New technology and nurses

Gough, Richard; Ballardie, Ruth; Brewer, Pat

doi:10.1080/10301763.2013.877118

Cited by 20 publications

(30 citation statements)

References 24 publications

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“…In his view, work intensity was an outcome of numerical and functional flexibility and other New Public Management reforms around care redesign and was defined by an increase in the pace or speed of work. Over the next two decades, several researchers working within the health care industry context made similar observations about the public hospital sector, aged care, rural and community mental health care (Buchanan 2004;Stanton et al 2005;White & Bray 2005;Young et al 2005;Gough et al 2008Gough et al , 2014Willis 2002Willis , 2009Willis et al 2012). Nursing as an occupational group has attracted the most attention from these researchers, although there has been some work on the long working hours of junior doctors (Willis 2009) and medical scientists (Willis & Weekes 2005).…”

Section: Workload Intensity = Missed Carementioning

confidence: 89%

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Work intensification as missed care

Willis

Henderson

Hamilton

et al. 2015

Labour & Industry: a journal of the social and economic rel

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Work intensification is assumed to incorporate either longer working hours or a quickening of the pace or speed of work. In this paper, we argue that 'missed care' is a proxy for work intensification or work effort in nursing. Using Kalisch's MISSCARE survey tool, with modifications to suit the South Australian context we surveyed 354 registered and enrolled nurses between October and December 2012. Survey participants were recruited through the Australian Nursing and Midwifery Federation (SA Branch). The MISSCARE survey tool presents participants with a 5-point scale where 1 is never omitted care and 5 is always omitted care. Survey findings suggest that the tasks most often missed are ambulation of patients and mouth care. Tasks lest likely to be missed are blood glucose monitoring; hand washing; IV/central line care and providing PRN medication within 15 minutes. These findings suggest that when nurses are forced to ration care, priority is given to clinical tasks that will impact on immediate patient outcomes. In identifying the reasons why they missed care, nurses reported that while staffing often appeared adequate, sudden and unexpected rises in patient volume, heavy admissions and discharges, and inadequate numbers of staff or clerical support were key indicators of missed care. These unpredictable events resulted in an increase in work intensity and pace that was independent of extended working hours or overtime. We argue that one of the outcomes of work intensification is missed care.

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Section: Workload Intensity = Missed Carementioning

confidence: 89%

“…Another strategy for hospital care redesign has been the trialling of new medical procedures or drugs in an endeavour to discharge patients quicker (Willis 2009). Digital health/ehealth or telemedicine has also paved the way for care at a distance that has increased productivity and may very well revolutionise the terrain (Gough et al 2014;IT Pulse 2014).…”

mentioning

confidence: 98%

Work intensification as missed care

Willis

Henderson

Hamilton

et al. 2015

Labour & Industry: a journal of the social and economic rel

View full text Add to dashboard Cite

show abstract

“…Nevertheless, the introduction of ICT does not always appear to improve work design in high-skill jobs, as some case studies show that the introduction of ICTs can result in negative changes to work design in high-skill jobs (Gough, Ballardie & Brewer, 2014;Leverment, Ackers & Preston, 1998). Furthermore, it has been argued that the skill-biased effects of ICT on work design might not be due to changes in labor market demand as predicted by SBTC.…”

Section: Technologymentioning

confidence: 99%

Work Design Influences: A Synthesis of Multilevel Factors that Affect the Design of Jobs

Parker

Broeck

Holman

2017

ANNALS

147

153

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High quality work design is a key determinant of employee well-being, positive work attitudes, and job/organizational performance. Yet many job incumbents continue to experience deskilled and demotivating work. We argue that there is a need to understand better where work designs come from. We review research that investigates the factors that influence work design, noting that this research is only a small fragment of the work design literature. The research base is also rather disparate, spanning distinct theoretical perspectives according to the level of analysis. To help integrate this literature, we use a framework that summarizes the direct and indirect ways in which work design is shaped by the higher-level external context (global/ international, national and occupational factors), the organizational context, the local work context (work group factors), and individual factors. We highlight two key indirect effects: first, factors affect formal decisionmaking processes via influencing managers' work design-related motivation, knowledge, skills, and abilities (KSAs), and opportunities; and second, factors shape informal and emergent work design processes via influencing employees' work design-related motivation, KSAs and opportunities. By reviewing the literature according to this framework, we set the stage for more comprehensive theoretical development and empirical studies on the factors that influence work design. 3Work Design Influences A Synthesis of Multi-Level Factors that Affect The Design of WorkWork design refers to "the content and organization of one's work tasks, activities, relationships, and responsibilities" (Parker, 2014, p. 662). When work is designed so that it has motivating characteristics like job autonomy and social support, as well as reasonable levels of job demands, multiple positive individual and organizational outcomes arise. A vast amount of research shows that work design affects work stress, job satisfaction, performance, absenteeism, accidents, team innovation, company financial revenue, and more (e.g. see the meta analysis by Humphrey, Nahrgang, & Morgeson, 2007).Yet, despite extensive evidence about the benefits of well-designed work, there are still many poorly designed jobs in both advanced and developing economies. For example, in Europe, Lorenz and Valeyre (2005) reported that one third of workers had jobs that were deskilled or that involved excessive demands. Significant technological and societal change is also affecting work and organizing, yet we know little about how this change might affect people's work design (Parker, 2014). Both of these forces -the continued prevalence of poor quality work designs and the vast change occurring in work -highlight the importance of having a comprehensive, evidence-based understanding of the forces that affect work design.Such an understanding is currently lacking. In most theory and research pertaining to the design of jobs, work design is modeled at the start of a causal chain leading to outcomes via intermediary pr...

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“…Fidelity HIS functionality did not meet the nurses' needs nor support their workflows and practice (Novak et al, 2013;Stevenson et al, 2010); workflow interruptions, additional work (Eley et al, 2009;Lee et al, 2008), unintended consequences (Dowding et al, 2009;Koppel et al, 2005). A particular HIS may fit one context but not others (Ackerman et al, 2012;Gough et al, 2014;Jeskey et al, 2011) Firstly, in regard to usability, Stevenson et al (2010) reviewed five empirical studies published from 2000 to 2009 and reported on nurses' experiences with HIS systems. These studies took place in acute care hospital contexts in USA, Australia, and the UK.…”

Section: Usefulness / Effectivenessmentioning

confidence: 99%

“…In another study (Jeskey et al, 2011), HIS designed for critical care was found to be unsuitable for acute care settings. Gough et al (2014) interviewed 125 nurses at five acute care hospitals across two Australian states. They found that HIS supported nurses and enhanced their sense of autonomy at high dependency wards while it increased their workloads and reduced their interactions with patients in low dependency wards.…”

Section: Usefulness / Effectivenessmentioning

confidence: 99%

An Examination of the Mediating Role for a Nursing Information System

Nguyen

Wickramasinghe

2017

AJIS

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This paper reports on findings from an examination of a nursing information system through the lens of Activity Theory. The information system was designed to support real-time nursing documentation in acute care hospital contexts. The objective was to enable superior nursing care to ensue by providing nurses with the opportunity to document patient care data into a tablet computer located at the patient bedside. The system was evaluated in a not-for-profit acute care hospital's wards during its implementation. Nurses' interactions with the system and their perceptions were collected and analysed through the lens of Activity Theory. The analysis highlighted nurses' positive attitude towards the system and identified potential mediation capabilities as well as areas for improvements. Activity Theory was found to be useful to examine the positive and potentially problematic aspects of this new nursing information system.

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New technology and nurses

Cited by 20 publications

References 24 publications

Work intensification as missed care

Work intensification as missed care

Work Design Influences: A Synthesis of Multilevel Factors that Affect the Design of Jobs

An Examination of the Mediating Role for a Nursing Information System

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