Safety culture and an invisible nursing workload

Article


Ross, Cheryl, Rogers, Cath and King, Christine. 2019. "Safety culture and an invisible nursing workload." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 26 (1), pp. 1-7. https://doi.org/10.1016/j.colegn.2018.02.002
Article Title

Safety culture and an invisible nursing workload

ERA Journal ID14073
Article CategoryArticle
AuthorsRoss, Cheryl (Author), Rogers, Cath (Author) and King, Christine (Author)
Journal TitleCollegian: The Australian Journal of Nursing Practice, Scholarship and Research
Journal Citation26 (1), pp. 1-7
Number of Pages7
Year2019
PublisherElsevier
Place of PublicationNetherlands
ISSN1322-7696
1876-7575
Digital Object Identifier (DOI)https://doi.org/10.1016/j.colegn.2018.02.002
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S1322769616301597
Abstract

Background
Nursing workload remains an issue in current health care contexts. The use of quantitative methodologies, methods and tools to measure workload has not produced adequate data to inform workforce policy to resolve workforce concerns about workload.

Objective
This study aimed to identify the influence of both culture and climate as factors in nursing workload.

Methods
This research used an overall critical ethnographic methodology to investigate the real lifeworkload issues of nurses. Methods included fieldwork observations and informal discussions over a 3 year period and 11 in-depth interviews.

Results
The study identifies the impact of safety mandates on nursing workload as an invisible phenomenon within current workload methodologies. Such mandates add to nursing roles and routines, and become a ‘taken-for-granted’ activity that is not always directly related to patient care, nor is a visible factor in workload measurement.

Conclusion
Given that workload measurements are formulated on direct patient care activities, indirect and unrecognised activities may create additional nursing workload.

KeywordsWorkload; Safety; Nursing; Workforce; Culture
ANZSRC Field of Research 2020420599. Nursing not elsewhere classified
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Byline AffiliationsSchool of Nursing and Midwifery
Monash University
Institution of OriginUniversity of Southern Queensland
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