How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit
| Autor: | Olivia Michel, Alberto-José Garcia Manjon, Jérôme Pasquier, Claudia Ortoleva Bucher |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Scope of practice Universities time and motion study Nurses time management 03 medical and health sciences 0302 clinical medicine Nursing Internal medicine Health care medicine Internal Medicine Humans Time management nursing scope of practice 030212 general & internal medicine Duration (project management) General Nursing work time use 030504 nursing business.industry Original Research: Empirical Research ‐ Quantitative nurses’ roles internal medicine hospital nursing care performance Research Papers Time and motion study Work (electrical) Observational study Clinical Competence 0305 other medical science business Psychology Patient education |
| Zdroj: | Journal of Advanced Nursing |
| ISSN: | 1365-2648 0309-2402 |
| Popis: | Aim To describe the nature and duration of nursing activities and how much time registered nurses allocate to the different dimensions of their scope of practice in a Swiss university hospital internal medicine ward. Design A single-centre observational descriptive study. Method Using a time and motion study, two researchers shadowed healthcare workers (N = 21) during 46 complete work shifts in 2018. They recorded each activity observed in real time using a tablet computer with a pre-registered list of 42 activities classified into 13 dimensions. Results A total of 507.5 work hours were observed. Less than one third of registered nurses' work time was spent with patients. They allocated the most time to the dimensions of 'communication and care coordination' and 'care planning', whereas 'optimizing the quality and safety of care', 'integrating and supervising staff' and 'client education' were allocated the least time. Conclusion This study provided a reliable description of nurses' time use at work. It highlighted suboptimal use of the full scope of nursing practice. Impact Both work organization and culture should be reconsidered to promote better use of nursing skills. Practice optimization should focus on the following three main areas: (1) greater involvement of registered nurses in building relationships and directly caring for patients and their families; (2) better use of registered nurses' skills in the activities required of their proper roles, including nursing clinical assessments and patient education and (3) more systematically updating registered nurses' knowledge. |
| Databáze: | OpenAIRE |
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