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Nurses' Burden of Elimination Care: Sequential Explanatory Mixed-Methods Design
Se Young Jung1,2, Hui-Woun Moon2, Da Som Me Park2
1Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
International Journal of General Medicine
|September 13, 2023
Summary
Elimination care (EC) significantly burdens nurses, particularly due to frequent patient needs and work delays. Developing efficient EC protocols and smart devices is crucial to reduce this nursing workload.
Area of Science:
- Nursing Science
- Healthcare Management
- Patient Care
Background:
- Inpatients frequently experience elimination issues, including incontinence and catheter complications.
- Elimination care (EC) is a critical nursing responsibility, yet its impact on nurses remains under-explored.
Purpose of the Study:
- To investigate the burden of elimination care on nurses.
- To analyze nurses' perspectives on EC-related challenges using a mixed-methods approach.
Main Methods:
- A sequential explanatory mixed-methods design was employed.
- Quantitative data on work delays, time spent on EC, and patient care percentages were collected via surveys from 59 nurses.
- Qualitative data were gathered through focus group interviews to identify specific burden factors.
Main Results:
- Nurses in integrated nursing care wards reported the highest work delays (4.8 ± 2.4) and highest percentage of EC tasks (43.8 ± 14.1%).
- Frequent care needs emerged as the primary factor contributing to the nursing burden in EC.
- Qualitative analysis identified physical burden, frequent care needs, job delays, and complications as key themes.
Conclusions:
- Elimination care is a highly burdensome nursing task that nurses often wish to avoid.
- Developing effective EC protocols and utilizing smart medical devices are recommended to mitigate the burden on nurses.
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