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[Nurses' workload in hemodialysis units]
Silvia Barrios1, María Isabel Catoni1, María Cecilia Arechabala1
1Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile.
Revista Medica De Chile
|November 29, 2017
Summary
Nurses spend 60% of their time on direct patient care in hemodialysis units. High-risk patients with partial dependence or self-sufficiency require the most nursing time, impacting workload management.
Area of Science:
- Nephrology Nursing
- Healthcare Management
- Patient Care Assessment
Background:
- Effective human resource organization in hemodialysis units depends on understanding nurse workload.
- Accurate workload assessment is crucial for optimizing staffing and care delivery.
Purpose of the Study:
- To quantify nurse workload in chronic hemodialysis settings.
- To correlate workload with patient dependence and risk profiles.
Main Methods:
- Utilized the
- Care according to dependence and risk in hemodialysis (CUDYR-DIAL)
- instrument to categorize 151 patients across five units.
- Measured time spent on direct and indirect patient care activities.
Main Results:
- Nurses dedicated 36.5 ±10.7 minutes to direct care and 23.6 minutes to indirect care per patient.
- Direct care time increased significantly for high-risk patients: 41.2 minutes for partial dependence and 40.3 minutes for partial self-sufficiency.
Conclusions:
- Approximately 60% of a dialysis session involves direct nursing care.
- High-risk patients, particularly those with partial dependence or self-sufficiency, are the primary focus of direct nursing care, influencing overall workload.
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