Matriz de busqueda
Description
Introduction: The Burden of Nursing Care has not been defined as a theoretical or operational concept, however, there are several studies that demonstrate its impact on the quality of nursing care, the increase of adverse events and the health of nursing staff. Objective: To analyze attributes, factors, antecedents, and consequences linked to the concept of Nursing Care Burden in order to clarify its meaning. Materials and Methods: Concept analysis based on Walker and Avant's methodological proposal, through which the characteristics that define a concept with its attributes are examined. Results: The burden of nursing care is the relationship between patient needs and the time available for direct activities, management, and education. Both intrinsic and extrinsic patient factors can influence the patient's level of dependency and needs, increasing nursing interventions and hours of care, thus impacting the burden of care. Discussion: The Nursing Burden of Care involves patient-centered care with adequate resources. It requires planning and leadership on the part of the nursing professional. Lack of competencies and experience, coupled with institutional inflexibility, increases the burden, and leads to dissatisfaction and adverse events. Conclusions: The burden of nursing care is a concept with epistemic grounding in the interactive-integrative view, since it focuses on meeting patients' needs through direct care nursing interventions, management, and education.
Files
Steps to reproduce
For the concept analysis of the care burden, Walker and Avant's proposal was utilized, who assert that concept analysis is a pathway for theory development, providing the opportunity to explain and describe phenomena of interest for practice. It is a strategy through which the characteristics and attributes that define the concept are examined, allowing the determination of which phenomenon is a good example of the concept and which is not, through the identification of a model case. This methodology consists of eight steps, but for this study, we used seven: 1. Selection of the concept. 2. Description of the objectives or purposes of the analysis. 3. Identification of the uses of the concept. 4. Identification of the characteristics or attributes. 5. Identification of the model case. 6. Identification of antecedents and consequences. 7. Definition of empirical indicators. The first step was to select the concept (Nursing care burden), the second was to determine the purpose of this analysis. The third step involved identifying and clarifying the use of the concept, for which a targeted literature search was conducted to find definitions, research, official documents, and others that help identify similar concepts useful for clarifying the selected concept, starting from the most particular to the most concrete and disciplinary findings. This approach allowed us to extract some conceptual elements and differentiate the selected concept from those found in the intentional review. For the fourth step, the characteristics or attributes of the nursing care burden are described. To clarify the defining characteristics and/or attributes of the care burden concept, an exhaustive analysis of the studies found in the intensive literature review was conducted. Additionally, a meeting of experts, including the researchers of this study and professional nurses from various higher education institutions and healthcare institutions in Bogotá, was held. During this meeting, the findings from the literature were presented, professional experiences were shared, and the key attributes of the concept of nursing care burden were identified. In the fifth step, we describe a model case where the nursing care burden in an internal medicine hospitalization service can be observed. As the sixth step, we describe the antecedents, which are the actions or conditions necessary for the concept to occur, the consequences, which are the outcomes of the event's occurrence, and the factors that could influence the nursing care burden. In the seventh step, some elements of possible empirical indicators are described. The targeted search was conducted between January and June 2023 in various databases such as PubMed, Scopus, Embase, EBSCO, ScienceDirect, and Springer, using health science descriptors (DeCS) and Boolean operators in Spanish and English such as: Workload AND Nursing AND Hospitalization OR “Inpatient care Units”.