{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:21:57Z","timestamp":1760145717645,"version":"build-2065373602"},"reference-count":41,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T00:00:00Z","timestamp":1724198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background: The importance of knowing the workload of family nurses lies essentially in the possibility of improving health outcomes, care processes and the nurse\u2019s professional life. There is a lack of studies that fully describe the nursing workload in primary care, particularly, in the context of family health nursing, and the ideal metrics to be used remain unknown, making it impossible to characterize and therefore provide the necessary insight to acknowledge the different contributions of several aspects that embody the global workload of family nurses. The objective of this scoping review was to map the known evidence and characterize the instruments used to assess the workload of family nurses. Methods: Scoping review, according to the Joanna Briggs Institute, proposed a methodology for scoping reviews, consisting of three research stages: (1) an initial research in Medline and CINHAL; (2) an extended search, using keywords and search terms, in the following databases: JBI, CINAHL Complete, MEDLINE, Cochrane and Scopus; and (3) a search of the reference lists of the selected articles. No time limit was defined. Results: Fourteen studies referring to ten assessment instruments were included. Nine of them analyze workload as a dimension of a broader instrument, and two studies refer to an instrument that focuses exclusively on workload. Conclusions: The diversity of professional competencies and contexts, the conceptual complexity of workload and the absence of a theoretical framework make it difficult to identify consensual instruments to assess the workload of family nurses. This study was prospectively registered with the Open Science Framework\u00ae on 6 September 2023, with the registration number: 3k6vr.<\/jats:p>","DOI":"10.3390\/nursrep14030151","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T11:58:46Z","timestamp":1724759926000},"page":"2020-2029","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mapping and Characterizing Instruments for Assessing Family Nurses\u2019 Workload: Scoping Review"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1487-0248","authenticated-orcid":false,"given":"Ant\u00f3nio","family":"Dias","sequence":"first","affiliation":[{"name":"Unidade de Sa\u00fade Familiar Sa\u00fade no Futuro, Unidade Local de Sa\u00fade Gaia e Espinho, 4400-043 Vila Nova de Gaia, Portugal"},{"name":"Centre for Interdisciplinary Research in Health (CIIS), Universidade Cat\u00f3lica Portuguesa, 4169-005 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0266-2449","authenticated-orcid":false,"given":"Beatriz","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Centre for Interdisciplinary Research in Health (CIIS), Universidade Cat\u00f3lica Portuguesa, 4169-005 Porto, Portugal"}]},{"given":"\u00c9lvio","family":"Jesus","sequence":"additional","affiliation":[{"name":"Centre for Interdisciplinary Research in Health (CIIS), Universidade Cat\u00f3lica Portuguesa, 4169-005 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"P\u00e9rez-Francisco, D.H., Duarte-Cl\u00edments, G., Del Rosario-Meli\u00e1n, J.M., G\u00f3mez-Salgado, J., Romero-Mart\u00edn, M., and S\u00e1nchez-G\u00f3mez, M.B. (2020). Influence of Workload on Primary Care Nurses\u2019 Health and Burnout, Patients\u2019 Safety, and Quality of Care: Integrative Review. Healthcare, 8.","DOI":"10.3390\/healthcare8010012"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.apnr.2019.06.001","article-title":"The impact of perceived workload on nurse satisfaction with work-life balance and intention to leave the occupation","volume":"49","author":"Holland","year":"2019","journal-title":"Appl. Nurs. Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1111\/jonm.12693","article-title":"Perceptions of nursing workloads and contributing factors, and their impact on implicit care rationing: A Queensland, Australia study","volume":"27","author":"Hegney","year":"2019","journal-title":"J. Nurs. Manag."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"103487","DOI":"10.1016\/j.ijnurstu.2019.103487","article-title":"Nursing workload, nurse staffing methodologies and tools: A systematic scoping review and discussion","volume":"103","author":"Griffiths","year":"2020","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1111\/jonm.12354","article-title":"Nursing workload: A concept analysis","volume":"24","author":"Alghamdi","year":"2016","journal-title":"J. Nurs. Manag."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1111\/j.1365-2648.2006.04134.x","article-title":"Reconsidering the conceptualization of nursing workload: Literature review","volume":"57","author":"Morris","year":"2007","journal-title":"J. Adv. Nurs."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.colegn.2018.02.002","article-title":"Safety culture and an invisible nursing workload","volume":"26","author":"Ross","year":"2019","journal-title":"Collegian"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Dellafiore, F., Caruso, R., Cossu, M., Russo, S., Baroni, I., Barello, S., Vangone, I., Acampora, M., Conte, G., and Magon, A. (2022). The State of the Evidence about the Family and Community Nurse: A Systematic Review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19074382"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1071\/AH16027","article-title":"Are organisational factors affecting the emotional withdrawal of community nurses?","volume":"41","author":"Karimi","year":"2017","journal-title":"Aust. Health Rev."},{"key":"ref_10","first-page":"709","article-title":"Work characteristics and psychological symptoms among GPs and community nurses: A preliminary investigation in China","volume":"28","author":"Zhang","year":"2016","journal-title":"Int. J. Qual. Health Care"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1891\/JNM-D-21-00035","article-title":"The Psychometric Properties of the Turkish Version of Individual Workload Perception Scale for Medical and Surgical Nurses","volume":"30","year":"2022","journal-title":"J. Nurs. Meas."},{"key":"ref_12","first-page":"32","article-title":"An\u00e1lisis de las cargas de trabajo de las enfermeras en la UCI gracias a la escala NAS","volume":"27","author":"Habbab","year":"2020","journal-title":"Enferm. Cardiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1002\/nop2.444","article-title":"The impact of heavy nurse workload and patient\/family complaints on workplace violence: An application of human factors framework","volume":"7","author":"Havaei","year":"2020","journal-title":"Nurs. Open"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1590\/1413-81232020251.28622019","article-title":"Nurses\u2019 workload: Lights and shadows in the Family Health Strategy: Cargas de trabalho de enfermeiros: Luzes e sombras na Estrat\u00e9gia Sa\u00fade da Fam\u00edlia","volume":"25","author":"Biff","year":"2020","journal-title":"Cienc. Saude Coletiva"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Aromataris, E., Lockwood, C., Porritt, K., Pilla, B., and Jordan, Z. (2020). Scoping reviews (2024). JBI Manual for Evidence Synthesis, JBI. Available online: https:\/\/synthesismanual.jbi.global.","DOI":"10.46658\/JBIMES-24-01"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann. Intern. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e12676","DOI":"10.1111\/ijn.12676","article-title":"Work-related stress among nursing staff working in government hospitals and primary health care centres","volume":"24","author":"Alenezi","year":"2018","journal-title":"Int. J. Nurs. Pract."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e3010","DOI":"10.1590\/1518-8345.2227.3010","article-title":"Validation of a moral distress instrument in nurses of primary health care","volume":"26","author":"Barth","year":"2018","journal-title":"Rev. Lat. Am. Enferm."},{"key":"ref_19","first-page":"104","article-title":"Job satisfaction and dissatisfaction of professional nurses in Primary Health Care facilities in the Free State Province of South Africa","volume":"11","author":"Bester","year":"2009","journal-title":"Afr. J. Nurs. Midwifery"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/S0212-6567(03)79277-4","article-title":"Clima laboral en atenci\u00f3n primaria: Qu\u00e9 hay que mejorar? Working atmosphere in primary care: What needs improving?","volume":"32","year":"2003","journal-title":"Aten. Primaria"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"S15","DOI":"10.1111\/j.1813-6982.2008.00164.x","article-title":"A study of predictors and levels of burnout: The case of professional nurses in primary health care facilities in the free state","volume":"76","author":"Engelbrecht","year":"2008","journal-title":"S. Afr. J. Econ."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1111\/nhs.12108","article-title":"Do nurses feel stressed? A perspective from primary health care","volume":"16","author":"Galdikien","year":"2014","journal-title":"Nurs. Health Sci."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1097\/01.JNR.0000347606.91295.76","article-title":"Perceived occupational stress and related factors in public health nurses","volume":"10","author":"Lee","year":"2002","journal-title":"J. Nurs. Res."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Martin-Fernandez, J., Gomez-Gascon, T., Beamud-Lagos, M., Cortes-Rubio, J.A., and Alberquilla-Menendez-Asenjo, A. (2007). Professional quality of life and organizational changes: A five-year observational study in Primary Care. BMC Health Serv. Res., 7.","DOI":"10.1186\/1472-6963-7-101"},{"key":"ref_25","first-page":"63","article-title":"Work-related satisfaction of nursing professionals in Talavera de la Reina","volume":"15","author":"Panadero","year":"2012","journal-title":"Metas Enferm."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1177\/09720634211050444","article-title":"Job Satisfaction among Public Sector Doctors and Nurses in India","volume":"23","author":"Purohit","year":"2021","journal-title":"J. Health Manag."},{"key":"ref_27","first-page":"65","article-title":"Job Satisfaction among Nurses Working at Primary Health Center in Ras Al Khaimah, United States Emirates","volume":"12","author":"Suleiman","year":"2020","journal-title":"Int. J. Nurs. Educ."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"510","DOI":"10.4066\/biomedicalresearch.29-17-2604","article-title":"Work stress and job satisfaction of community health nurses in Southwest China","volume":"29","author":"Tao","year":"2018","journal-title":"Biomed. Res."},{"key":"ref_29","first-page":"4","article-title":"Professional quality of life in workers of the Toledo primary care health area","volume":"30","author":"Castro","year":"2015","journal-title":"Rev. Calid. Asist."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1590\/S0080-623420150000800004","article-title":"Tool to measure workload of health professionals in Primary Health Care: Development and validation. Instrumento de medida de carga de trabalho dos profissionais de Sa\u00fade na Aten\u00e7\u00e3o Prim\u00e1ria: Desenvolvimento e valida\u00e7\u00e3o","volume":"49","author":"Bonfim","year":"2015","journal-title":"Rev. Es. Enferm. USP"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1111\/jpm.12468","article-title":"Assessment of nursing workload in adult psychiatric inpatient units: A scoping review","volume":"25","author":"Sousa","year":"2018","journal-title":"J. Psychiatr. Ment. Health Nurs."},{"key":"ref_32","first-page":"209","article-title":"Selected methods of measuring workload among intensive care nursing staff","volume":"25","author":"Wujtewicz","year":"2012","journal-title":"Int. J. Occup. Med. Environ. Health"},{"key":"ref_33","unstructured":"Minist\u00e9rio da Sa\u00fade (2012). Despacho No. 10321\/2012 de 1 de Agosto: Di\u00e1rio da Rep\u00fablica No. 148\/2012\u2014II S\u00e9rie."},{"key":"ref_34","unstructured":"Minist\u00e9rio da Sa\u00fade (2011). Regulamento No. 126\/2011, de 18 de Fevereiro, Publicado Pela Ordem dos Enfermeiros em Di\u00e1rio da Rep\u00fablica, 2\u00aa s\u00e9rie, No. 35."},{"key":"ref_35","unstructured":"Minist\u00e9rio da Sa\u00fade (2007). Decreto-Lei No. 298\/2007 de 22 de Agosto: Di\u00e1rio da Rep\u00fablica No. 161\/2007\u2014I S\u00e9rie A."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e03440","DOI":"10.1590\/s1980-220x2018006503440","article-title":"Nursing workload: Influence of indirect care interventions","volume":"53","author":"Souza","year":"2019","journal-title":"Rev. Esc. Enferm. USP"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Longo, L., Wickens, C.D., Hancock, G., and Hancock, P.A. (2022). Human Mental Workload: A Survey and a Novel Inclusive Definition. Front. Psychol., 13.","DOI":"10.3389\/fpsyg.2022.883321"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"De Groot, K., De Veer, A.J.E., Munster, A.M., Francke, A.L., and Paans, W. (2022). Nursing documentation and its relationship with perceived nursing workload: A mixed-methods study among community nurses. BMC Nurs., 21.","DOI":"10.1186\/s12912-022-00811-7"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Babapour, A.R., Gahassab-Mozaffari, N., and Fathnezhad-Kazemi, A. (2022). Nurses\u2019 job stress and its impact on quality of life and caring behaviors: A cross-sectional study. BMC Nurs., 21.","DOI":"10.1186\/s12912-022-00852-y"},{"key":"ref_40","first-page":"138","article-title":"Psicodin\u00e2mica do Trabalho","volume":"Volume 4","author":"Dejours","year":"2014","journal-title":"Psicologia e Sa\u00fade em Debate"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1037\/ocp0000056","article-title":"Job demands-resources theory: Taking stock and looking forward","volume":"22","author":"Bakker","year":"2017","journal-title":"J. Occup. Health Psychol."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/14\/3\/151\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:40:12Z","timestamp":1760110812000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/14\/3\/151"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,21]]},"references-count":41,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["nursrep14030151"],"URL":"https:\/\/doi.org\/10.3390\/nursrep14030151","relation":{},"ISSN":["2039-4403"],"issn-type":[{"type":"electronic","value":"2039-4403"}],"subject":[],"published":{"date-parts":[[2024,8,21]]}}}