Clinical staff work sampling in a neurorehabilitation hospital and its relationship to severity of disease
| Autor: | Iosa, Marco, Grasso Maria Grazia, Dandi, Roberto, Carusi, Duilio, Bacci, Alessandro, Marra, Roberto, Ancona, Cristina, Tramontano, Marco, Vecellio Reane Lucia, Salvia, Antonino, Ceccarelli, Beniamino, Wosa, Group |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Leadership and Management medicine.medical_treatment work organization Workload Disease Rehabilitation Centers Severity of Illness Index rehabilitation 03 medical and health sciences Neuroscience Nursing Humans Medicine Work sampling Nursing management Neurorehabilitation work organisation Rehabilitation 030504 nursing business.industry 030503 health policy & services Neurological Rehabilitation Patient Acuity workforce issues Original Articles Working time Italy Physical therapy Original Article Observational study Self Report 0305 other medical science business |
| Zdroj: | Journal of Nursing Management |
| ISSN: | 0966-0429 |
| Popis: | Aim Study aimed to analyse how rehabilitation staff spends working time on specific activities in a neurorehabilitation hospital and to determine the number of direct activities received by patients with different levels of disease severity. Background Few studies have investigated how clinical staff spends their time on activities in rehabilitation hospitals without considering at the same time all working categories and without reporting the number of direct activities received by patients with respect to their disease severity. Design Self-reported observational study. Method Work Sampling Technique was used to record direct, indirect, unit-related and personal activities every 5 min for 2 days. Results Total of 6,974 activities were recorded over 581 working hours. Physiotherapists and nurses spent 75.2% and 54.8% of their time in direct activities and medical doctors only 25.4%. Total time of direct activities was significantly different among worker categories (p = 0.001) and depended on patients' disease severity (p = 0.020) in a different manner among worker categories (interaction: p = 0.010). This time ranged from almost 4 hr up to 6½ hr for the most severely affected patients. Conclusion Type of work differed among professionals. Workload greatly depended on degree of patients' disability. Implications for nursing management Nurses and therapists spent most of their time in direct activities with patients. Economic burden of neurorehabilitation may vary greatly depending on disease severity. |
| Databáze: | OpenAIRE |
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