Nursing workloads: the results of a study of Queensland nurses

Article

Hegney, Desley, Plank, Ashley and Parker, Victoria. 2003. "Nursing workloads: the results of a study of Queensland nurses." Journal of Nursing Management. 11 (5), pp. 307-314. https://doi.org/10.1046/j.1365-2834.2003.00376.x
Article Title

Nursing workloads: the results of a study of Queensland nurses

ERA Journal ID14118
Article CategoryArticle
AuthorsHegney, Desley (Author), Plank, Ashley (Author) and Parker, Victoria (Author)
Journal TitleJournal of Nursing Management
Journal Citation11 (5), pp. 307-314
Number of Pages8
Year2003
PublisherJohn Wiley & Sons
Place of PublicationOxford, UK
ISSN0966-0429
1365-2834
Digital Object Identifier (DOI)https://doi.org/10.1046/j.1365-2834.2003.00376.x
Web Address (URL)http://www3.interscience.wiley.com/cgi-bin/fulltext/118847988/PDFSTART
Abstract

This paper reports the findings of a survey undertaken in Queensland, Australia in October 2001. The participants were registered and enrolled nurses and assistants in
nursing who were members of the industrial body – the Queensland Nursing Union (QNU), and who were in paid employment in nursing in Queensland.
Participants were selected by random sampling from each of the three major employment groups – the aged care, public and private acute sectors. Of the 2800 invited participants, 1477 responded resulting in an overall response rate of 53%.
The findings indicate that over 50% of nurses in the aged-care sector, 32% of nurses in the public and 30% of nurses in the private acute sector experience difficulties in
meeting patient needs because of insufficient staffing levels. The nurses in this study also believed that there was poor skills-mix, mostly caused by lack of funding, too
few experienced staff or too many inexperienced staff. Many nurses in this study expressed their anger and frustration about their inability to complete their work to their professional satisfaction in the paid time available. Further, many nurses also expressed the view that because of this inability they were planning to leave the nursing profession. These findings are consistent with other research into the nursing workforce both within Australia and internationally

Keywordsjob satisfaction; nursing; skills-mix; staffing levels; workloads
ANZSRC Field of Research 2020520104. Industrial and organisational psychology (incl. human factors)
420599. Nursing not elsewhere classified
350503. Human resources management
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Byline AffiliationsCentre for Rural and Remote Area Health
Department of Mathematics and Computing
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Eley, Diann, Boyes, Joanne, Young, Louise and Hegney, Desley. 2009. "Adults with intellectual disability in regional Australia: incidence of disability and provision of accommodation support to their ageing carers ." Australian Journal of Rural Health. 17 (3), pp. 161-166. https://doi.org/10.1111/j.1440-1584.2009.01062.x
The top eight issues Queensland Australia's aged-care nurses and assistants-in-nursing worried about outside their workplace: a qualitative snapshot
Tuckett, Anthony, Hegney, Desley, Parker, Deborah, Eley, Robert M. and Dickie, Robyn. 2011. "The top eight issues Queensland Australia's aged-care nurses and assistants-in-nursing worried about outside their workplace: a qualitative snapshot." International Journal of Nursing Practice. 17 (5), pp. 444-454. https://doi.org/10.1111/j.1440-172X.2011.01966.x
The components of resilience - perceptions of an Australian rural community
Buikstra, Elizabeth, Ross, Helen, King, Christine A., Baker, Peter G., Hegney, Desley, McLachlan, Kathryn and Rogers-Clark, Cath. 2010. "The components of resilience - perceptions of an Australian rural community." Journal of Community Psychology. 38 (8), pp. 975-991. https://doi.org/10.1002/jcop.20409
An evaluation of a telephone-based postnatal support intervention for infant feeding in a regional Australian city
Fallon, Anthony Bruce, Hegney, Desley, O'Brien, Maxine, Brodribb, Wendy, Crepinsek, Maree and Doolan, Jackie. 2005. "An evaluation of a telephone-based postnatal support intervention for infant feeding in a regional Australian city." Birth: Issues in Perinatal Care. 32 (4), pp. 291-298. https://doi.org/10.1111/j.0730-7659.2005.00386.x
Against all odds: a retrospective case-controlled study of women who experienced extraordinary breastfeeding problems
Hegney, Desley, Fallon, Tony and O'Brien, Maxine L.. 2008. "Against all odds: a retrospective case-controlled study of women who experienced extraordinary breastfeeding problems." Journal of Clinical Nursing. 17 (9), pp. 1182-1192. https://doi.org/10.1111/j.1365-2702.2008.02300.x
Reasons for stopping breastfeeding: what are they, what characteristics relate to them, and are there underlying factors?
O'Brien, Maxine, Fallon, Anthony Bruce, Brodribb, Wendy and Hegney, Desley. 2007. "Reasons for stopping breastfeeding: what are they, what characteristics relate to them, and are there underlying factors?" Birth Issues. 15 (3), pp. 105-113.
Identifying predictors of the reasons women give for choosing to breastfeed
Brodribb, Wendy, Fallon, Anthony Bruce, Hegney, Desley and O'Brien, Maxine. 2007. "Identifying predictors of the reasons women give for choosing to breastfeed." Journal of Human Lactation. 23 (4), pp. 338-344. https://doi.org/10.1177/0890334407307540
Construct validity and reliability of the practice environment scale of the nursing work index for Queensland nurses
Parker, Deborah, Tuckett, Anthony, Eley, Robert and Hegney, Desley. 2010. "Construct validity and reliability of the practice environment scale of the nursing work index for Queensland nurses." International Journal of Nursing Practice. 16 (4), pp. 352-358. https://doi.org/10.1111/j.1440-172X.2010.01851.x
Organisational factors contributing to violations by rural and remote nurses during medication administration
McKeon, Christine M., Fogarty, Gerard J. and Hegney, Desley. 2003. "Organisational factors contributing to violations by rural and remote nurses during medication administration." Katsikitis, Mary (ed.) 38th Australian Psychological Society Annual Conference 2003. Perth, Australia 02 - 05 Oct 2003 Melbourne, Australia.
Privacy-aware access control with generalization boundaries
Li, Min, Wang, Hua and Plank, Ashley. 2009. "Privacy-aware access control with generalization boundaries." Mans, Bernard (ed.) 32nd Australasian Computer Science Conference (ACSC 2009). Wellington, New Zealand 19 - 23 Jan 2009 Sydney, Australia.
Organizational factors: impact on administration violations in rural nursing
McKeon, Christine, Fogarty, Gerard J. and Hegney, Desley. 2006. "Organizational factors: impact on administration violations in rural nursing." Journal of Advanced Nursing. 55 (1), pp. 115-123. https://doi.org/10.1111/j.1365-2648.2006.03880.x
Ageing, health and illness
Cartwright, Colleen and Parker, Victoria. 2005. "Ageing, health and illness." Rogers-Clark, Cath, McCarthy, Alexandra and Martin-McDonald, Kristine (ed.) Living with illness: psychosocial challenges for nursing. Sydney, Australia. Elsevier. pp. 54-69
Adequacy of support for new graduates during their transition into the workplace: a Queensland, Australia study
Parker, Victoria, Plank, Ashley and Hegney, Desley. 2003. "Adequacy of support for new graduates during their transition into the workplace: a Queensland, Australia study." International Journal of Nursing Practice. 9 (5), pp. 300-305.
Extrinsic and intrinsic work values: their impact on job satisfaction in nursing
Hegney, Desley, Plank, Ashley and Parker, Victoria. 2006. "Extrinsic and intrinsic work values: their impact on job satisfaction in nursing." Journal of Nursing Management. 14 (4), pp. 271-281. https://doi.org/10.1111/j.1365-2934.2006.00618.x
Workplace violence: differences in perceptions of nursing work between those exposed and those not exposed: a cross-sector analysis
Hegney, Desley, Tuckett, Anthony, Parker, Deborah and Eley, Robert. 2010. "Workplace violence: differences in perceptions of nursing work between those exposed and those not exposed: a cross-sector analysis ." International Journal of Nursing Practice. 16 (2), pp. 188-202. https://doi.org/10.1111/j.1440-172X.2010.01829.x
Access to and support for continuing professional education amongst Queensland nurses: 2004 and 2007
Hegney, Desley, Tuckett, Anthony, Parker, Deborah and Eley, Robert. 2010. "Access to and support for continuing professional education amongst Queensland nurses: 2004 and 2007." Nurse Education Today. 30 (2), pp. 142-149. https://doi.org/10.1016/j.nedt.2009.06.015
Career breaks and intentions for retirement by Queensland's nurses - a sign of the times?
Eley, Robert, Parker, Deborah, Tuckett, Anthony and Hegney, Desley. 2010. "Career breaks and intentions for retirement by Queensland's nurses - a sign of the times? " Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 17 (1), pp. 38-42. https://doi.org/10.1016/j.colegn.2009.10.004
Strategies for success: a toolbox of coming strategies used by breastfeeding women
Hegney, Desley, O'Brien, Maxine L., Buikstra, Elizabeth and Fallon, Tony. 2009. "Strategies for success: a toolbox of coming strategies used by breastfeeding women." Journal of Clinical Nursing. 18 (11), pp. 1574-1582. https://doi.org/10.1111/j.1365-2702.2008.02667.x
An efficient hash-based algorithm for minimal k-anonymity
Sun, Xiaoxun, Li, Min, Wang, Hua and Plank, Ashley. 2008. "An efficient hash-based algorithm for minimal k-anonymity." Dobbie, Gillian and Mans, Bernard (ed.) ACSC 2008: 31st Australasian Computer Science Conference. Wollongong, Australia 22 - 25 Jan 2008 Sydney, Australia.
Gender and personal breastfeeding experience of rural GP registrars in Australia - a qualitative study of their effect on breastfeeding attitudes and knowledge
Brodribb, W. E., Jackson, C., Fallon, A. B. and Hegney, D.. 2007. "Gender and personal breastfeeding experience of rural GP registrars in Australia - a qualitative study of their effect on breastfeeding attitudes and knowledge." Rural and Remote Health. 7 (737), p. 737.
Individual resilience in rural people: a Queensland study, Australia
Hegney, D. G., Buikstra, E., Baker, P., Rogers-Clark, C., Pearce, S., Ross, H., King, C. and Watson-Luke, A.. 2007. "Individual resilience in rural people: a Queensland study, Australia." Rural and Remote Health. 7 (4), pp. 1-13.
Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city
Fallon, Tony, Buikstra, Elizabeth, Cameron, Michelle, Hegney, Desley, Mackenzie, Debra, March, Judith, Moloney, Clint and Pitt, Jacinta. 2006. "Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city." International Journal of Evidence-Based Healthcare. 4 (3), pp. 162-179. https://doi.org/10.1111/j.1479-6988.2006.00040.x
Nurses worth listening to
Hegney, Desley, Plank, Ashley, Buikstra, Elizabeth, Parker, Victoria and Eley, Robert. 2005. Nurses worth listening to. Tooowoomba, Australia. University of Southern Queensland.
Nurses and information technology
Hegney, Desley, Buikstra, Elizabeth, Eley, Robert, Fallon, Anthony Bruce, Gilmore, Victoria and Soar, Jeffrey. 2007. Nurses and information technology. Canberra, Australia. Commonwealth Government of Australia.
Barriers to use of information and computer technology by Australia's nurses: a national survey
Eley, Robert, Fallon, Anthony Bruce, Soar, Jeffrey, Buikstra, Elizabeth and Hegney, Desley. 2009. "Barriers to use of information and computer technology by Australia's nurses: a national survey." Journal of Clinical Nursing. 18 (8), pp. 1151-1158. https://doi.org/10.1111/j.1365-2702.2008.02336.x
The status of training and education in information and computer technology of Australia's nurses: a national survey
Eley, Robert, Fallon, Tony, Soar, Jeffrey, Buikstra, Elizabeth and Hegney, Desley. 2008. "The status of training and education in information and computer technology of Australia's nurses: a national survey." Journal of Clinical Nursing. 17 (20), pp. 2758-2767. https://doi.org/10.1111/j.1365-2702.2008.02285.x
Job satisfaction and nurses in rural Australia
Hegney, Desley and McCarthy, Alexandra. 2000. "Job satisfaction and nurses in rural Australia." Journal of Nursing Administration. 30 (7-8), pp. 347 - 350.
Gender roles and geographic locations as predictors of emotional distress in Australian women
Bramston, Paul, Rogers-Clark, Cathy, Hegney, Desley and Bishop, Janet. 2000. "Gender roles and geographic locations as predictors of emotional distress in Australian women." Australian Journal of Rural Health. 8 (3), pp. 154-160. https://doi.org/10.1046/j.1440-1584.2000.00272.x
The perceptions of rural nurses towards role change within the context of organisational change
McCarthy, Alexandra, Hegney, Desley and Pearson, Alan. 2000. "The perceptions of rural nurses towards role change within the context of organisational change." Australian Journal of Advanced Nursing. 17 (4), pp. 21-28.
Effects of size of health service on scope of rural nursing practice
Hegney, Desley, McCarthy, Alexandra and Pearson, Alan. 1999. "Effects of size of health service on scope of rural nursing practice." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 6 (4), pp. 21-26, 42. https://doi.org/10.1016/S1322-7696(08)60605-8
Evidence-based practice and rural nursing: a literature review
McCarthy, A. and Hegney, D.. 1998. "Evidence-based practice and rural nursing: a literature review." Australian Journal of Rural Health. 6 (2), pp. 96-99. https://doi.org/10.1111/j.1440-1584.1998.tb00291.x
Extended, expanded, multi-skilled or advanced practice? - rural nurses in Australia 1991-1994
Hegney, Desley. 1997. "Extended, expanded, multi-skilled or advanced practice? - rural nurses in Australia 1991-1994." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 4 (4), pp. 22-27. https://doi.org/10.1016/S1322-7696(08)60252-8
An overview of a study into the role and function of the rural nurse in Australia
Hegney, Desley, Pearson, Alan and McCarthy, Alexandra. 1997. An overview of a study into the role and function of the rural nurse in Australia. Adelaide, Australia. University of Adelaide.
The role and function of the rural nurse in Australia
Hegney, Desley, Pearson, Alan and McCarthy, Alexandra. 1997. The role and function of the rural nurse in Australia. Melbourne, Australia. Royal College of Nursing, Australia.
Remote and rural palliative care
McCarthy, Alexandra and Hegney, Desley. 1999. "Remote and rural palliative care." Aranda, Sanchia and O'Connor, Margaret (ed.) Palliative care nursing: a guide to practice. Melbourne, Australia. AUSMED Publications. pp. 83-101
Experiences of regional and rural people with cancer being treated with radiotherapy in a metropolitan centre
Martin-McDonald, Kristine, Rogers-Clark, Cath, Hegney, Desley, McCarthy, Alexandra and Pearce, Susanne. 2003. "Experiences of regional and rural people with cancer being treated with radiotherapy in a metropolitan centre." International Journal of Nursing Practice. 9 (3), pp. 176-182. https://doi.org/10.1046/j.1440-172X.2003.00421.x
Why nurses are attracted to rural and remote practice
Hegney, Desley, McCarthy, Alexandra, Rogers-Clark, Cath and Gorman, Don. 2002. "Why nurses are attracted to rural and remote practice." Australian Journal of Rural Health. 10 (3), pp. 178-186.
Why nurses are resigning from rural and remote Queensland health facilities
Hegney, Desley, McCarthy, Alexandra, Rogers-Clark, Cath and Gorman, Don. 2002. "Why nurses are resigning from rural and remote Queensland health facilities." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 9 (2), pp. 33-39.
Retaining rural and remote area nurses: the Queensland Australia experience
Hegney, Desley, McCarthy, Alexandra, Rogers-Clark, Cath and Gorman, Don. 2002. "Retaining rural and remote area nurses: the Queensland Australia experience." Journal of Nursing Administration. 32 (3), pp. 128-135.
Mental health nursing standards and practice indicators for Australia: a review of current literature
Neville, Christine, Eley, Diann, Quinn, John, Weir, Jim, Hegney, Desley, Hangan, Catherine and Grasby, David. 2006. Mental health nursing standards and practice indicators for Australia: a review of current literature. Toowoomba, Australia. University of Southern Queensland.
A comparative study of classification methods for microarray data analysis
Hu, Hong, Li, Jiuyong, Plank, Ashley, Wang, Hua and Daggard, Grant. 2006. "A comparative study of classification methods for microarray data analysis." Christen, Peter, Kennedy, Paul J., Li, Jiuyong, Simoff, Simeon J. and Williams, Graham J. (ed.) 5th Australasian Conference on Data Mining and Analystics (AusDM 2006). Sydney, Australia 29 - 30 Nov 2006 Canberra, Australia.
Aged care in the future and baby boomers: shall the twain ever meet? - baby boomers and aged care
Fallon, Anthony Bruce, Price, Kay, Hegney, Desley, Abbey, Jennifer, Neville, Christine C., Oxlade, Deborah and Soar, Jeffrey. 2004. "Aged care in the future and baby boomers: shall the twain ever meet? - baby boomers and aged care." Conrick, Moya and Soar, Jeffrey (ed.) 1st Australian Aged and Community Care Informatics Conference (ACCIC'04). Brisbane, Australia 24 - 25 Aug 2004 Brunswick East, Australia.
Evaluation of the health careers in the Bush Health Careers Workshops 1994 - 2002
Hegney, Desley, Eley, Robert and Buikstra, Elizabeth. 2005. Evaluation of the health careers in the Bush Health Careers Workshops 1994 - 2002. Toowoomba, Australia. University of Southern Queensland.
An analysis of accommodation needs of adults with an intellectual disability in Toowoomba and surrounding areas
Eley, Diann, Hegney, Desley and Boyes, Joanne. 2006. An analysis of accommodation needs of adults with an intellectual disability in Toowoomba and surrounding areas. Toowoomba, Australia. University of Southern Queensland.
The Toowoomba adult trauma triage tool
Hegney, Desley, Wollaston, Anthony, Fahey, Paul, McKay, Michelle, Miller, Peter and Wollaston, James. 2003. The Toowoomba adult trauma triage tool. Toowoomba, Australia. University of Southern Queensland.
Against all odds: a retrospective study of women who succeeded at breastfeeding despite extraordinary difficulties
Hegney, Desley, Fallon, Tony, Crepinsek, Maree, O'Brien, Maxine and Doolan, Jackie. 2005. Against all odds: a retrospective study of women who succeeded at breastfeeding despite extraordinary difficulties. Toowoomba, Australia. University of Southern Queensland.
The administration and supply of controlled and restricted medication by nurses in rural and remote Queensland.
Hegney, Desley, McKeon, Christine, Plank, Ashley, Raith, Lisa and Watson, Jennifer. 2003. The administration and supply of controlled and restricted medication by nurses in rural and remote Queensland. Toowoomba, Australia. University of Southern Queensland.
The Toowoomba infant feeding support service project: Report on phase 1 - a longitudinal needs analysis of breastfeeding behaviours and supports in the Toowoomba region
Fallon, Anthony Bruce, O'Brien, Maxine, Plank, Ashley, Doolan, Jackie, Brodribb, Wendy, Hennessy, Jane, Laurent, Kathy and Baker, Sandra F.. 2003. The Toowoomba infant feeding support service project: Report on phase 1 - a longitudinal needs analysis of breastfeeding behaviours and supports in the Toowoomba region. Toowoomba, Australia. University of Southern Queensland.
Aged care nursing in Queensland - the nurses' view
Eley, Robert, Hegney, Desley, Buikstra, Elizabeth, Fallon, Anthony Bruce, Plank, Ashley and Parker, Victoria. 2007. "Aged care nursing in Queensland - the nurses' view ." Journal of Clinical Nursing. 16 (5), pp. 860-872. https://doi.org/10.1111/j.1365-2702.2006.01696.x
Key issues in rural health: perspectives of health service providers in Queensland
Eley, Robert, Fallon, Anthony Bruce, Gorman, Don, Fahey, Paul P., Rogers-Clark, Cath and Hegney, Desley. 2006. Key issues in rural health: perspectives of health service providers in Queensland. Toowoomba, Australia. University of Southern Queensland.
Workplace violence in Queensland, Australia: the results of a comparative study
Hegney, Desley, Eley, Robert, Plank, Ashley, Buikstra, Elizabeth and Parker, Victoria. 2006. "Workplace violence in Queensland, Australia: the results of a comparative study." International Journal of Nursing Practice. 12 (4), pp. 220-231. https://doi.org/10.1111/j.1440-172X.2006.00571.x
Tenure, mobility and retention of nurses in Queensland, Australia: 2001 and 2004
Eley, Robert, Hegney, Desley, Buikstra, Elizabeth, Plank, Ashley and Parker, Victoria. 2007. "Tenure, mobility and retention of nurses in Queensland, Australia: 2001 and 2004 ." Journal of Nursing Management. 15 (3), pp. 285-293.
Dealing with distance: rural and remote area nursing
Hegney, Desley. 2006. "Dealing with distance: rural and remote area nursing." Daly, John, Speedy, Sandra and Jackson, Debra (ed.) Contexts of nursing: an introduction. Marrickville, NSW. Elsevier. pp. 213-228
SEAM: improving the quality of palliative care in regional Toowoomba, Australia - lessons learned
Buikstra, Elizabeth, Pearce, Susanne, Hegney, Desley and Fallon, Tony. 2006. "SEAM: improving the quality of palliative care in regional Toowoomba, Australia - lessons learned ." Rural and Remote Health. 6 (1), pp. 1-10.
Planning research in rural and remote areas
Baker, P. G., Hegney, D., Rogers-Clark, C., Fahey, P., Gorman, D. and Mitchell, G.. 2004. "Planning research in rural and remote areas." Rural and Remote Health. 4 (266), pp. 1-11.
The interface of acute and aged care: the role of the nurse in a provincial area
Hegney, Desley, McCarthy, Alexandra, De La Rue, Mary Beth, Gorman, Don, Martin-McDonald, Kris, Fahey, Paul and Pretty, Grace. 2003. "The interface of acute and aged care: the role of the nurse in a provincial area." Australasian Journal on Ageing. 22 (2), pp. 85-90. https://doi.org/10.1111/j.1741-6612.2003.tb00472.x
General practitioners' perceptions of after hours primary medical care services: a Toowoomba, Queensland, Australia study
Hegney, Desley, Fahey, Paul P. and Nanka, Annette. 2004. "General practitioners' perceptions of after hours primary medical care services: a Toowoomba, Queensland, Australia study." Rural and Remote Health. 4 (287).
Primary health care and general practice nurses: what is the nexus?
Patterson, Elizabeth, Price, Kay and Hegney, Desley. 2005. "Primary health care and general practice nurses: what is the nexus?" Australian Journal of Primary Health. 11 (1), pp. 47-54. https://doi.org/10.1071/PY05007
Risk reduction in general practice and the role of the receptionist
Patterson, Elizabeth, Forrester, Kim, Price, Kay and Hegney, Desley. 2005. "Risk reduction in general practice and the role of the receptionist." Journal of Law and Medicine. 12 (3), pp. 340-347.
The baby-friendly hospital initiative and breastfeeding duration: relating the evidence to the Australian context
Fallon, Anthony Bruce, Crepinsek, Maree, Hegney, Desley and O'Brien, Maxine. 2005. "The baby-friendly hospital initiative and breastfeeding duration: relating the evidence to the Australian context." Birth Issues. 14 (3), pp. 90-95.
Patient education and consumer medicine information: a study of provision by Queensland rural and remote area registered nurses
Hegney, Desley, Plank, Ashley, Watson, Jennifer, Raith, Lisa and McKeon, Christine. 2005. "Patient education and consumer medicine information: a study of provision by Queensland rural and remote area registered nurses." Journal of Clinical Nursing. 14 (7), pp. 855-862. https://doi.org/10.1111/j.1365-2702.2005.01203.x
Separation of conjoined twins: experiences of perioperative nurses and their recommendations
Martin-McDonald, K., McIntyre, P. and Hegney, D.. 2005. "Separation of conjoined twins: experiences of perioperative nurses and their recommendations." International Nursing Review. 52 (1), pp. 52-59. https://doi.org/10.1111/j.1466-7657.2004.00239.x
Attitudes of Australian nurses to information technology in the workplace: A national survey
Eley, Robert, Soar, Jeffrey, Buikstra, Elizabeth, Fallon, Tony and Hegney, Desley. 2009. "Attitudes of Australian nurses to information technology in the workplace: A national survey." CIN: Computers, Informatics, Nursing. 27 (2), pp. 114-121. https://doi.org/10.1097/NCN.0b013e318197557e