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Taking Another View: How Nurses Perceive Infusion Pumps as Demanding for Both Themselves and Their Patients
Matthew B Perrigino1, Benjamin B Dunford, Dawn Berndt
1Krannert School of Management, Regenstrief Center for Healthcare Engineering, Purdue University, West Lafayette, Indiana (Mr Perrigino and Dr Dunford); University of Wisconsin Hospital and Health Systems, Madison, Wisconsin (Dr Berndt and Dr Gaston); and University of Wisconsin School of Pharmacy, Madison, Wisconsin (Dr Gaston). Matthew B. Perrigino, BBA, is a doctoral candidate in the organizational behavior and human resources program at Purdue University's Krannert School of Management in West Lafayette, Indiana. He is also a research fellow at Purdue's Regenstrief Center for Healthcare Engineering. Benjamin B. Dunford, PhD, is an associate professor at the Krannert School of Management and a Regenstrief Center for Healthcare Engineering Scholar at Purdue University. His research focuses on how the management of people has an impact on organizational effectiveness and patient safety in the health care industry. Dawn Berndt, DNP, RN, CRNI®, is a clinical nurse specialist at University of Wisconsin Hospital and Health Systems. Within her facility, she is an infusion pump advocate and champion. Cynthia L. Gaston, PharmD, BCPS, is a medication use policy analyst at University of Wisconsin Hospital and Health Systems. She also serves as a clinical assistant professor at the University of Wisconsin School of Pharmacy in Madison, Wisconsin.
Nurses
Area of Science:
- Nursing
- Organizational Theory
- Healthcare Management
Background:
- Infusion pumps are critical medical devices.
- Understanding the demands of infusion pumps on both nurses and patients is essential for optimal healthcare delivery.
- Existing research has not fully explored the dual demands of infusion pumps.
Purpose of the Study:
- To investigate the concept of "demanding formalization" associated with infusion pumps from both nursing and patient perspectives.
- To determine if these two perspectives represent distinct constructs.
- To analyze the impact of each construct on nurse attitudes, satisfaction, and burnout.
Main Methods:
- The study surveyed nurses at a large, nonprofit teaching hospital in the midwestern United States.
- Statistical analysis was employed to differentiate between "demanding formalization for nurses" and "demanding formalization for patients."
- Regression analysis was used to assess the predictive power of each construct on various outcomes.
Main Results:
- "Demanding formalization for nurses" and "demanding formalization for patients" were identified as two empirically distinct constructs.
- Demanding formalization for patients significantly predicted infusion pump-related attitudes, trust, and pay satisfaction.
- Demanding formalization for nurses was a stronger predictor of job satisfaction, turnover intention, and burnout.
Conclusions:
- The demands of infusion pumps on patients represent a unique construct with significant implications for patient-centered care.
- Addressing patient-focused demands of infusion pumps can improve attitudes, trust, and satisfaction.
- Focusing solely on nursing-centric demands may not adequately address broader healthcare outcomes like job satisfaction and burnout.
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