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Method Development for Describing Content of Multitasked Interventions Using the Omaha System.

Merve Altiner1, Selda Secginli1, Michelle A Mathiason2

  • 1Department of Public Health Nursing, Istanbul University-Cerrahpasa, Sisli, Istanbul, Turkey.

Research and Theory for Nursing Practice
|May 25, 2019
PubMed
Summary
This summary is machine-generated.

Multitasking in nursing and midwifery can be effectively measured using the Omaha System and Time Capture Tool (TimeCaT). This approach aids in analyzing concurrent interventions for improved healthcare efficiency.

Keywords:
Omaha Systeminterventionsmethodsmultitaskingtime and motion studies

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Area of Science:

  • Healthcare Management
  • Nursing Informatics
  • Clinical Practice Analysis

Background:

  • Efficient healthcare delivery necessitates understanding and measuring multitasking among nurses and midwives.
  • The Omaha System offers a framework for operationalizing the nursing process, valuable for analyzing multitasking.
  • Standardized methods are required to analyze nursing and midwifery multitasking aligned with the nursing process.

Purpose of the Study:

  • To develop and validate a method for characterizing the intervention content of multitasked nursing and midwifery care.
  • To utilize the Omaha System and Time Capture Tool (TimeCaT) for analyzing concurrent interventions in a family health setting.
  • To test the feasibility of this combined methodology in a real-world clinical environment.

Main Methods:

  • Eight nurses/midwives were observed using TimeCaT in a Turkish family health center.
  • Eighty-four identified interventions were mapped to Omaha System terms and recorded in TimeCaT.
  • Descriptive and inferential statistics, along with visualization techniques, were employed to analyze co-occurring interventions.

Main Results:

  • Multitasking was observed in 34.0% of the total 1066.8 minutes of recorded nursing and midwifery interventions.
  • The 'caretaking/parenting and postpartum problems' category and 'teaching, guidance, and counseling' were frequently multitasked.
  • The 'caretaking/parenting skills' target was also identified as a commonly multitasked area.

Conclusions:

  • The Omaha System and TimeCaT provide a feasible and effective method for categorizing, describing, and measuring multitasking in nursing and midwifery interventions.
  • This developed methodology can be applied to analyze time-motion data involving multiple concurrent interventions in various healthcare settings.
  • The findings support the integration of systematic multitasking analysis into nursing and midwifery practice for enhanced service delivery.