Real Time Measurement of Work-Related Stress and Wellbeing in Critical Care Nurses: a Feasibility Study

McCallum, L. , Jones, M., Boehnke, J., Morrison, K. and Rattray, J. (2019) Real Time Measurement of Work-Related Stress and Wellbeing in Critical Care Nurses: a Feasibility Study. 34th Annual British Association of Critical Care Nurses Conference, Edinburgh, Scotland, 16-18 Sep 2019.

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Background: Real time data collection, using electronic diaries has not been previously applied in the study of work-related stress in critical care nurses (CCNs). Real time data collection is advantageous, providing a detailed view on change over time, by collecting data repeatedly from participants at regularly prompted intervals within their natural setting, avoiding the problems of retrospective data collection and increasing the ecological validity of the collected data (Jones & Johnston, 2011). Aim: The aims were 1. to develop and build an electronic diary device to collect real time data on work-related stress and wellbeing in CCNs; 2. to feasibility and acceptability test the device and study protocol within CCNs. Methodology: Measures that captured CCN work-related stress and wellbeing in real-time were programmed into a handheld electronic diary, a personal digital assistant (PDA) device. PDAs were Hewlett Packard iPAQ 114, capable of running a diary software programme called 'Pocket Interview' (Morrison et al, 2009). The diary programme had four separate elements including 'shift-start', 'standard timed intervals', 'shift-end' and 'clinical incident(s)'. Participants were prompted to enter data into PDAs at 90-minute intervals over a clinical shift, and data collection extended across five consecutive shifts. Written consent was sought and data was anonymised. Participants provided feedback on the acceptability of question items and degree of intrusion on operational nursing activities. Results: The feasibility study was implemented on a critical care unit at a tertiary referral centre. Seven CCNs volunteered and participated. Completion rates were excellent, 227 of 280 (81.1%) possible diary observations were collected. Diary content including question items and schedule structure were acceptable; in addition, PDAs were minimally intrusive to CCNs activities. The study protocol performed optimally across a range of conditions, including day shifts, night shifts, redeployment to other clinical areas and PDA malfunction. Conclusion: Electronic diaries are an acceptable method for collecting real time data on work stress and wellbeing in CCNs. Feasibility and acceptability testing of PDAs is an important step in effective diary development. The main electronic diary study is currently underway.

Item Type:Conference or Workshop Item
Keywords:Work-related stress, wellbeing, critical care nurses, electronic diaries, ecological momentary assessment, EMA, feasibility study.
Glasgow Author(s) Enlighten ID:McCallum, Dr Louise
Authors: McCallum, L., Jones, M., Boehnke, J., Morrison, K., and Rattray, J.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care

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