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Related Experiment Video

Updated: Mar 7, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Balancing nurses' workload in hospital wards: study protocol of developing a method to manage workload.

W F J M van den Oetelaar1, H F van Stel1, W van Rhenen2,3

  • 1University Medical Center Utrecht, Utrecht, The Netherlands.

BMJ Open
|February 11, 2017
PubMed
Summary

Hospitals need a new nursing workload management method that is easy to use and supports prospective planning. Current methods are insufficient, necessitating the development of a nurse-centric approach for better patient care and operational efficiency.

Keywords:
nurse workloadstaff planningworkload management

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Area of Science:

  • Healthcare Management
  • Nursing Administration
  • Operational Excellence

Background:

  • Hospitals face competing goals: patient service, care quality, operational efficiency, and staff retention.
  • Balancing patient needs with nursing staff capacity is crucial for achieving these goals.
  • Existing nursing workload management methods lack key features like ease of interpretation, prospective planning capabilities, and comprehensive nurse support.

Purpose of the Study:

  • To develop a novel nursing workload management method.
  • To create a tool that is easy to interpret, requires minimal additional registration, and is applicable across various hospital wards.
  • To ensure the method is supported by nurses, covers all their activities, and facilitates prospective nursing staff planning.

Main Methods:

  • A Delphi study with staff nurses to identify patient characteristics influencing care time.
  • A time study to quantify nurses' activities, including patient-related and non-patient-related tasks.
  • Combining data to estimate care time per patient group and overall nursing workload.

Main Results:

  • The study aims to estimate care time per patient group and nurses' time spent on non-patient-related activities.
  • The developed method will provide an estimate of nurses' workload by comparing required time with available nursing resources.
  • The research will be conducted in 6 surgical wards of an academic hospital in the Netherlands.

Conclusions:

  • A new nursing workload management method will be developed in close collaboration with end-users (nurses and ward management).
  • This user-centered approach is expected to enhance support for the new method.
  • The developed method is anticipated to be advantageous for planning purposes, unlike existing retrospective methods.