Perception of nurses’ workload in a Medical-Surgical Emergency Service*
DOI:
https://doi.org/10.1590/ce.v31i0.101169ptKeywords:
Nurses, Male, Perception, Emergency Service, Hospital, Workload, Working ConditionsAbstract
Objective: To assess the perception of individual workload among nurses in the Medical-Surgical Emergency Service of a Local Health Unit in Northern Portugal and to explore the relationship between the perception of workload and sociodemographic and professional variables.
Method: This is a descriptive-correlational and quantitative cross-sectional study. The Individual Workload Perception Scale-Revised was used to assess workload perception. The analysis used the Mann-Whitney t-test or U test, analysis of variance, or Kruskal-Wallis test.
Results: The mean overall score on the scale was 73.73 (SD=9.21), indicating a moderately positive perception. The “Nurse manager support” dimension had the lowest mean score per item (3.01). Statistically significant differences were found based on professional experience (p=0.001) and current job experience (p < 0.001).
Conclusion: The perceived workload has room for improvement through more positive and sustainable environments.
References
1. Brazão M da L, Nóbrega S, Bebiano G, Carvalho E. Atividade dos serviços de urgência hospitalares. RPMI [Internet]. 2016 [cited 2025 Sep 2];23(3):8-14. Available from: http://hdl.handle.net/10400.26/37556
2. Alghamdi MG. Nursing workload: a concept analysis. J Nurs Manag [Internet]. 2016 [cited 2025 Sep 7];24(4):449-57. Available from: https://doi.org/10.1111/jonm.12354
3. Trindade LR, da Silva RM, Beck CLC, Cardoso LS, Freitas EO, de Lima SBS, et al. Work overload in hospital units: perception of nurses. Saúde e Pesquisa [Internet]. 2021 [cited 2025 Jul 15];14(4):733-42. Available from: https://doi.org/10.17765/2176-9206.2021v14n4e8063
4. Fernandes ILC, Magalhães CP. The main stressors perceived by emergency nurses: a cross-sectional study. Rev Enf Ref [Internet]. 2024 [cited 2025 Aug 15];6(3):e33648. Available from: https://doi.org/10.12707/RVI23.138.33648
5. Simões JL, Sa-Couto P, Simões JC, Oliveira C, dos Santos NM, Mateus J, et al. Nursing workload assessment in an intensive care unit: a 5-year retrospective analysis. J Clin Nurs [Internet]. 2020 [cited 2025 Sep 7];30(3-4):528-540. Available from: https://doi.org/10.1111/jocn.15570
6. Moghadam KN, Chehrzad MM, Masouleh SR, Maleki M, Mardani A, Atharyan S, et al. Nursing physical workload and mental workload in intensive care units: are they related? Nurs Open [Internet] 2021[cited 2026. Mar 9];8(4):1625-1633. Available from: https://doi.org/10.1002/nop2.785
7. Wei H, Sewell KA, Woody G, Rose MA. The state of the science of nurse work environments in the United States: a systematic review. Int J Nurs Sci [Internet]. 2018 [cited 2025 Aug 1];5(3):287-300. Available from: https://doi.org/10.1016/j.ijnss.2018.04.010
8. Silva MP, Silva MF, Wang ZL, Melo MF, Gouveia MJ. Satisfação profissional e a qualidade dos cuidados de enfermagem - uma revisão integrativa. Gestão e Desenvolvimento [Internet]. 2022 [cited 2025 May 12];30:363-85. Available from: https://doi.org/10.34632/gestaoedesenvolvimento.2022.11393
9. Smokrović E, Žvanut MF, Bajan A, Radić R, Žvanut B. The effect of job satisfaction, absenteeism, and personal motivation on job quitting: a survey of croatian nurses. East Eur Manag Stud [Internet]. 2019 [cited 2025 Jun 4];24(3):398-422. Available from: https://doi.org/10.5771/0949-6181-2019-3-398
10. Ribeiro O. Ambientes de prática de enfermagem positivos: um roteiro para a qualidade e segurança. Lisboa: Lidel; 2023. 260 p.
11. Chen J, Ramalhal T, Lucas PB. Ambiente de prática de enfermagem e a satisfação dos enfermeiros em contexto hospitalar: uma revisão scoping. Pensar Enfermagem [Internet]. 2019 [cited 2025 Jul 25];23(2):29-41. Available from: https://doi.org/10.56732/pensarenf.v23i2.161
12. Cabrita C, Lucas P, Teixeira G, Gaspar F. Translation and validation of the individual workload perception scale - revised for portuguese nurses. Healthcare [Internet]. 2022 [cited 2025 May 14];10(12)2476. Available from: https://doi.org/10.3390/healthcare10122476
13. Lin SY, Lin CH, Yeh MC, Lin SY, Hwang YJ. A psychometric evaluation of the Taiwan version of the Individual workload perception scale [Internet]. J Clin Nurs. 2011 [cited 2026 Mar 8];20(3-4):494-503. https://doi.org/10.1111/j.1365-2702.2010.03495.x
14. Vilelas J. Investigação: o processo de construção do conhecimento. 3rd ed. Lisboa: Edições Sílabo; 2020. 509 p.
15. Ordem dos Enfermeiros (OE). Estatística de enfermeiros. [Internet]. Lisboa: OE; 2024 [cited 2025 Sep 4];Anuário:[about 1 screens]. Availablefrom:https://www.ordemenfermeiros.pt/estat%C3%ADstica-de-enfermeiros/
16. Vargas-Escobar LM, Aya Roa KJ, Ortiz Mayorga JL, Quiñonez Mora MA, Hernández Bohórquez LM, Fuentes Bermúdez GP, et al. Burden of nursing care: a concept analysis. Revista Cuidarte [Internet]. 2024 [cited 2025 Sep 7];15(3):e3848. Available from: https://doi.org/10.15649/cuidarte.3848
17. Pu J, Wang W, Li G, Xie Z, Fan X, Zhan N, et al. Psychological resilience and intention to stay among nurses: the mediating role of perceived organizational support. Sec Front Psychol [Internet]. 2024 [cited 2025 Sep 4];15:1407206. Available from: https://doi.org/10.3389/fpsyg.2024.1407206
18. Alomari AH, Collison J, Hunt L, Wilson NJ. Stressors for emergency department nurses: Insights from a cross-sectional survey. J Clin Nurs [Internet]. 2021 [cited 2025 Jul 17];30(7-78):975-85. Available from: https://doi.org/10.1111/jocn.15641
19. Diaz J, Danvers Perez K. Workload in nursing: a concept analysis. Horiz Enferm [Internet]. 2020 [cited 2025 Jul 24];29(3):204-11. Available from: https://horizonteenfermeria.uc.cl/index.php/RHE/article/view/12798
20. Ordem dos Enfermeiros. Regulamento n.o 743/2019, de 25 de setembro. Norma para o Cálculo de Dotações Seguras dos Cuidados de Enfermagem [Internet]. Diário da República, 2019 [cited 2025 Sep 7];184(2ª Série). Available from: https://diariodarepublica.pt/dr/detalhe/regulamento/743-2019-124981040
21. Ma H, Zhu X, Huang J, Zhang S, Tan J, Luo Y. Assessing the effects of organizational support, psychological capital, organizational identification on job performance among nurses: a structural equation modeling approach. BMC Health Serv Res [Internet]. 2023 [cited 2025 Sep 5];23:806. Available from: https://doi.org/10.1186/s12913-023-09705-z
22. Sauane SMF, Magalhães CP. Medical-surgical emergency nurses’ burnout after the COVID-19 pandemic. Revista de Enfermagem Referência [Internet]. Diário da República, 2023 [cited 2026 Feb 18];6(2):e22091. Available from: https://doi.org/10.12707/RVI22091
23. Ordem dos Enfermeiros. Regulamento n.º 429/2018. Regulamento de competências específicas do enfermeiro especialista em Enfermagem Médico-Cirúrgica na área de enfermagem à pessoa em situação crítica [Internet]. Diário da República, 2019 [cited 2025 Sep 7];135(2.ª Série):1939-70. Available from: https://dre.pt/dre/detalhe/regulamento/429-2018-115698617
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