The cognition of busyness and main busy scenes in intensive care unit nursing care: a qualitative study_West China Medical Journal

Authors：

ZOU Qian ¹ , LI Hongxia ² ,  ZHANG Mingji ¹

1. School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, P. R. China;
2. Human Resources Department, Shanghai Oriental Hospital, Shanghai 200120, P. R. China;

Corresponding author：

ZHANG Mingji, Email: zhangmingji@sjtu.edu.cn

Keywords：

Intensive care units; Nurse; Busyness; Qualitative research; Cognition; Scenes

DOI：

10.7507/1002-0179.202107248

Video：

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Objective To explore the nurses’ cognition of busyness in intensive care unit (ICU), summarize the main busy scenes, and provide strategies for solving problems of busyness. Methods Nurses in three ICU departments of Shanghai Oriental Hospital were selected by purpose sampling method from September 2020 to January 2021. Face-to-face semi-structured in-depth interviews were conducted with nurses. The interview data were analyzed and thematically refined using the method of Colaizzi data analysis. Results A total of 10 nurses were interviewed, including 8 general nurses and 2 head nurses, all of whom were women. The cognition of busyness covered three elements: explosively increased workload, time pressure, and overwhelming information from multiple sources. Busy scenes included four themes: large amount of patients, critical conditions of patients, unstable conditions of patients, and frequent service transfer among different medical divisions. Conclusions According to the three elements of nurses’ cognition of busyness and scenes of it, nursing managers can put forward corresponding solutions. This can retain or attract more nurses to work in ICU and provide better services for patients.

Citation： ZOU Qian, LI Hongxia, ZHANG Mingji. The cognition of busyness and main busy scenes in intensive care unit nursing care: a qualitative study. West China Medical Journal, 2021, 36(12): 1669-1673. doi: 10.7507/1002-0179.202107248 Copy

1.	Bing-Jonsson PC, Foss C, Bjørk IT. The competence gap in community care: imbalance between expected and actual nursing staff competence. Nord J Nurs Res, 2015, 36(1): 27-37.
2.	Bontemps-Hommen CMML, Baart A, Vosman FTH. Practical wisdom in complex medical practices: a critical proposal. Med Health Care Philos, 2019, 22(1): 95-105.
3.	李长鸽, 田晓华, 冯丽娜, 等. 重症监护病房护士工作压力及应对方式与职业倦怠的相关性研究. 护理研究, 2014, 28(9B): 3236-3237.
4.	Norman RM, Sjetne IS. Measuring nurses’ perception of work environment: a scoping review of questionnaires. BMC Nurs, 2017, 16: 66.
5.	Aiken LH, Sermeus W, Van den Heede K, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ, 2012, 344: e1717.
6.	Nagington M, Luker K, Walshe C. ‘Busyness’ and the preclusion of quality palliative district nursing care. Nurs Ethics, 2013, 20(8): 893-903.
7.	Kerfoot K. Beyond busyness: creating slack in the organization. Medsurg Nurs, 2007, 16(1): 61-63.
8.	Thompson DS, O’ Leary K, Jensen E, et al. The relationship between busyness and research utilization: it is about time. J Clin Nurs, 2008, 17(4): 539-548.
9.	王励飞, 米元元, 金晶, 等. ICU 护士工作压力体验与应对质性研究的系统评价. 中华护理杂志, 2019, 54(10): 1566-1571.
10.	Buerhaus PI, Staiger DO, Auerbach DI. Implications of an aging registered nurse workforce. JAMA, 2000, 283(22): 2948-2954.
11.	花芸, 胡晓燕. 儿科重症监护病房护理质量影响因素分析及对策. 护理学杂志, 2013, 28(17): 13-15.
12.	Govasli L, Solvoll BA. Nurses’ experiences of busyness in their daily work. Nurs Inq, 2020, 27(3): e12350.
13.	刘明. Colaizzi 七个步骤在现象学研究资料分析中的应用. 护理学杂志, 2019, 34(11): 90-92.
14.	Campbell CM, Prapanjaroensin A, Anusiewicz CV, et al. Variables associated with missed nursing care in Alabama: a cross-sectional analysis. J Nurs Manag, 2020, 28(8): 2174-2184.
15.	McIntosh B, Sheppy B. Effects of stress on nursing integrity. Nurs Stand, 2013, 27(25): 35-39.
16.	Ericson-Lidman E, Åhlin J. Assessments of stress of conscience, perceptions of conscience, burnout, and social support before and after implementation of a participatory action-research-based intervention. Clin Nurs Res, 2017, 26(2): 205-223.
17.	孙明贵. 工作密度和工作深度对组织繁忙感的影响机理. 创新与创业管理, 2017(1): 100-111.
18.	Tarabay R, Abou-Zeid M. Assessing the effects of auditory-vocal distraction on driving performance and physiological measures using a driving simulator. Transp Res Part F Traffic Psychol Behav, 2018, 58: 351-364.
19.	徐晓霞, 蔡学联, 裘文娟, 等. 以护士岗位为定位的协作抢救模式在心内科病房心跳骤停患者中的应用. 护士进修杂志, 2015, 30(10): 898-900.
20.	赵思佳, 姜金霞, 田梅梅. 新入职护士对急诊科规范化培训真实体验的质性研究. 中国医药导报, 2020, 17(34): 83-86.
21.	Kowitlawakul Y, Chow YL, Salam ZH, et al. Exploring the use of standardized patients for simulation-based learning in preparing advanced practice nurses. Nurse Educ Today, 2015, 35(7): 894-899.
22.	Asken MJ, Kochert E, Wyatt A, et al. Calm amidst storm: psychological skills and mindset training for maximizing performance in medical emergencies. Resuscitation, 2020, 146: 32-33.
23.	Ozekcin LR, Tuite P, Willner K, et al. Simulation education: early identification of patient physiologic deterioration by acute care nurses. Clin Nurse Spec, 2015, 29(3): 166-173.
24.	王泓, 叶文琴, 王伟智, 等. 心胸外科监护室护理工作量调查及人力资源的合理使用. 中华护理杂志, 2004, 39(8): 604-606.
25.	俞萍, 任国琴, 张婧婧, 等. 标准化沟通模式在术后转入 ICU 患者交接中的应用. 中华现代护理杂志, 2017, 23(27): 3446-3449.
26.	俞萍, 李琴, 程晓红. 病房护士参与 ICU 病人过渡期护理体验的质性研究. 全科护理, 2019, 17(34): 4323-4328.

1. Bing-Jonsson PC, Foss C, Bjørk IT. The competence gap in community care: imbalance between expected and actual nursing staff competence. Nord J Nurs Res, 2015, 36(1): 27-37.
2. Bontemps-Hommen CMML, Baart A, Vosman FTH. Practical wisdom in complex medical practices: a critical proposal. Med Health Care Philos, 2019, 22(1): 95-105.
3. 李长鸽, 田晓华, 冯丽娜, 等. 重症监护病房护士工作压力及应对方式与职业倦怠的相关性研究. 护理研究, 2014, 28(9B): 3236-3237.
4. Norman RM, Sjetne IS. Measuring nurses’ perception of work environment: a scoping review of questionnaires. BMC Nurs, 2017, 16: 66.
5. Aiken LH, Sermeus W, Van den Heede K, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ, 2012, 344: e1717.
6. Nagington M, Luker K, Walshe C. ‘Busyness’ and the preclusion of quality palliative district nursing care. Nurs Ethics, 2013, 20(8): 893-903.
7. Kerfoot K. Beyond busyness: creating slack in the organization. Medsurg Nurs, 2007, 16(1): 61-63.
8. Thompson DS, O’ Leary K, Jensen E, et al. The relationship between busyness and research utilization: it is about time. J Clin Nurs, 2008, 17(4): 539-548.
9. 王励飞, 米元元, 金晶, 等. ICU 护士工作压力体验与应对质性研究的系统评价. 中华护理杂志, 2019, 54(10): 1566-1571.
10. Buerhaus PI, Staiger DO, Auerbach DI. Implications of an aging registered nurse workforce. JAMA, 2000, 283(22): 2948-2954.
11. 花芸, 胡晓燕. 儿科重症监护病房护理质量影响因素分析及对策. 护理学杂志, 2013, 28(17): 13-15.
12. Govasli L, Solvoll BA. Nurses’ experiences of busyness in their daily work. Nurs Inq, 2020, 27(3): e12350.
13. 刘明. Colaizzi 七个步骤在现象学研究资料分析中的应用. 护理学杂志, 2019, 34(11): 90-92.
14. Campbell CM, Prapanjaroensin A, Anusiewicz CV, et al. Variables associated with missed nursing care in Alabama: a cross-sectional analysis. J Nurs Manag, 2020, 28(8): 2174-2184.
15. McIntosh B, Sheppy B. Effects of stress on nursing integrity. Nurs Stand, 2013, 27(25): 35-39.
16. Ericson-Lidman E, Åhlin J. Assessments of stress of conscience, perceptions of conscience, burnout, and social support before and after implementation of a participatory action-research-based intervention. Clin Nurs Res, 2017, 26(2): 205-223.
17. 孙明贵. 工作密度和工作深度对组织繁忙感的影响机理. 创新与创业管理, 2017(1): 100-111.
18. Tarabay R, Abou-Zeid M. Assessing the effects of auditory-vocal distraction on driving performance and physiological measures using a driving simulator. Transp Res Part F Traffic Psychol Behav, 2018, 58: 351-364.
19. 徐晓霞, 蔡学联, 裘文娟, 等. 以护士岗位为定位的协作抢救模式在心内科病房心跳骤停患者中的应用. 护士进修杂志, 2015, 30(10): 898-900.
20. 赵思佳, 姜金霞, 田梅梅. 新入职护士对急诊科规范化培训真实体验的质性研究. 中国医药导报, 2020, 17(34): 83-86.
21. Kowitlawakul Y, Chow YL, Salam ZH, et al. Exploring the use of standardized patients for simulation-based learning in preparing advanced practice nurses. Nurse Educ Today, 2015, 35(7): 894-899.
22. Asken MJ, Kochert E, Wyatt A, et al. Calm amidst storm: psychological skills and mindset training for maximizing performance in medical emergencies. Resuscitation, 2020, 146: 32-33.
23. Ozekcin LR, Tuite P, Willner K, et al. Simulation education: early identification of patient physiologic deterioration by acute care nurses. Clin Nurse Spec, 2015, 29(3): 166-173.
24. 王泓, 叶文琴, 王伟智, 等. 心胸外科监护室护理工作量调查及人力资源的合理使用. 中华护理杂志, 2004, 39(8): 604-606.
25. 俞萍, 任国琴, 张婧婧, 等. 标准化沟通模式在术后转入 ICU 患者交接中的应用. 中华现代护理杂志, 2017, 23(27): 3446-3449.
26. 俞萍, 李琴, 程晓红. 病房护士参与 ICU 病人过渡期护理体验的质性研究. 全科护理, 2019, 17(34): 4323-4328.

West China Medical Journal

The cognition of busyness and main busy scenes in intensive care unit nursing care: a qualitative study

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