How Demanding Is Healthcare Work? A Meta-Analytic Review of TLX Scores
Publikation: Bidrag til bog/antologi/rapport › Konferencebidrag i proceedings › Forskning › fagfællebedømt
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How Demanding Is Healthcare Work? A Meta-Analytic Review of TLX Scores. / Hertzum, Morten.
Proceedings of the CSHI2021 Conference on Context Sensitive Health Informatics. IOS Press, 2021. s. 55-59 (Studies in Health Technology and Informatics, Bind 286).Publikation: Bidrag til bog/antologi/rapport › Konferencebidrag i proceedings › Forskning › fagfællebedømt
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TY - GEN
T1 - How Demanding Is Healthcare Work? A Meta-Analytic Review of TLX Scores
AU - Hertzum, Morten
PY - 2021
Y1 - 2021
N2 - This study establishes how demanding healthcare work is experienced to be and whether nurses and physicians experience different levels of workload. A meta-analytic review was conducted of 87 studies that reported Task Load Index (TLX) scores for healthcare work. Of these studies, 37 were conducted in real-life settings and 50 in lab settings without real patients. In real-life settings, clinicians experienced a workload with a mean TLX of 49 (on a 0-100 scale). Divided onto staff groups, the mean TLX for nurses was 63, which was significantly higher than the mean of 40 for physicians. Among the six TLX subscales, the main contributors to workload were mental demand, temporal demand, and effort. They were higher than physical demand and frustration. The clinicians experienced their performance – the last subscale – as closer to poor than good in 38% of the studies conducted in real-life settings. The difference between nurses and physicians was consistent across all subscales, except mental demand. Finally, it is methodologically important that TLX scores appeared not to transfer directly from lab to real-life settings. To reduce the risk of errors and burnout, new healthcare procedures and technologies should be evaluated for their impact on workload.
AB - This study establishes how demanding healthcare work is experienced to be and whether nurses and physicians experience different levels of workload. A meta-analytic review was conducted of 87 studies that reported Task Load Index (TLX) scores for healthcare work. Of these studies, 37 were conducted in real-life settings and 50 in lab settings without real patients. In real-life settings, clinicians experienced a workload with a mean TLX of 49 (on a 0-100 scale). Divided onto staff groups, the mean TLX for nurses was 63, which was significantly higher than the mean of 40 for physicians. Among the six TLX subscales, the main contributors to workload were mental demand, temporal demand, and effort. They were higher than physical demand and frustration. The clinicians experienced their performance – the last subscale – as closer to poor than good in 38% of the studies conducted in real-life settings. The difference between nurses and physicians was consistent across all subscales, except mental demand. Finally, it is methodologically important that TLX scores appeared not to transfer directly from lab to real-life settings. To reduce the risk of errors and burnout, new healthcare procedures and technologies should be evaluated for their impact on workload.
KW - Faculty of Humanities
KW - workload
KW - Psychological stress
KW - Physicians
KW - Nurses
KW - NASA-TLX
U2 - 10.3233/SHTI210637
DO - 10.3233/SHTI210637
M3 - Article in proceedings
C2 - 34755690
T3 - Studies in Health Technology and Informatics
SP - 55
EP - 59
BT - Proceedings of the CSHI2021 Conference on Context Sensitive Health Informatics
PB - IOS Press
ER -
ID: 279327418