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  1. Clinical Activity Monitoring System (CATS): An automatic system to quantify bedside clinical activities in the intensive care unit
    Guo P, Chiew YS, Shaw GM, Shao L, Green R, Clark A, et al.
    Intensive Crit Care Nurs, 2016 Dec;37:52-61.
    PMID: 27401048 DOI: 10.1016/j.iccn.2016.05.003
    Monitoring clinical activity at the bedside in the intensive care unit (ICU) can provide useful information to evaluate nursing care and patient recovery. However, it is labour intensive to quantify these activities and there is a need for an automated method to record and quantify these activities. This paper presents an automated system, Clinical Activity Tracking System (CATS), to monitor and evaluate clinical activity at the patient's bedside. The CATS uses four Microsoft Kinect infrared sensors to track bedside nursing interventions. The system was tested in a simulated environment where test candidates performed different motion paths in the detection area. Two metrics, 'Distance' and 'Dwell time', were developed to evaluate interventions or workload in the detection area. Results showed that the system can accurately track the intervention performed by individual or multiple subjects. The results of a 30-day, 24-hour preliminary study in an ICU bed space matched clinical expectations. It was found that the average 24-hour intervention is 22.0minutes/hour. The average intervention during the day time (7am-11pm) is 23.6minutes/hour, 1.4 times higher than 11pm-7am, 16.8minutes/hour. This system provides a unique approach to automatically collect and evaluate nursing interventions that can be used to evaluate patient acuity and workload demand.
    Matched MeSH terms: Workload/standards*
  2. Influence of job demands and job control on work-life balance among Taiwanese nurses
    Ng LP, Chen IC, Ng HF, Lin BY, Kuar LS
    J Nurs Manag, 2017 Sep;25(6):438-448.
    PMID: 28419626 DOI: 10.1111/jonm.12482
    AIM: This study investigated the extent to which the job demands and job control of nurses were related to their work-life balance.

    BACKGROUND: The inability to achieve work-life balance is one of the major reasons for the declining retention rate among nurses. Job demands and job control are two major work domain factors that can have a significant influence on the work-life balance of nurses.

    METHOD: The study measured the job demands, job control and work-life balance of 2040 nurses in eight private hospitals in Taiwan in 2013.

    RESULTS: Job demands and job control significantly predicted all the dimensions of work-life balance. Job demands increased the level of work-life imbalance among nurses. While job control showed positive effects on work/personal life enhancement, it was found to increase both work interference with personal life and personal life interference with work.

    CONCLUSION: Reducing the level of job demands (particularly for psychological demands) between family and career development and maintaining a proper level of job control are essential to the work-life balance of nurses.

    IMPLICATIONS FOR NURSING MANAGEMENT: Flexible work practices and team-based management could be considered by nursing management to lessen job demand pressure and to facilitate job engagement and participation among nurses, thus promoting a better balance between work and personal life.

    Matched MeSH terms: Workload/standards*
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