Time and quality of admissions: nursing workload

Abstract

Objectives: to measure the average time spent by the nursing staff during patient admission and investigate their compliance with the activities described by the Nursing Interventions Classification; evaluate the degree of interference in the workload of the team. Methods: observational with time measurement through software. We followed 199 admissions made by the nursing staff in seven units, using two validated instruments. Total scores ≥ 70% and 50% validated the process. Results: the average time of nurses ranged from 5.5 (standard deviation = 2.3) to 13 (standard deviation = 1.1) minutes; and the auxiliary / technician, between 4.7 (standard deviation = 2.1) and 6.8 (standard deviation = 2.0) minutes (p ≤ 0.01). We qualified six admissions made by nurses and 33 by assistants/technicians. The intervention spent 16.3% to 31.5% of the working hours of the team. Conclusions: admission impacts nursing workload and needs to be considered both in the measurement of activities and in the sizing of the nursing staff.

Sizing of Nursing Staff in Clinical, Surgical and Pediatric Hospitalization Units

“…The international literature indicates that the appropriate provision of Nursing professionals offers subsidies for the provision of safer care, with lower incidence of care-related harms, shorter hospitalization time, and greater optimization of resources 27 . This study is expected to corroborate with premises such as this, in particular, for an expanded provision of nurses in units assisting patients who are highly dependent and/or in need of high care complexity.…”

Nurses' harm prevention practices during admission of an older person to the hospital: A multi‐method qualitative study

“…Nurses' harm prevention practices during the hospital admission process for older people warrant scrutiny due to its importance for patient safety. However, admission of an older person to a hospital ward is associated with a significant workload and cognitive burden for nurses (Andrzejewski, 2020 ; Phillips & Baur, 2021 ; Strassner et al, 2020 ; Trovo et al, 2020 ). Hospitals lack clearly defined, easily implementable strategies to assist nurses with comprehensive harm prevention during the admission of older people to the hospital (Redley, Douglas, et al, 2022 ; Redley, Taylor, et al, 2022 ).…”

“…Patient admission is a complex activity with an intense workload and high cognitive demand for nurses (Phillips & Baur, 2021 ; Trovo et al, 2020 ). Nurses must negotiate hundreds of recommendations from care guidelines, hospital policies and procedures, to integrate with individual risk profiles and personal preferences of patients (McGrath et al, 2017 ; Redley, Douglas, et al, 2022 ).…”

“…Nurses must negotiate hundreds of recommendations from care guidelines, hospital policies and procedures, to integrate with individual risk profiles and personal preferences of patients (McGrath et al, 2017 ; Redley, Douglas, et al, 2022 ). In addition, nurses undertake multiple assessments, collect large amounts of data, and complete numerous forms for each patient admitted to the hospital (Phillips & Baur, 2021 ; Redley & Raggatt, 2017 ; Trovo et al, 2020 ), often in the context of inadequate resources and competing demands. To manage their workload nurses can miss, partially complete or delay care, or make deliberate decisions about the nursing care they will or will not provide (Kalisch et al, 2009 ; Scott et al, 2019 ), leading to missed or rationing of nursing care which has been implicated in preventable patient harm and catastrophic health service failings (Phelan & Kirwan, 2020 ).…”

Auditoria interna para a estratificação do problema da qualidade das equipes de enfermagem na COVID-19

“…Na prática, muitas vezes é di1lcil separar habilidades, conhecimento e valor que capacitam um profissional para exercer sua função, mas as equipes são grupos de pessoas que devem interagir entre si para que objetivos comuns sejam alcançados (Mosser, G., & Begun, 2015;Trovó, Cucolo., & Perroca, 2020). Uma equipe interprofissional atua em prol de se alcançar as metas das empresas públicas ou empresas privadas de saúde.…”