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Volume 9, Issue 4 (Iranian Journal of Ergonomics 2022)                   Iran J Ergon 2022, 9(4): 147-161 | Back to browse issues page

Ethics code: IR.IUMS.REC.1399.893


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Ghasemi M S, Garosi E, Dehghan N, Kaboli M. Exploring Factors Influencing the Workload in Nursing Assistants: A Qualitative Study. Iran J Ergon 2022; 9 (4) :147-161
URL: http://journal.iehfs.ir/article-1-855-en.html
1- Associate Professor, Department of Ergonomics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. Tel: 86704839
2- Assistant Professor, Department of Ergonomics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
3- Assistant Professor, Occupational Medicine Research Center, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
4- MSc Student, Department of Ergonomics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran , maryamkaboli94@gmail.com
Abstract:   (4348 Views)
Background and Objectives: A high workload is a major challenge to health care workers, especially first- line supporters, like nurse assistants, and this has many negative consequences. This study aimed to identify the factors affecting the workload of nurse assistants in one of Tehran hospitals.
Methods: The research is descriptive- qualitative using qualitative content analysis, with the participation of 13 nurse assistants selected by purposive sampling. Data were collected through semi- structured interviews and after each interview, the data were loaded and analyzed in MAX QDA software and this process continued until data saturation. Please match the last sentence with the farsi version.
Results: In the findings of continuous data analysis, a total of 473 codes were found in the factors affecting workload in the process of nurse assistants' work system. Finally, they were classified into five categories of Systems Engineering Initiative for Patient Safety model (person, task, organization, tools, equipment and environment).
Conclusion: Most factors affecting workload are obtained in the organizational component and the least in the environmental component of the Systems Engineering Initiative for Patient Safety model, which indicates the significant role played by interpersonal relationships in the workplace and hospital rules on the workload of nurse assistants.
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Type of Study: Research | Subject: Industrial and Organizational Psychology
Received: 2021/11/21 | Accepted: 2022/03/1 | ePublished: 2022/03/1

References
1. Zakerian SA, Abbasinia M, Mohammadian F, Fathi A, Rahmani A, Ahmadnezhad I, et al. The relationship between workload and quality of life among hospital staffs. Iran J Ergon 2013; 1(1): 43-56.
2. Carayon P, Gurses AP. Nursing workload and patient safety—a human factors engineering perspective. In: Hughes RG, editor. Patient safety and quality: An evidence-based handbook for nurses. Maryland, US: Agency for Healthcare Research and Quality; 2008.
3. Lathren CR, Sloane PD, Zimmerman S, Bluth K, Silbersack J, Wretman CJ. Mindful self-compassion training for nursing assistants in long-term care: Challenges and future directions. J Am Med Dir Assoc 2020; 21(5): 708-9. [DOI] [PubMed]
4. Khatutsky G, Wiener JM, Anderson WL, Porell FW. Work-related injuries among certified nursing assistants working in US nursing homes. Research Triangle Park, NC: Press R; 2012. [DOI]
5. Bagheri Hosseinabadi M, Khanjani N, Etemadinezhad S, Samaei SE, Raadabadi M, Mostafaee M. The associations of workload, individual and organisational factors on nurses’ occupational injuries. J Clin Nurs 2019; 28(5-6): 902-11. [DOI] [PubMed]
6. Martins JT, Ribeiro RP, Bobroff MCC, Marziale MHP, Robazzi MLdCC, Mendes AC. Meaning of workload on the view of cleaning professionals. Acta Paul Enferm 2013; 26(1): 63-70. [DOI]
7. Holden RJ, Alper SJ, Escoto KH, Kaushal R, Murkowski K, Patel N, et al. Nursing workload and its effect on patient and employee safety. Proc Hum Factors Ergon Soc Annu Meet 2007; 51(11): 760-4. [DOI]
8. Mohammadi M, Mazloumi A, Nasl Seraji J, Zeraati H. Designing questionnaire of assessing mental workload and determine its validity and reliability among ICUs nurses in one of the TUMS’s hospitals. J Sch Public Health Inst Public Health Res 2013; 11(2):87-96. [Persian].
9. Booth RZ. The nursing shortage: a worldwide problem. Rev Lat Am Enfermagem 2002; 10(3): 392-400. [DOI] [PubMed]
10. Moghadam KN, Chehrzad MM, Masouleh SR, Mardani A, Maleki M, Akhlaghi E, et al. Nursing workload in intensive care units and the influence of patient and nurse characteristics. Nurs Crit Care 2021; 26(6): 425-31. [DOI] [PubMed]
11. Walton AL, Rogers B. Workplace hazards faced by nursing assistants in the United States: A focused literature review. Int J Environ Res Public Health 2017; 14(5): 544. [DOI] [PubMed]
12. Odberg KR, Hansen BS, Aase K, Wangensteen S. A work system analysis of the medication administration process in a Norwegian nursing home ward. Appl Ergon 2020; 86: 103100. [DOI] [PubMed]
13. Steege LM, Dykstra JG. A macroergonomic perspective on fatigue and coping in the hospital nurse work system. Appl Ergon 2016; 54: 19-26. [DOI] [PubMed]
14. MacDonald W. The impact of job demands and workload on stress and fatigue. Aust Psychol. 2003; 38(2): 102-17. [DOI]
15. Carayon P, Hundt AS, Karsh BT, Gurses AP, Alvarado CJ, Smith M, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care 2006; 15(suppl 1): i50-i8. [DOI] [PubMed]
16. Neill D. Nursing workload and the changing health care environment: a review of the literature. Adm Issues J 2011; 1(2): 132-43. [DOI]
17. Jameel B, Shaheen S, Majid U. Introduction to qualitative research for novice investigators. Undergrad Res Nat Clin Sci Technol J 2018; 2(6): 1-6. [DOI]
18. Bakhshi E, Mazlomi A, Hoseini SM. Mental workload and its determinants among nurses in one hospital in Kermanshah city, Iran. J Occup Hyg 2016; 3(4): 53-60. [In Persian]. [DOI]
19. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005; 15(9): 1277-88. [DOI] [PubMed]
20. Parsons K. Environmental ergonomics: a review of principles, methods and models. Appl Ergon 2000; 31(6): 581-94. [DOI] [PubMed]
21. Lambert VA, Lambert CE. Nurses' workplace stressors and coping strategies. Indian J Palliative Care 2008; 14(1): 38. [DOI]
22. Barati Ahmadabadi H, Oreizi HR, Nouri A. Relationship between organization climate and work conscientiousness with job performance. J Appl PsyCh 2010; 1(13): 65-81.
23. Blay N, Roche MA. A systematic review of activities undertaken by the unregulated nursing assistant. J Adv Nurs 2020; 76(7): 1538-51. [DOI] [PubMed]
24. Matthews G, De Winter J, Hancock PA. What do subjective workload scales really measure? Operational and representational solutions to divergence of workload measures. Theor Issues Ergon Sci 2020; 21(6): 369-96. [DOI]
25. Tuomi K, Ilmarinen J, Martikainen R, Aalto L, Klockars M. Aging, work, life-style and work ability among Finnish municipal workers in 1981-1992. Scand J Work Environ Health 1997; 23(Suppl 1): 58-65. [PubMed]
26. Habibi E, Hasanzadeh A, Mahdavi Rad M, Taheri MR. Relationship mental workload with musculoskeletal disorders among Alzahra hospital nurses by NASA-TLX index and CMDQ. J Health Syst Res 2014; 10(4): 775-85. [In Persian].
27. van den Oetelaar WF JM. Advancing healthcare: balancing workload of nurses to enhance quality of care, nurses’ health and operational excellence. Utrecht, Netherlands: Utrecht University; 2020. [DOI]
28. Cain B. A review of the mental workload literature; 2007.
29. Tengland PA. The concept of work ability. J Occup Rehabil 2011; 21(2): 275-85. [DOI] [PubMed]
30. Danesh MK, Garosi E, Mazloumi A, Najafi S. Identifying factors influencing cardiac care nurses’ work ability within the framework of system engineering initiative for patient safety. Work 2020; 66(3): 569-77. [DOI] [PubMed]
31. Gharibi V, Mokarami H, Taban A, Yazdani Aval M, Samimi K, Salesi M. Effects of work-related stress on work ability index among Iranian workers. Saf Health Work 2016; 7(1): 43-8. [DOI] [PubMed]
32. Mousavi Ouri A, Sedghi Goyaghaj N, Monjamed Z, Alamdarloo A. The Study of Nursing Personnel, s Workload Caused by Patient Transferring. J Clin Nurs Midwifery 2016; 5(3): 34-43. [In Persian].
33. Hignett S. Intervention strategies to reduce musculoskeletal injuries associated with handling patients: a systematic review. Occup Environ Med 2003; 60(9): E6. [DOI] [PubMed]
34. Garosi E, Khosrav Danesh M, Mazloumi A. Nurses and COVID-19 phenomenon: Challenges and consequences. Iran Occup Health 2020; 17(Special Issue: Covid-19): 1-5.
35. Hughes RG. Patient safety and quality: An evidence-based handbook for nurses. Agency for Healthcare Research and Quality (AHRQ) Publication; 2008.
36. Farid M, Purdy N, Neumann WP. Using system dynamics modelling to show the effect of nurse workload on nurses’ health and quality of care. Ergonomics 2020; 63(8): 952-64. [DOI] [PubMed]

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