University of Twente Student Theses


Workload performance measuring in an emergency department

Kip, M.L. (2021) Workload performance measuring in an emergency department.

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Abstract:There is increasing pressure on quality and accessibility of emergency care due to excessive crowds on emergency departments (ED), which is also being felt within Slingeland hospital (SZ), while actual nursing workload remains unknown. Therefore, a literature review has been conducted in which the most suitable method for measuring workload, the Jones Dependency Tool (JDT) is chosen for use as a zero-measurement in the ED of SZ. For this purpose, an implementation process was developed, to operationalise the JDT within the hospital’s information system. Several stakeholders were involved to make the implementation successful. After implementation, workload-related performance was measured, and perceived workload was compared to actual workload. In total, 52.1% of perceived workload corresponds with the actual workload. 8.5% rated their perceived workload higher than the actual workload, and 39.4% rated their perceived workload lower, which on average shows lower perceived workloads than measured. It is currently unknown at what times the crowding protocol should be initiated. We recommend connecting the protocol with set moments in the JDT. The number of ED arrivals vary through the week and through the day, which contributes to variations in nursing workloads. However, due to a limited period of workload measurement, distribution in ED arrivals through the week is uncertain. Therefore, continuation of the JDT is desired, since better predictions can be made by measuring workload for a longer period of time, which consequently will contribute to better resource planning and nurse staffing.
Item Type:Essay (Master)
Slingeland ziekenhuis, Doetinchem, Nederland
Faculty:TNW: Science and Technology
Subject:01 general works
Programme:Health Sciences MSc (66851)
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