An Idea Health Journal
Vol 5 No 04 (2025)

Nurses’ Workload and Technology as Caring in Hospitals: A Cross-Sectional Time and Motion Study

Yunina Elasari (Universitas Aisyah Pringsewu)
Dania Meysanti (Universitas Aisyah Pringsewu)
Rizki Yeni Wulandari (Universitas Aisyah Pringsew)
Sulistia Nur (Universitas Aisyah Pringsewu)
Ikhwan Amirudin (Unknown)
Nor Aziyan Yahaya (Malaya Universiti)



Article Info

Publish Date
22 Sep 2026

Abstract

Background: Digital transformation has become an integral component of contemporary hospital care, yet increasing nursing workload may limit nurses’ ability to integrate technology into person-centered caring practice. Evidence on the association between objectively measured workload and Technology as Caring remains limited, particularly in hospital settings. This study examined the association between nurses’ workload, measured using the Time and Motion Study (TMS) method, and Technology as Caring among hospital nurses. We conducted a quantitative cross-sectional study among 130 hospital nurses at a public hospital in Lampung, Indonesia, selected using proportionate stratified random sampling. We assessed nurses’ workload through direct observation using the TMS method, and measured Technology as Caring using the Technological Competency as Caring in Nursing-Revised Practice (TCCN-RePract) questionnaire. Data were analyzed using descriptive statistics and the Goodman– Kruskal Gamma correlation coefficient.More than half of the participants (53.8%) experienced Overall, 53.8% of nurses experienced high workload. Among nurses with inadequate Technology as Caring, 64.5% had high workload, compared with 38.9% among those with adequate Technology as Caring. Gamma analysis showed a moderate negative association between workload and Technology as Caring (Gamma = −0.451, p = 0.002).Higher workload was significantly associated with lower Technology as Caring. These findings highlight the importance of workload management and organizational support in enabling nurses to integrate technology into person-centered caring practice. Longitudinal multicenter studies are recommended to examine further temporal relationships and potential causal mechanisms of technology integration into person-centered caring practice.

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Journal Info

Abbrev

IHJ

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

a publication of scientific work in the field of health in a broad sense such as public health, nursing, midwifery, medicine, pharmacy, health psychology, nutrition, health technology, health analysis, health information systems, medical records, hospital management and so ...