Effects of interprofessional practice on nursing workload in hospitals: A systematic review

IF 1.9 4区医学 Q3 HEALTH POLICY & SERVICES

International Journal of Health Planning and Management Pub Date : 2024-02-14 DOI:10.1002/hpm.3779

Danielle Fabiana Cucolo, João Lucas de Campos Oliveira, Rosana Aparecida Salvador Rossit, Vivian Aline Mininel, Marcia Galan Perroca, Jaqueline Alcântara Marcelino da Silva

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引用次数: 0

Abstract

Objective

To synthesise scientific evidence on interprofessional practice in hospital care and the effects on nursing workload.

Methods

Systematic mixed method review, registered in PROSPERO (CRD42021225627) and conducted in the following databases: CINAHL, Medline, Web of Science and Scopus, with no restrictions on the publication period of the studies. Primary studies were recruited on nurses' interprofessional practice (actions and interactions with other professional categories) in hospitals and the effects on one or more dimensions of nursing workload (quantitative, qualitative, physical, cognitive, emotional, time and variation). Scientific articles available in open access, in English, Spanish or Portuguese, were included. The searches were carried out in January 2021. The studies were evaluated by pairs of independent researchers to verify methodological quality, through the Mixed Method Appraisal Tool, and data extraction. To summarise the studies, thematic analysis was adopted.

Results

A total of 1774 publications were assessed for eligibility and 17 studies were included. Of these, two were mixed methods, four were qualitative, and 11 were quantitative, published between 2011 and 2020. The main scenarios investigated were Intensive Care Units and/or Inpatient Units. During data analysis, three thematic categories emerged: Interprofessional practice in coping with emotional overload; Time dedicated by nurses to professional communication; and Working conditions and patient care. The third category consisted of three subthemes: Conflict and flexibility in the context of practice; Working conditions and interprofessional practice; and Effects on patient care.

Conclusions

The evidence points to the emotional overload of nurses in the face of uncooperative practices. Interprofessional actions, especially communicative ones, demand nurses' time and impact the care provided. The results contribute to political decisions and health work management.

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跨专业实践对医院护理工作量的影响：系统综述。

摘要综合医院护理中跨专业实践及其对护理工作量影响的科学证据：系统性混合方法综述，在 PROSPERO（CRD42021225627）中注册，并在以下数据库中进行检索：CINAHL、Medline、Web of Science 和 Scopus。征集的主要研究涉及护士在医院的跨专业实践（与其他专业类别的行动和互动），以及对护理工作量的一个或多个维度（定量、定性、体力、认知、情感、时间和变化）的影响。检索对象包括以英语、西班牙语或葡萄牙语撰写的公开发表的科学文章。检索于 2021 年 1 月进行。这些研究由一对独立的研究人员进行评估，通过混合方法评估工具和数据提取来验证方法的质量。为了对研究进行总结，采用了专题分析法：共对 1774 篇出版物进行了资格评估，并纳入了 17 项研究。其中，2 项为混合方法研究，4 项为定性研究，11 项为定量研究，发表于 2011 年至 2020 年之间。调查的主要场景是重症监护室和/或住院部。在数据分析过程中，出现了三个主题类别：应对情绪超负荷的跨专业实践；护士用于专业交流的时间；工作条件和病人护理。第三个类别包括三个次主题：实践中的冲突和灵活性；工作条件和跨专业实践；对病人护理的影响：有证据表明，面对不合作的做法，护士的情绪负担过重。跨专业行动，尤其是沟通行动，需要护士花费大量时间，并对所提供的护理产生影响。研究结果有助于政治决策和卫生工作管理。

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来源期刊

International Journal of Health Planning and Management Multiple-

CiteScore

4.50

自引率

3.70%

发文量

197

期刊介绍： Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.