Assessment of nursing workload in adult psychiatric inpatient units: A scoping review
Accessible summary What is known on the subject? There is a shortage of empirical research in the field of psychiatric and mental health nursing regarding how to calculate a safe staffing level in psychiatry inpatient units. Furthermore, the tools to assess nursing workload in this specialty are lim...
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| Published in | Journal of psychiatric and mental health nursing Vol. 25; no. 7; pp. 432 - 440 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
England
Wiley Subscription Services, Inc
01.09.2018
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1351-0126 1365-2850 1365-2850 |
| DOI | 10.1111/jpm.12468 |
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| Abstract | Accessible summary
What is known on the subject?
There is a shortage of empirical research in the field of psychiatric and mental health nursing regarding how to calculate a safe staffing level in psychiatry inpatient units. Furthermore, the tools to assess nursing workload in this specialty are limited. No systematic reviews on measurement tools in adult psychiatric inpatient settings were found.
What does this paper add to existing knowledge?
This study confirms the scarcity and heterogeneity of instruments with which to evaluate nursing workload in this specific context. Likewise, the instruments identified do not capture the complexity of the psychiatric nursing setting, namely, the relational and psychotherapeutic strategies that must be implemented in the patient care approach. The findings of the study suggest that evidence‐based tools for adult psychiatric inpatient settings require further development.
What are the implications for practice?
This review shows the need to continue to develop tools that assess workload in psychiatric inpatient units that embrace activities related to patient (direct and indirect) and nonpatient activities. The great challenge is providing a sensitive understanding of the workload resulting from psychotherapeutic interventions, the primary treatment that many patients need. This review reinforces the need to add patient outcomes to workload assessment processes.
Introduction
No systematic reviews on measurement tools in adult psychiatric inpatient settings exist in the literature, and thus, further research is required on ways to identify approaches to calculate safe nurse staffing levels based on patients’ care needs in adult psychiatric inpatient units.
Aim
To identify instruments that enable an assessment of nursing workload in psychiatric settings.
Method
A scoping review was conducted.
Results
Four studies were identified, with five instruments used to support the calculation of staff needs and workload. All four studies present methodological limitations. Two instruments have already been adapted to this specific context, but validation studies are lacking.
Discussion
The findings indicate that the tools used to evaluate nursing workload in these settings require further development, with the concomitant need for more research to clarify the definition of nursing workload as well as to identify factors with the greatest impact on nursing workload.
Implications for practice
This review highlights the need to develop tools to assess workload in psychiatric inpatient units that embrace patient‐related and non‐patient‐related activities. The great challenge is to enable a sensitive perception of workload resulting from nurses’ psychotherapeutic interventions, an important component of treatment for many patients. |
|---|---|
| AbstractList | WHAT IS KNOWN ON THE SUBJECT?: There is a shortage of empirical research in the field of psychiatric and mental health nursing regarding how to calculate a safe staffing level in psychiatry inpatient units. Furthermore, the tools to assess nursing workload in this specialty are limited. No systematic reviews on measurement tools in adult psychiatric inpatient settings were found. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This study confirms the scarcity and heterogeneity of instruments with which to evaluate nursing workload in this specific context. Likewise, the instruments identified do not capture the complexity of the psychiatric nursing setting, namely, the relational and psychotherapeutic strategies that must be implemented in the patient care approach. The findings of the study suggest that evidence-based tools for adult psychiatric inpatient settings require further development. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This review shows the need to continue to develop tools that assess workload in psychiatric inpatient units that embrace activities related to patient (direct and indirect) and nonpatient activities. The great challenge is providing a sensitive understanding of the workload resulting from psychotherapeutic interventions, the primary treatment that many patients need. This review reinforces the need to add patient outcomes to workload assessment processes.
Introduction No systematic reviews on measurement tools in adult psychiatric inpatient settings exist in the literature, and thus, further research is required on ways to identify approaches to calculate safe nurse staffing levels based on patients' care needs in adult psychiatric inpatient units. Aim To identify instruments that enable an assessment of nursing workload in psychiatric settings. Method A scoping review was conducted. Results Four studies were identified, with five instruments used to support the calculation of staff needs and workload. All four studies present methodological limitations. Two instruments have already been adapted to this specific context, but validation studies are lacking. Discussion The findings indicate that the tools used to evaluate nursing workload in these settings require further development, with the concomitant need for more research to clarify the definition of nursing workload as well as to identify factors with the greatest impact on nursing workload. Implications for practice This review highlights the need to develop tools to assess workload in psychiatric inpatient units that embrace patient-related and non-patient-related activities. The great challenge is to enable a sensitive perception of workload resulting from nurses' psychotherapeutic interventions, an important component of treatment for many patients. Accessible summary What is known on the subject? There is a shortage of empirical research in the field of psychiatric and mental health nursing regarding how to calculate a safe staffing level in psychiatry inpatient units. Furthermore, the tools to assess nursing workload in this specialty are limited. No systematic reviews on measurement tools in adult psychiatric inpatient settings were found. What does this paper add to existing knowledge? This study confirms the scarcity and heterogeneity of instruments with which to evaluate nursing workload in this specific context. Likewise, the instruments identified do not capture the complexity of the psychiatric nursing setting, namely, the relational and psychotherapeutic strategies that must be implemented in the patient care approach. The findings of the study suggest that evidence‐based tools for adult psychiatric inpatient settings require further development. What are the implications for practice? This review shows the need to continue to develop tools that assess workload in psychiatric inpatient units that embrace activities related to patient (direct and indirect) and nonpatient activities. The great challenge is providing a sensitive understanding of the workload resulting from psychotherapeutic interventions, the primary treatment that many patients need. This review reinforces the need to add patient outcomes to workload assessment processes. Introduction No systematic reviews on measurement tools in adult psychiatric inpatient settings exist in the literature, and thus, further research is required on ways to identify approaches to calculate safe nurse staffing levels based on patients’ care needs in adult psychiatric inpatient units. Aim To identify instruments that enable an assessment of nursing workload in psychiatric settings. Method A scoping review was conducted. Results Four studies were identified, with five instruments used to support the calculation of staff needs and workload. All four studies present methodological limitations. Two instruments have already been adapted to this specific context, but validation studies are lacking. Discussion The findings indicate that the tools used to evaluate nursing workload in these settings require further development, with the concomitant need for more research to clarify the definition of nursing workload as well as to identify factors with the greatest impact on nursing workload. Implications for practice This review highlights the need to develop tools to assess workload in psychiatric inpatient units that embrace patient‐related and non‐patient‐related activities. The great challenge is to enable a sensitive perception of workload resulting from nurses’ psychotherapeutic interventions, an important component of treatment for many patients. IntroductionNo systematic reviews on measurement tools in adult psychiatric inpatient settings exist in the literature, and thus, further research is required on ways to identify approaches to calculate safe nurse staffing levels based on patients’ care needs in adult psychiatric inpatient units.AimTo identify instruments that enable an assessment of nursing workload in psychiatric settings.MethodA scoping review was conducted.ResultsFour studies were identified, with five instruments used to support the calculation of staff needs and workload. All four studies present methodological limitations. Two instruments have already been adapted to this specific context, but validation studies are lacking.DiscussionThe findings indicate that the tools used to evaluate nursing workload in these settings require further development, with the concomitant need for more research to clarify the definition of nursing workload as well as to identify factors with the greatest impact on nursing workload.Implications for practiceThis review highlights the need to develop tools to assess workload in psychiatric inpatient units that embrace patient‐related and non‐patient‐related activities. The great challenge is to enable a sensitive perception of workload resulting from nurses’ psychotherapeutic interventions, an important component of treatment for many patients. WHAT IS KNOWN ON THE SUBJECT?: There is a shortage of empirical research in the field of psychiatric and mental health nursing regarding how to calculate a safe staffing level in psychiatry inpatient units. Furthermore, the tools to assess nursing workload in this specialty are limited. No systematic reviews on measurement tools in adult psychiatric inpatient settings were found. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This study confirms the scarcity and heterogeneity of instruments with which to evaluate nursing workload in this specific context. Likewise, the instruments identified do not capture the complexity of the psychiatric nursing setting, namely, the relational and psychotherapeutic strategies that must be implemented in the patient care approach. The findings of the study suggest that evidence-based tools for adult psychiatric inpatient settings require further development. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This review shows the need to continue to develop tools that assess workload in psychiatric inpatient units that embrace activities related to patient (direct and indirect) and nonpatient activities. The great challenge is providing a sensitive understanding of the workload resulting from psychotherapeutic interventions, the primary treatment that many patients need. This review reinforces the need to add patient outcomes to workload assessment processes.WHAT IS KNOWN ON THE SUBJECT?: There is a shortage of empirical research in the field of psychiatric and mental health nursing regarding how to calculate a safe staffing level in psychiatry inpatient units. Furthermore, the tools to assess nursing workload in this specialty are limited. No systematic reviews on measurement tools in adult psychiatric inpatient settings were found. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This study confirms the scarcity and heterogeneity of instruments with which to evaluate nursing workload in this specific context. Likewise, the instruments identified do not capture the complexity of the psychiatric nursing setting, namely, the relational and psychotherapeutic strategies that must be implemented in the patient care approach. The findings of the study suggest that evidence-based tools for adult psychiatric inpatient settings require further development. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This review shows the need to continue to develop tools that assess workload in psychiatric inpatient units that embrace activities related to patient (direct and indirect) and nonpatient activities. The great challenge is providing a sensitive understanding of the workload resulting from psychotherapeutic interventions, the primary treatment that many patients need. This review reinforces the need to add patient outcomes to workload assessment processes.Introduction No systematic reviews on measurement tools in adult psychiatric inpatient settings exist in the literature, and thus, further research is required on ways to identify approaches to calculate safe nurse staffing levels based on patients' care needs in adult psychiatric inpatient units. Aim To identify instruments that enable an assessment of nursing workload in psychiatric settings. Method A scoping review was conducted. Results Four studies were identified, with five instruments used to support the calculation of staff needs and workload. All four studies present methodological limitations. Two instruments have already been adapted to this specific context, but validation studies are lacking. Discussion The findings indicate that the tools used to evaluate nursing workload in these settings require further development, with the concomitant need for more research to clarify the definition of nursing workload as well as to identify factors with the greatest impact on nursing workload. Implications for practice This review highlights the need to develop tools to assess workload in psychiatric inpatient units that embrace patient-related and non-patient-related activities. The great challenge is to enable a sensitive perception of workload resulting from nurses' psychotherapeutic interventions, an important component of treatment for many patients.ABSTRACTIntroduction No systematic reviews on measurement tools in adult psychiatric inpatient settings exist in the literature, and thus, further research is required on ways to identify approaches to calculate safe nurse staffing levels based on patients' care needs in adult psychiatric inpatient units. Aim To identify instruments that enable an assessment of nursing workload in psychiatric settings. Method A scoping review was conducted. Results Four studies were identified, with five instruments used to support the calculation of staff needs and workload. All four studies present methodological limitations. Two instruments have already been adapted to this specific context, but validation studies are lacking. Discussion The findings indicate that the tools used to evaluate nursing workload in these settings require further development, with the concomitant need for more research to clarify the definition of nursing workload as well as to identify factors with the greatest impact on nursing workload. Implications for practice This review highlights the need to develop tools to assess workload in psychiatric inpatient units that embrace patient-related and non-patient-related activities. The great challenge is to enable a sensitive perception of workload resulting from nurses' psychotherapeutic interventions, an important component of treatment for many patients. |
| Author | Seabra, Paulo Sousa, Carla |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29768733$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1111_jpm_12985 crossref_primary_10_1590_0034_7167_2019_0620 crossref_primary_10_1111_jonm_12885 crossref_primary_10_3390_nursrep14030151 crossref_primary_10_12968_bjon_2019_28_15_1020 crossref_primary_10_1108_AMHID_05_2023_0015 crossref_primary_10_1111_jpm_12625 crossref_primary_10_1177_10783903231198247 |
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| Copyright | 2018 John Wiley & Sons Ltd 2018 John Wiley & Sons Ltd. Copyright © 2018 John Wiley & Sons Ltd |
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| Snippet | Accessible summary
What is known on the subject?
There is a shortage of empirical research in the field of psychiatric and mental health nursing regarding how... WHAT IS KNOWN ON THE SUBJECT?: There is a shortage of empirical research in the field of psychiatric and mental health nursing regarding how to calculate a... IntroductionNo systematic reviews on measurement tools in adult psychiatric inpatient settings exist in the literature, and thus, further research is required... |
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| SubjectTerms | adult psychiatric inpatient units Humans Inpatient care Inpatients - statistics & numerical data Nursing Nursing Staff, Hospital - statistics & numerical data Psychiatric Department, Hospital - statistics & numerical data Psychiatric Nursing - statistics & numerical data workload Workload - statistics & numerical data Workloads |
| Title | Assessment of nursing workload in adult psychiatric inpatient units: A scoping review |
| URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjpm.12468 https://www.ncbi.nlm.nih.gov/pubmed/29768733 https://www.proquest.com/docview/2095425025 https://www.proquest.com/docview/2040770639 |
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