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Barriers and Facilitators to the Implementation of the Workload Acuity Scale

Maamary, Carole
http://rave.ohiolink.edu/etdc/view?acc_num=casednp1563322770790725

Abstract Details

2019, Doctor of Nursing Practice , Case Western Reserve University, School of Nursing.
Aims and objectives: to identify nurses’ perceptions of barriers and facilitators to the implementation of the Workload Acuity Scale (WAS) at a facility located in the Middle East and to describe differences between nurses’ perceptions working in acute care and critical care areas. Background: Precise and accurate determination of workload acuity is imperative to adequately assign workload in the delivery of nursing care. Nurses at this facility were expressing concerns of unequal assignments; therefore, the hospital leadership identified an organization wide system to measure patient acuity accurately through the “Workload Acuity Scale”. The data from the WAS will be used to create assignments for nurses in patient care delivery. Successful implementation of the WAS requires an understanding of the barriers and facilitators to the WAS integration. Method: The Theoretical Domains Framework guided this pre-implementation project. A survey was developed to capture nurses’ perceived barriers and facilitators to inform the plan for future implementation of the WAS. Nurses completed a survey that consisted of 17 items using a 1 to 5 Likert scale and two open-ended questions. Results: Three major themes emerged as barriers to the implementation of the WAS that included knowledge, skills, and resources in terms of human resources and time. The facilitators identified were the availability and accessibility of computers to document patient care activities and intention of nurses who will ensure the successful implementation of the WAS through accurate and timely documentation of patient care activities. Conclusion: The findings of this project demonstrate that a pre-implementation step is critical to the development of an implementation plan that addresses perceived barriers and facilitators from end users. Our findings confirm that nurses at this facility want to successfully implement the WAS to improve their staffing levels but need support to overcome the barriers that will hinder the implementation process. Using the findings, our implementation plans will include targeted WAS education and training, ensuring availability of adequate resources, and leadership and peer support. Relevance to clinical practice: This study serves as a case study of the usefulness and feasibility of the TDF to guide the understanding of critical factors for successful implementation efforts.
Mary Dolansky (Committee Chair)
Carol Savrin (Committee Member)
Iyaad Hasan (Committee Member)
Health Care; Health Care Management; Nursing
Acuity tools; Nursing workload; Facilitators and Barriers; Theoretical Domains Framework

Recommended Citations

Citations

  • Maamary, C. (2019). Barriers and Facilitators to the Implementation of the Workload Acuity Scale [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1563322770790725

    APA Style (7th edition)

  • Maamary, Carole. Barriers and Facilitators to the Implementation of the Workload Acuity Scale. 2019. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=casednp1563322770790725.

    MLA Style (8th edition)

  • Maamary, Carole. "Barriers and Facilitators to the Implementation of the Workload Acuity Scale." Doctoral dissertation, Case Western Reserve University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1563322770790725

    Chicago Manual of Style (17th edition)

casednp1563322770790725
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This open access ETD is published by Case Western Reserve University Doctor of Nursing Practice and OhioLINK.