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  • Title: The impact of an additional nurse assistant during evening shifts on nurses' perceptions of job demands, job resources and well-being.
    Author: Scheepers RA, Smeulders IM, van den Broek T.
    Journal: J Adv Nurs; 2021 Feb; 77(2):1013-1016. PubMed ID: 33617038.
    Abstract:
    AIM: Workloads and other job demands jeopardize nurses' well-being, especially during evening shifts when there are less resources than during the day. The current study aims to shed light on how the addition of a nurse assistant to ward staffing during evening shifts has an impact on nurses' perceptions of job demands, job resources, and well-being. DESIGN: We performed a pre-post pilot study, whereby we compared nurses' perceptions of job demands, job resources, and well-being before and after the addition of a nurse assistant to ward staffing during evening shifts. METHODS: All nurses at the ward of a top-clinical hospital (N = 28) completed a baseline and follow-up survey including validated measures on job demands (workload and physical demands), job resources (autonomy and task clarity), and well-being (recovery from work and sleep problems). RESULTS: Compared with baseline, nurses reported fewer job demands (lower workloads and fewer physical demands) and sleep problems at follow-up. No statistically significant changes in job resources (autonomy and task clarity) and recovery difficulties were found. CONCLUSIONS: We found preliminary evidence that the addition of a nurse assistant during evening shifts could reduce workloads, physical demands, and sleep problems among nurses. IMPACT: This study highlighted that heavy job demands and sleep problems associated with evening shifts may be addressed by adding a nurse assistant to the nursing team. Future studies with larger samples and a control group are needed to provide better estimates of the magnitude of the beneficial effects and of the cost-effectiveness of an intervention of this kind. 目的: 超负荷的工作量及其他工作需求会危及护士的健康,人员资源比白天少的夜班尤其如此。本研究旨在阐明在晚班期间增加护士助理将在护士对感知工作需求、工作资源和幸福感方面产生影响。 设计: 我们进行了一项前‐后试点研究,比较了在夜班病房增加护士助理前后,护士对工作需求、工作资源和幸福感的看法。 方法: 顶级临床医院病房的所有护士(N=28)都完成了一项基线调查和一项随访调查,其中包括对工作需求(工作量和身体需求)、工作资源(自主性和任务清晰度)和幸福感(从工作和睡眠问题中恢复)的有效测量。 结果: 与基线相比,护士在随访中上报的工作需求更少(更少的工作量和更少的身体需求),睡眠问题更轻。而在工作资源(自主性和任务清晰度)和工作状态恢复方面的困难上没有发现数据方面的显著变化。 结论: 已发现的初步证据表明,在夜班期间增加一名护士助理可以减少护士的工作量、身体需求并减轻其睡眠问题。 影响: 此项研究着重强调,夜班将带来加重护士工作需求和睡眠问题的严重程度,而此类问题可通过在护理团队中增加一名护士助理进行解决。现需针对更多样本进行更多研究,并生成对照组,以便对此种干预措施的有益效果和成本效益更好地进行预估。.
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