Workload of home care nurses: Italian adaptation, validity, and reliability of the National Aeronautics and Space Administration Task Load Index questionnaire

Author:

Zaghini Francesco1ORCID,Calzolari Michela2ORCID,Di Nitto Marco2ORCID,Longobucco Yari3ORCID,Alvaro Rosaria14ORCID,Cicolini Giancarlo56ORCID,Lancia Loreto47ORCID,Manara Duilio Fiorenzo48ORCID,Rasero Laura34ORCID,Rocco Gennaro49ORCID,Zega Maurizio610ORCID,Mazzoleni Beatrice611,Sasso Loredana24ORCID,Bagnasco Annamaria24ORCID

Affiliation:

1. Department of Biomedicine and Prevention University of Rome Tor Vergata Rome Italy

2. Department of Health Sciences University of Genoa Genoa Italy

3. Department of Health Science University of Florence Florence Italy

4. Scientific Committee CERSI‐FNOPI Rome Italy

5. Department of Innovative Technologies in Medicine & Dentistry “G.d'Annunzio” University of Chieti ‐ Pescara Chieti Italy

6. FNOPI Board Member Rome Italy

7. Department of Clinical Medicine, Public Health, Life and Environmental Sciences University of L'Aquila Piazzale Salvatore Tommasi L'Aquila Italy

8. Faculty of Medicine and Surgery Vita‐Salute San Raffaele University Milan Italy

9. Centre of Excellence for Nursing Scholarship Rome Italy

10. Isola Tiberina Hospital – Gemelli Isola A. Gemelli IRCCS University Hospital Foundation Rome Italy

11. Humanitas University Milan Italy

Abstract

AbstractThe aim of this study was to adapt the National Aeronautics and Space Administration Task Load Index (NASA‐TLX) to the home care setting and translate and validate it in Italian.An online questionnaire containing the Italian version of the NASA‐TLX adapted to the home care setting was administered to home care nurses to measure workload. Content Validity Index, Exploratory, and Confirmatory Factor Analyses were used to measure the psychometric characteristics of the modified NASA‐TLX.The modified Italian version of NASA‐TLX_HC‐IT showed good psychometric characteristics in measuring the workload of home care nurses, with excellent fit indices. The reliability, calculated with Cronbach's alpha, was 0.73, indicating adequate reliability. A negative correlation between workload and job satisfaction among home care nurses, as well as a positive association between high workload and intention to leave the workplace, was verified.The modified Italian version of the NASA‐TLX_HC‐IT was confirmed to be a valid and reliable instrument to measure workload in home care nursing. Furthermore, the correlation between workload and the intention to leave the workplace among home care nurses was an important result that community nursing managers should consider preventing the shortage of home care nurses.

Publisher

Wiley

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