Mapping nurses’ activities in surgical hospital wards: A time study

Oetelaar, W F J M van den; Stel, Henk F. van; Rhenen, Willem van; Stellato, Rebecca K.; Grolman, Wilko

doi:10.1371/journal.pone.0191807

Cited by 13 publications

(4 citation statements)

References 35 publications

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“…This information can be obtained by time-study methods, optimum outcome methods, and expert opinion methods. The time-study method estimates the demand for nursing work by multiplying the observed time per nursing task or patient group by the number of tasks or patients per group 21. However, this measures time spent instead of time needed 22.…”

Section: Introductionmentioning

confidence: 99%

Defining adequacy of staffing in general hospital wards: a Delphi study

et al. 2022

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ObjectivesTo gain consensus on the items that determine adequacy of shift staffing.DesignThis was a three-round Delphi study to establish consensus on what defines adequacy of shift staffing in a general hospital ward. A literature review, focus group and five semistructured expert interviews were used to generate items for the Delphi study.SettingMulticentre study in The Netherlands.ParticipantsNurses, head nurses, nursing managers, and capacity consultants and managers working for Dutch hospitals.ResultsTwenty-six items were included in the Delphi study. One hundred and sixty-eight, 123 and 93 participants were included in the first, second and third round, respectively. After three rounds, six items were included (mostly related to direct patient care) and nine items were excluded. No consensus was reached on 12 items, including one item that was added after the first round.ConclusionsThis is the first study to specify items that determine adequacy of staffing. These items can be used to measure adequacy of staffing, which is crucial for enhancing nurse staffing methods. Further research is needed to refine the items of staffing adequacy and to further develop and psychometrically test an instrument for measuring staffing adequacy.

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Section: Introductionmentioning

confidence: 99%

Defining adequacy of staffing in general hospital wards: a Delphi study

et al. 2022

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“…For many years, different studies have determined the existence of direct care activities and indirect activities within the work carried out by hospital nurses [ 24 , 25 ]. This typology is also used as a differentiating element of nursing interventions, as defined in the internationally known Nursing Interventions Classification (NIC) [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing the Reliability and Validity of the Spanish Version of the Actual Scope of Nursing Practice Scale

et al. 2023

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Nursing workforce shortage is one of the main challenges for healthcare organizations and it is important to determine if nurses are fulfilling their full scope of practice. There is a questionnaire that measures the activities carried out by nurses, but there is no version available for the Spanish context. The purpose of this study was to develop a cross-cultural adaptation of the “Actual Scope of Nursing Practice” questionnaire by D’Amour et al., and to assess the psychometric characteristics of the Spanish version. An exploratory sequential research design was used. The cross-cultural adaptation was performed using translation, back-translation, review, and pre-testing. Psychometric properties were assessed to determine its construct validity and internal consistency. Among the 501 eligible nurses from the three main hospitals in the region, the first 310 nurses to respond to an online questionnaire were included in our study. The response rate was 61.9%. They were invited via email and completed the survey using the SurveyMonkey platform. The Spanish version of the questionnaire was obtained. A final scale with twenty items and two factors was confirmed with an adequate fit, with the item scores demonstrating that all items were optimally related to their respective latent construct. The alpha coefficients for the Spanish ASCOP scale were robust and revealed good internal consistency. This study showed that the Spanish version of the scale, “Scope of Nursing Practice”, has a good degree of validity and reliability. This questionnaire can support nurse managers in realising nursing activities within their organisations and in promoting desirable work outcomes among nurses.

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“…A study by van den Oetelaar et al in six surgical wards of academic hospital Netherland found significant differences in nursing activities between the wards. Furthermore, he stated that different specialities may have different work processes [45].…”

Section: Discussionmentioning

confidence: 99%

The development of inpatient cost and nursing service weights in a tertiary hospital in Malaysia

Hassan

Aljunid

Nur

2020

BMC Health Serv Res

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Background The current healthcare sector consists of diverse services to accommodate the high demands and expectations of the users. Nursing plays a major role in catering to these demands and expectations, but nursing costs and service weights are underestimated. Therefore, this study aimed to estimate the nursing costs and service weights as well as identify the factors that influence these costs. Methods A retrospective cross-sectional descriptive study was conducted at Universiti Kebangsaan Malaysia Medical Centre (UKMMC) using 85,042 hospital discharges from 2009 to 2012. A casemix costing method using the step-down approach was used to derive the nursing costs and service weights. The cost analysis was performed using the hospital data obtained from five departments of the UKMMC: Finance, Human Resource, Nursing Management, Maintenance and Medical Information. The costing data were trimmed using a low trim point and high trim point (L3H3) method. Results The highest nursing cost and service weights for medical cases were from F-4-13-II (bipolar disorders including mania - moderate, RM6,129; 4.9871). The highest nursing cost and service weights for surgical cases were from G-1-11-III (ventricular shunt - major, RM9,694; 7.8880). In obstetrics and gynaecology (O&G), the highest nursing cost and service weights were from O-6-10-III (caesarean section - major, RM2,515; 2.0467). Finally, the highest nursing cost and service weights for paediatric were from P-8-08-II (neonate birthweight > 2499 g with respiratory distress syndrome congenital pneumonia - moderate, RM1,300; 1.0582). Multiple linear regression analysis showed that nursing hours were significantly related to the following factors: length of stay (β = 7.6, p < 0.05), adult (β = − 6.0, p < 0.05), severity level I (β = − 3.2, p < 0.05), severity level III (β = 7.3, p < 0.05), male gender (β = − 4.2, p < 0.05), and the elderly (β = − 0.5, p < 0.05). Conclusions The results showed that nursing cost and service weights were higher in surgical cases compared to other disciplines such as medical, O&G and paediatric. This is possible as there are significant differences in the nursing activities and work processes between wards and specialities.

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Mapping nurses’ activities in surgical hospital wards: A time study

Cited by 13 publications

References 35 publications

Defining adequacy of staffing in general hospital wards: a Delphi study

Defining adequacy of staffing in general hospital wards: a Delphi study

Assessing the Reliability and Validity of the Spanish Version of the Actual Scope of Nursing Practice Scale

The development of inpatient cost and nursing service weights in a tertiary hospital in Malaysia

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