Table 1

Measures used, internal consistency, and examples

ConstructMeasureItemsα*Example item
Unit level workloadStaffing/resource adequacy scale10440.86To what extent is there enough staff to get the work done?
Job level workload (general)Job demands scale5130.66To what extent does your job require a great deal of work to be done?
Job level workload (specific)Monitoring demands and production responsibility subscales10580.82To what extent does your work need your undivided attention? (monitoring demands). To what extent could a lapse of attention cause an adverse outcome to a patient? (production responsibility)
Task level workload (internal)Medication administration concentration and effort53 5420.70To what extent does the overall medication administration process require concentration, starting with when medications are retrieved and ending with administration and documentation?
Task level workload (external)Medication administration interruptions, divided attention and rushing53 5430.67To what extent are there interruptions during the overall medication administration process, starting with when medications are retrieved and ending with administration and documentation?
Job dissatisfactionJob satisfaction/dissatisfaction scale10630.83In general, to what extent do you not like your job?
BurnoutEmotional exhaustion subscale of burnout inventory10740.86To what extent do you feel emotionally drained from your work?
Medication errorPerceived likelihood of medication error1In actual practice, how likely is an error to occur through the overall medication administration process, starting with when medications are retrieved and ending with administration and documentation?
  • * Internal consistency assessed by the Cronbach's alpha.

  • This scale was reverse-scored, such that lower staffing/resource adequacy scores reflected higher unit-level workload.

  • A combination of two four-item subscales.