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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.
Background:
Understanding multitasking within nursing and midwifery is needed for efficient, effective, and cost-effective health services. Methods are needed to measure and analyze multitasking in alignment with the nursing process. The Omaha System operationalizes the nursing process and may be a valuable resource for multitasking analysis.
Purpose:
The purpose of this study was to develop and test a method for describing intervention content of nurse/midwife multitasked interventions using the Omaha System and Time Capture Tool (TimeCaT) in a family health center in Turkey.
Methods:
Eight nurses/midwives were observed with TimeCaT in a family health center in 2016. Preidentified 84 nurse/midwife interventions employed in the center were mapped on Omaha System terms and entered in TimeCaT software for data collection. Co-occurring interventions were analyzed using descriptive and inferential statistics and visualization techniques.
Results:
Of 1066.8 total minutes observed, 34.0% included more than one intervention that occurred at the same time. Caretaking/parenting and postpartum problems, teaching, guidance, and counseling category, and caretaking/parenting skills target were more often multitasked than others.
Implications For Practice:
It was feasible to use the Omaha System and TimeCaT to categorize, describe, and measure multitasking nursing/midwifery interventions. This method may be applied to other time-motion data when more than one co-occurring intervention is recorded.
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