How do nurses manage their work under time pressure? Occurrence of implicit rationing of nursing care in the intensive care unit: A qualitative study |
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| Institution: | 5. Biostatistics, Baylor Scott & White Research Institute, Dallas, TX, United States;1. Yonsei University Graduate School of Public Health, Seoul, Republic of Korea;2. School of Nursing, Hunter College, The City University of New York, NY, USA;3. School of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA;4. College of Nursing, Konyang University, Daejeon, Republic of Korea;1. School of Nursing and Midwifery, Monash University, Victoria, Australia;2. School of Nursing and Midwifery, Deakin University, Victoria, Australia;3. School of Nursing and Midwifery, Griffith University, Queensland, Australia;4. Intensive Care Unit, Princess Alexandra Hospital, Metro South Health, Queensland Health, Australia;5. Menzies Health Institute Queensland, Griffith University, Queensland, Australia;1. School of Nursing, Fujian Medical University, Fuzhou, Fujian Province 350122, China;2. Chenggong Hospital of Xiamen University (the 73th Group Military Hospital of People''s Liberation Army), Xiamen, Fujian Province 361003, China;3. School of Fuzhou General Hospital Clinical Medical, Fujian Medical University, Fuzhou, Fujian Province 350025, China;4. Education Office, The 900 Hospital of People’s Liberation Army, Fuzhou, Fujian Province 350025, China;5. Department of Neurosurgery, The 900 Hospital of People’s Liberation Army, Fuzhou, Fujian Province 350025, China;6. Department of Nursing, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province 430071, China;7. School of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian Province 350122, China |
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| Abstract: | ObjectivesThe aim of this study was to explore the experience of intensive care unit nurses under time pressure and the occurrence of implicit rationing under time pressure.MethodsIn-depth audio-recorded interviews were conducted with 18 intensive care unit nurses. Colaizzi seven-step analysis of phenomenological data was used.FindingsThree themes emerged from the analysis: the influence of internal and external environments, perceived differences in time pressure, and broad coping styles.ConclusionsUnder the influence of various factors, including continuous or intermittent time pressure, nurses employ strategies to deal with the pressure. Sometimes, these strategies allow them to complete all their necessary work. However, with the increase in time pressure, sometimes some work that must be done is changed into work that should be done in the consciousness of nurses. In such cases, nurses choose the strategy of implicit rationing to deal with time pressure. |
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| Keywords: | Intensive care unit Implicit rationing of nursing care Time pressure Qualitative study |
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