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   <dc:title>A comprehensive healthcare managerial framework that explicates the manner in which workload factors influence the nurses’ well-being : a case study of a Saudi Arabian hospital</dc:title>
   <dc:creator>Chetty, Krishnavellie</dc:creator>
   <dc:contributor>Sibiya, M. N.</dc:contributor>
   <dc:contributor>Naidoo, V.</dc:contributor>
   <dc:subject>Health</dc:subject>
   <dc:subject>Intensive care</dc:subject>
   <dc:subject>Job satisfaction</dc:subject>
   <dc:subject>Nurses</dc:subject>
   <dc:subject>Productivity</dc:subject>
   <dc:subject>Saudi Arabia</dc:subject>
   <dc:subject>Well-being</dc:subject>
   <dc:subject>Workload</dc:subject>
   <dc:subject>Intensive care units</dc:subject>
   <dc:subject>Nurses--Workload--Saudi Arabia</dc:subject>
   <dc:subject>Nurses--Job satisfaction--Saudi Arabia</dc:subject>
   <dc:description>Thesis submitted in fulfilment of the requirements for the Philosophiae Doctor in Health Sciences at the Durban University of Technology, 2021.</dc:description>
   <dc:description>The shortage of specialized intensive care unit (ICU) nurses is a workload factor&#xd;
that negatively influences the provision of quality nursing care by compromising&#xd;
workplace productivity and job satisfaction. Work pressures are evident in health&#xd;
systems throughout the world, where there is growing concern over a nursing&#xd;
shortage in relation to the country's disease profile, population increases, chronic&#xd;
disease growth and increased life expectancies. Although workload plays a&#xd;
fundamental role in staff and patient well-being, minimal research has been&#xd;
conducted on the evaluation of workload effects and its impact on nurses' wellbeing among Saudi Arabian ICU nurses.&#xd;
Aim&#xd;
The aim of the study were to determine the various workload factors that&#xd;
influence the well-being of ICU nurses working in a Saudi Arabian Hospital and to&#xd;
develop a comprehensive healthcare managerial framework that explicates the&#xd;
way workload factors influence nurses’ well-being.&#xd;
Methodology&#xd;
Using a convergent parallel mixed methods design, data were collected by&#xd;
means of semi structured interviews, with 20 participants in the qualitative phase.&#xd;
A survey questionnaire, that was developed and adapted from the Job Demand&#xd;
Resource (JDR) Model, was used to collect to data from 200 participants. The&#xd;
quantitative data were analysed using the latest version 25 of SPSS and&#xd;
qualitative data were analysed using Tesch’s method of data analysis.&#xd;
Findings&#xd;
The findings from the study were aligned to the JDR Model and provided&#xd;
evidence that ICU nurses experienced various workload factors that influenced their well-being and productivity. It was found that the high job demands cause&#xd;
strain and health impairment, which are associated with decreased job&#xd;
satisfaction of staff working in the ICUs of Saudi Arabian hospitals. On the basis&#xd;
of these findings, the researcher proposed and developed guidelines for the&#xd;
implementation of a comprehensive managerial framework that explicated&#xd;
workload factors that influence the well-being of the ICU nurses. The proposed&#xd;
framework can be utilized as an interactive tool that will set out clear actionable&#xd;
steps, providing ongoing guidelines on how healthcare organisations should plan&#xd;
and implement suitable workloads, efficiently and effectively, to ensure staff&#xd;
health and well-being.</dc:description>
   <dc:description>D</dc:description>
   <dc:date>2022-06-03T09:41:19Z</dc:date>
   <dc:date>2022-06-03T09:41:19Z</dc:date>
   <dc:date>2021-05-27</dc:date>
   <dc:type>Thesis</dc:type>
   <dc:identifier>https://hdl.handle.net/10321/4041</dc:identifier>
   <dc:identifier>https://doi.org/10.51415/10321/4041</dc:identifier>
   <dc:language>en</dc:language>
   <dc:format>331 p.</dc:format>
   <dc:format>application/pdf</dc:format>
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