@article{8f7c494a475041f3bf826c79d58c9dfa,
title = "Subtle cues: Qualitative elicitation of signs of capacity strain in the hospital workplace",
abstract = "Through everyday care experiences, nurses develop expertise in recognition of capacity strain in hospital workplaces. Through qualitative interview, experienced nurses identify common activity changes and adaptive work strategies that may signal an imbalance between patient demand and service supply at the bedside. Activity change examples include nurse helping behaviors across patient assignments, increased volume of nurse calls from patient rooms, and decreased presence of staff at the nurses' station. Adaptive work strategies encompass actions taken to recruit resources, move work in time, reduce work demands, or reduce thoroughness of task performance. Nurses{\textquoteright} knowledge of perceptible signs of strain provides a foundation for future exploration and development of real-time indicators of capacity strain in hospital-based work systems.",
keywords = "Capacity strain, Nursing, Socio-technical systems, Strategies, Workload",
author = "Womack, {Dana M.} and Vuckovic, {Nancy N.} and Steege, {Linsey M.} and Eldredge, {Deborah H.} and Hribar, {Michelle R.} and Gorman, {Paul N.}",
note = "Funding Information: Research reported in this publication was supported by the National Library of Medicine of the National Institutes of Health under Award Number T15LM007088 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The sponsor had no role in the study design, data collection, analysis, writing of the report, or decision to submit the article for publication. Funding Information: Research reported in this publication was supported by the National Library of Medicine of the National Institutes of Health under Award Number T15LM007088. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The sponsor had no role in the study design, data collection, analysis, writing of the report, or decision to submit the article for publication. The authors would like to acknowledge Mina Mishra for note taking assistance during focus group sessions. Publisher Copyright: {\textcopyright} 2019 Elsevier Ltd",
year = "2019",
month = nov,
doi = "10.1016/j.apergo.2019.102893",
language = "English (US)",
volume = "81",
journal = "Applied Ergonomics",
issn = "0003-6870",
publisher = "Elsevier Limited",
}