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Time motion analysis of nursing work in ICU, telemetry and medical-surgical units.
- Source :
- Journal of Nursing Management; Nov2017, Vol. 25 Issue 8, p640-646, 7p, 1 Chart, 3 Graphs
- Publication Year :
- 2017
-
Abstract
- Aim This study examined nurses' work, comparing nursing interventions and locations across three units in a United States hospital using Omaha System standardized terminology as the organizing framework. Background The differences in nurses' acute-care work across unit types are not well understood. Prior investigators have used time-motion methodologies; few have compared differences across units, nor used standardized terminology. Methods Nurse-observers recorded locations and interventions of nurses on three acute-care units using hand-held devices and web-based TimeCaT<superscript>™</superscript> software. Nursing interventions were mapped to Omaha System terms. Unit-differences were analysed. Results Nurses changed locations approximately every 2 min, and averaged approximately one intervention/minute. Unit differences were found in both the interventions performed and the locations. Most interventions were case-management related, demonstrating the nurses' patient management/coordination role. Conclusions Unit differences in nursing interventions and location were found among three unit types. Omaha System terminology, as well as the observational method used, were found to be feasible and practical. Implications for Nursing Management Nursing work varies by unit, yet managers have not been armed with empirical data with which to make more informed decisions about nurses' work priorities, clinical outcomes, patient satisfaction, staff satisfaction and cost. The results from this study will help them to do so. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHI-squared test
CRITICAL care medicine
FOCUS groups
HOSPITAL wards
INTENSIVE care nursing
INTENSIVE care units
INTERVIEWING
NURSES
NURSING specialties
STATISTICAL sampling
STATISTICS
SURVEYS
URBAN hospitals
WORK measurement
EMPLOYEES' workload
HOSPITAL observation units
TASK performance
SOCIAL services case management
NURSE-patient ratio
MOTION capture (Human mechanics)
DATA analysis software
WORK experience (Employment)
HOSPITAL nursing staff
NURSING interventions
OMAHA system (Medicine)
Subjects
Details
- Language :
- English
- ISSN :
- 09660429
- Volume :
- 25
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- Journal of Nursing Management
- Publication Type :
- Academic Journal
- Accession number :
- 126068762
- Full Text :
- https://doi.org/10.1111/jonm.12502