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How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit
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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8518809/ https://www.ncbi.nlm.nih.gov/pubmed/34133039 http://dx.doi.org/10.1111/jan.14935 |
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author | Michel, Olivia Garcia Manjon, Alberto‐José Pasquier, Jérôme Ortoleva Bucher, Claudia |
author_facet | Michel, Olivia Garcia Manjon, Alberto‐José Pasquier, Jérôme Ortoleva Bucher, Claudia |
author_sort | Michel, Olivia |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8518809 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-85188092021-10-21 How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit Michel, Olivia Garcia Manjon, Alberto‐José Pasquier, Jérôme Ortoleva Bucher, Claudia J Adv Nurs Research Papers 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. John Wiley and Sons Inc. 2021-06-16 2021-11 /pmc/articles/PMC8518809/ /pubmed/34133039 http://dx.doi.org/10.1111/jan.14935 Text en © 2021 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Research Papers Michel, Olivia Garcia Manjon, Alberto‐José Pasquier, Jérôme Ortoleva Bucher, Claudia How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit |
title | How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit |
title_full | How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit |
title_fullStr | How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit |
title_full_unstemmed | How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit |
title_short | How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit |
title_sort | how do nurses spend their time? a time and motion analysis of nursing activities in an internal medicine unit |
topic | Research Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8518809/ https://www.ncbi.nlm.nih.gov/pubmed/34133039 http://dx.doi.org/10.1111/jan.14935 |
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