title: Time pressure and regulations on hospital-in-the-home (HITH) nurses: An on-the-road study.
abstract: This study investigated both causal factors and consequences of time pressure in hospital-in-the-home (HITH) nurses. These nurses may experience additional stress from the time pressure they encounter while driving to patients' homes, which may result in greater risk taking while driving. From observation in natural settings, data related to the nurses' driving behaviours and emotions were collected and analysed statistically; semi-directed interviews with the nurses were analysed qualitatively. The results suggest that objective time constraints alone do not necessarily elicit subjective time pressure. The challenges and uncertainty associated with healthcare and the driving period contribute to the emergence of this time pressure, which has a negative impact on both the nurses' driving and their emotions. Finally, the study focuses on anticipated and in situ regulations. These findings provide guidelines for organizational and technical solutions allowing the reduction of time pressure among HITH nurses.
authors: Univ Lille Nord de France/LAMIH, UVHC, UMR CNRS 8201, F-59313, Valenciennes, France; IFSTTAR, French Institute of Science and Technology for Transport, Development and Networks, Laboratory for Road Operations, Perception, Simulators and Simulations, F-77447, Marne la Vallée Cedex 2, France. Electronic address: stephanie.coeugnet@hotmail.fr.
authors: Stéphanie
authors: S
authors: Cœugnet
authors: Univ Lille Nord de France/Lille 3, PSITEC EA 4072, F-59653, Villeneuve-d'Ascq, France.
authors: Justine
authors: J
authors: Forrierre
authors: Univ Lille Nord de France/LAMIH, UVHC, UMR CNRS 8201, F-59313, Valenciennes, France; Univ Lille Nord de France/Lille 1, Neurosciences, F-59655, Villeneuve-d'Ascq, France.
authors: Janick
authors: J
authors: Naveteur
authors: Santélys Association, 351 Rue Ambroise Paré, F-59120, Loos, France.
authors: Catherine
authors: C
authors: Dubreucq
authors: Univ Lille Nord de France/LAMIH, UVHC, UMR CNRS 8201, F-59313, Valenciennes, France.
authors: Françoise
authors: F
authors: Anceaux
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001334:Automobile Driving / Q000523:psychology*; D005260:Female; D005602:France; D018575:Home Care Services, Hospital-Based / Q000331:legislation & jurisprudence*; D064650:Home Health Nursing / Q000331:legislation & jurisprudence*; D006801:Humans; D009741:Nursing Staff, Hospital / Q000523:psychology*; D009784:Occupational Diseases / Q000523:psychology; D036301:Qualitative Research; D012309:Risk-Taking; D013315:Stress, Psychological / Q000523:psychology; D013997:Time Factors; D014940:Work Schedule Tolerance / Q000523:psychology*
keywords: Driving; Nurses; Time pressure