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Preferences of ICU Nurses for Improving Their Work System: A Sequential Exploratory Mixed-Methods Study.

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Intensive care unit (ICU) nurses identified workload, staffing, and resources as top priorities for improving their work system. These findings help guide interventions to enhance nurse well-being and patient care.

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Area of Science:

  • Healthcare Systems Engineering
  • Nursing Practice
  • Patient Safety

Background:

  • Intensive care units (ICUs) demand advanced technology and specialized care, creating pressure for nurses.
  • Nurses in critical care settings face significant challenges impacting their well-being and performance.

Purpose of the Study:

  • To prioritize ICU nurses' preferences for work system improvements using the Systems Engineering Initiative for Patient Safety (SEIPS) model.
  • To identify key areas for intervention to enhance the ICU work environment.

Main Methods:

  • A sequential exploratory mixed-methods design was employed, starting with qualitative interviews.
  • Directed content analysis identified 17 themes, which were then prioritized using the Analytic Hierarchy Process (AHP).

Main Results:

  • Workload, staffing, and micro-level support/resources were the highest-priority themes for improving the ICU work system.
  • Interventions related to collaboration, equipment, management, and spatial design were also deemed important.

Conclusions:

  • ICU nurses face numerous work environment challenges that require targeted interventions.
  • Quantitative prioritization of nurse preferences offers a data-driven approach for designing effective solutions.
  • Addressing these priorities is crucial for ensuring nurse well-being and optimal patient care in ICUs.