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Time and quality of admissions: nursing workload
Simone Aparecida Trovó1, Danielle Fabiana Cucolo2, Marcia Galan Perroca3
1Hospital Padre Albino, Catanduva, São Paulo, Brazil.
Revista Brasileira De Enfermagem
|July 9, 2020
Summary
Patient admission significantly impacts nursing workload, consuming substantial working hours. This study measured nursing time spent during admissions and found it affects staff sizing and activity measurement.
Area of Science:
- Nursing Science
- Healthcare Management
- Workforce Analysis
Background:
- Patient admission is a critical nursing process.
- Understanding time allocation during admission is essential for efficient healthcare delivery.
- Existing data on nursing time during admissions and its impact on workload is limited.
Purpose of the Study:
- To quantify the average time nursing staff dedicate to patient admissions.
- To assess nursing staff adherence to established Nursing Interventions Classification (NIC) activities.
- To evaluate the extent to which admissions interfere with the nursing team's overall workload.
Main Methods:
- An observational study utilizing software for time measurement.
- 199 patient admissions across seven hospital units were monitored.
- Two validated instruments were employed to collect data on nursing activities and time.
Main Results:
- Average nursing time varied: 5.5-13 minutes for registered nurses and 4.7-6.8 minutes for auxiliary/technician staff (p ≤ 0.01).
- Compliance with validated processes was observed in 6 admissions by nurses and 33 by assistants/technicians.
- The admission process occupied 16.3% to 31.5% of the nursing team's total working hours.
Conclusions:
- Patient admission is a significant factor influencing nursing workload.
- Accurate measurement of nursing activities and appropriate staffing levels must account for admission time.
- Optimizing admission processes can improve nursing efficiency and resource allocation.
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