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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

Journal of advanced nursing, 2021-11, Vol.77 (11), p.4459-4470 [Periódico revisado por pares]

England: Wiley Subscription Services, Inc

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Título:
How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit
Autor: Michel, Olivia ; Garcia Manjon, Alberto‐José ; Pasquier, Jérôme ; Ortoleva Bucher, Claudia
Assuntos: Activities ; Care plans ; Clinical assessment ; Clinical Competence ; Clinical nursing ; Coordination ; Health education ; Humans ; Internal Medicine ; internal medicine hospital ; Medical personnel ; Nurses ; nurses’ roles ; Nursing care ; nursing care performance ; nursing scope of practice ; Optimization ; Original Research: Empirical Research ‐ Quantitative ; Patient education ; Professional practices ; Research Papers ; Safety ; time and motion study ; time management ; Time use ; Universities ; Updating ; Work organization ; work time use ; Working hours
É parte de: Journal of advanced nursing, 2021-11, Vol.77 (11), p.4459-4470
Notas: Funding information
The study was realized with the financial support of the Lausanne University Hospital (CHUV), Lausanne, Switzerland.
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Descrição: 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.
Editor: England: Wiley Subscription Services, Inc
Idioma: Inglês

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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

England: Wiley Subscription Services, Inc

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