Thompson David S, O'Leary Kathy, Jensen Eva, Scott-Findlay Shannon, O'Brien-Pallas Linda, Estabrooks Carole A
Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
J Clin Nurs. 2008 Feb;17(4):539-48. doi: 10.1111/j.1365-2702.2007.01981.x.
To explore the concept of busyness in nursing and to understand the relationship between busyness and nurses' research utilization better.
Lack of time and busyness are consistently reported as barriers to research utilization. Current literature fails to identify the dimensions of busyness and offers little insight into the relationship between busyness and nurses' research utilization.
DESIGN/METHODS: We performed a secondary analysis of qualitative data and created a conceptual map of busyness in nursing.
Our results suggested that busyness consists of physical and psychological dimensions. Interpersonal and environmental factors influenced both dimensions. Cultural and intrapersonal factors contributed to psychological elements. The effects of busyness reported included missed opportunities, compromised safety, emotional and physical strain, sacrifice of personal time, incomplete nursing care and the inability to find or use resources.
Our beginning description of busyness contributes to a greater understanding of the relationship between busyness and research utilization. Our findings suggest that lack of time as a barrier to research utilization is more complex than depicted in the literature. Instead, the mental time and energy required to navigate complex environments and a culture of busyness more accurately reflect what may be meant by 'lack of time' as a barrier to research utilization.
Future interventions aimed at increasing research utilization may be more effective if they focus on factors that contribute to a culture of busyness in nursing and address the mental time and energy required for nurses to use research in practice.
探讨护理工作中的忙碌概念，并更好地理解忙碌与护士研究应用之间的关系。
一直以来，时间不足和忙碌被认为是研究应用的障碍。当前文献未能明确忙碌的维度，也很少深入探讨忙碌与护士研究应用之间的关系。
设计/方法：我们对定性数据进行了二次分析，并绘制了护理工作中忙碌的概念图。
我们的结果表明，忙碌包括身体和心理两个维度。人际和环境因素影响这两个维度。文化和个人因素影响心理因素。报告的忙碌带来的影响包括错过机会、安全受损、情绪和身体压力、个人时间的牺牲、护理不完整以及无法找到或利用资源。
我们对忙碌的初步描述有助于更深入地理解忙碌与研究应用之间的关系。我们的研究结果表明，作为研究应用障碍的时间不足比文献中描述的更为复杂。相反，在复杂环境和忙碌文化中所需的精神时间和精力更准确地反映了“时间不足”作为研究应用障碍的含义。
如果未来旨在提高研究应用的干预措施能够关注导致护理工作中忙碌文化的因素，并解决护士在实践中应用研究所需的精神时间和精力，可能会更有效。
