Dias António, Araújo Beatriz, Jesus Élvio
Unidade de Saúde Familiar Saúde no Futuro, Unidade Local de Saúde Gaia e Espinho, 4400-043 Vila Nova de Gaia, Portugal.
Centre for Interdisciplinary Research in Health (CIIS), Universidade Católica Portuguesa, 4169-005 Porto, Portugal.
Nurs Rep. 2024 Aug 21;14(3):2020-2029. doi: 10.3390/nursrep14030151.
The importance of knowing the workload of family nurses lies essentially in the possibility of improving health outcomes, care processes and the nurse's professional life. There is a lack of studies that fully describe the nursing workload in primary care, particularly, in the context of family health nursing, and the ideal metrics to be used remain unknown, making it impossible to characterize and therefore provide the necessary insight to acknowledge the different contributions of several aspects that embody the global workload of family nurses. The objective of this scoping review was to map the known evidence and characterize the instruments used to assess the workload of family nurses.
Scoping review, according to the Joanna Briggs Institute, proposed a methodology for scoping reviews, consisting of three research stages: (1) an initial research in Medline and CINHAL; (2) an extended search, using keywords and search terms, in the following databases: JBI, CINAHL Complete, MEDLINE, Cochrane and Scopus; and (3) a search of the reference lists of the selected articles. No time limit was defined.
Fourteen studies referring to ten assessment instruments were included. Nine of them analyze workload as a dimension of a broader instrument, and two studies refer to an instrument that focuses exclusively on workload.
The diversity of professional competencies and contexts, the conceptual complexity of workload and the absence of a theoretical framework make it difficult to identify consensual instruments to assess the workload of family nurses. This study was prospectively registered with the Open Science Framework on 6 September 2023, with the registration number: 3k6vr.
了解家庭护士工作量的重要性主要在于有可能改善健康结果、护理流程以及护士的职业生活。目前缺乏全面描述初级保健中护理工作量的研究，尤其是在家庭健康护理背景下，并且尚不清楚应使用的理想指标，这使得无法对构成家庭护士整体工作量的多个方面的不同贡献进行特征描述并提供必要的见解。本范围综述的目的是梳理已知证据并描述用于评估家庭护士工作量的工具。
根据乔安娜·布里格斯研究所的范围综述方法，提出了一种范围综述方法，包括三个研究阶段：（1）在Medline和CINHAL中进行初步检索；（2）使用关键词和检索词在以下数据库中进行扩展检索：JBI、CINAHL Complete、MEDLINE、Cochrane和Scopus；（3）检索所选文章的参考文献列表。未设定时间限制。
纳入了14项涉及10种评估工具的研究。其中9项将工作量作为更广泛工具的一个维度进行分析，2项研究涉及专门关注工作量的工具。
专业能力和背景的多样性、工作量概念的复杂性以及缺乏理论框架使得难以确定评估家庭护士工作量的共识性工具。本研究于2023年9月6日在开放科学框架上进行了前瞻性注册，注册号为：3k6vr。
