Observing How RNs Use Clinical Time in a Nursing Home: A Pilot Study

Dellefield, Mary Ellen; Harrington, Charlene; Kelly, Ann E.

doi:10.1016/j.gerinurse.2012.01.003

Cited by 32 publications

(38 citation statements)

References 17 publications

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“…However, the values presented by studies conducted in other contexts, such as surgical centers, nursing homes, and community centers in the U.S. showed higher percentages (15)(16)(17) . We also emphasize the importance of the indirect care provided to users, families and communities, reinforcing the idea that much of what is done by the nursing staff is invisible (18) .…”

Section: Discussionmentioning

confidence: 72%

Time standards of nursing in Primary Health Care: an observational study

Bonfim

Fugulin

Laüs

et al. 2016

Rev. esc. enferm. USP

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OBJECTIVE To determine time standards for interventions and activities conducted by nursing professionals in Family Health Units (FHU) in Brazil to substantiate the calculation of work force. METHOD This was an observational study carried out in 27 FHU, in 12 municipalities in 10 states, in 2013. In each unit, nursing professionals were observed every 10 minutes, for eight work hours, on five consecutive days via the work sampling technique. RESULTS A total of 32,613 observations were made, involving 47 nurses and 93 nursing technicians/assistants. Appointments were the main intervention carried out by nurses, with a mean time of 25.3 minutes, followed by record-keeping, which corresponded to 9.7%. On average, nursing technicians/assistants spent 6.3% of their time keeping records and 30.6 intervention minutes on immunization/vaccination control. CONCLUSION The study resulted in standard times of interventions carried out by the FHU nursing team, which can underpin the determination of nursing staff size and human resource policies. Furthermore, the study showed the panorama of interventions currently employed, allowing for the work process to be reviewed and optimized.

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Section: Discussionmentioning

confidence: 72%

Time standards of nursing in Primary Health Care: an observational study

Bonfim

Fugulin

Laüs

et al. 2016

Rev. esc. enferm. USP

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“…However, the study suggests quantitative explanations of the advantages of fixed sampling interval (19) . Several researches have used fixed intervals that can range from 5 to 20 minutes, with a predominance of 10-minute intervals (10)(11)17,(20)(21)(22) . Thus, with regard to the work sampling technique, studies claim that this is a useful methodology for use in the accurate description of the distribution of time between direct and indirect nursing care (20) , in addition to providing an analysis of which activities are being carried out, when and in what frequency, providing a means for employees to discuss and verify their opinions on how to manage patient care and personnel, in a particular organizational level (17) .…”

Section: Methods To Measure Working Timementioning

confidence: 99%

“…The reliability test is an important step, which can be performed during the final stage of the training (10,13,18,(20)(21) or during data collection (18) . It is recommended that, during the data collection period, random testing of various observers in the coding of the same activity should be conducted, being calculated an agreement greater than 90% is to affirm an adequate internal reliability (16) .…”

Section: Instrument Pilot Testmentioning

confidence: 99%

Instrumento de medida de carga de trabalho dos profissionais de Saúde na Atenção Primária: desenvolvimento e validação

Bonfim

Pereira

Pierantoni

et al. 2015

Rev. esc. enferm. USP

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RESUMO Objetivo Propor e validar um instrumento que contemple as intervenções/atividades realizadas pela equipe de saúde da família, como referência para o planejamento da força de trabalho. Método Pesquisa metodológica desenvolvida nas etapas: construção do instrumento; validação de conteúdo e teste piloto, em três unidades, localizadas na região sudeste do Brasil. Resultados Foram validadas 39 intervenções em um único instrumento de medida de carga de trabalho para médico, cirurgião-dentista, técnico/auxiliar de saúde bucal, enfermeiro, técnico/auxiliar de enfermagem e agente comunitário de saúde. No teste piloto, o instrumento contemplou 100% das intervenções observadas, atingindo 93,7% de concordância entre os observadores. Conclusão O instrumento proposto, inédito na sua configuração, subsidia o planejamento da força de trabalho em atenção primária.

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“…Work in Canadian LTC homes has also been described as particularly task-oriented and role-differentiated (34). Nevertheless, resource constraints in LTC are well documented elsewhere (32,33), do appear to create time pressure (23,26,(34)(35)(36)(37), and have operated as a barrier to offering Namaste Care at the recommended intensity in prior studies (20). Indeed, given that similar concerns about LTC workload exist on a global scale, it may be helpful for homes implementing Namaste Care to plan for an additional staff member to cover the part of the day during which Namaste Care is offered.…”

Section: Discussionmentioning

confidence: 99%