management practices are discussed. [source]