- #Photo art of nurses on their computers at work full#
- #Photo art of nurses on their computers at work license#
#Photo art of nurses on their computers at work full#
20- 24 As a result, it is unclear whether the data were skewed to certain hours that observations were easier to schedule, if the observation was taken during the full shift length (8-12 hours), or whether observation fatigue was taken into account for quality control. 5am-5pm), none reported the distribution of the time period observed. While these studies reported a wide range of observation timeframe (e.g. Observation accuracy could be limited because of the time necessary for paper/pencil documentation. 11- 19 Some of this research have been conducted using electronic devices, such as a Personal Digital Assistant (PDA), 20, 21 while others have utilized a stopwatch and paper/pencil. There is a growing body of literature describing nurses’ work using observational studies. Working within the complex healthcare environment of today, nurses must provide care that is efficient and effective. 7, 10 How these findings could support nurses’ work remains unclear. 8, 9 Others reported increased documentation time. Several studies reported an increase in patient care time due to decreased administrative task time and documentation time after implementing the electronic documentation system. 7 However, study results are mixed when evaluating the effect of EHR implementation on care and documentation times. Health IT influences patient care, nursing activities, and turnover time and volume. 4- 6 In addition, mobile devices, smart infusion pumps, barcode medication administration systems (BCMA), electronic whiteboards, and numerous technologies have been implemented or are pending implementation in hospitals. Electronic health records (EHR) system adoption rose from 10% (2008) to 80% (2015) in the United States because of national regulation and incentives. 1- 3 Within the past 10 years, Health Information Technology (IT) has had a major impact on health systems. 1 Inefficiencies also contribute to non-value added time. However, research suggests that nurses spend a considerable amount of non-value added time on activities that could potentially be delegated to other team members with greater cost effectiveness. Our research also presents a novel and quantifiable method to capture data on multidimensional levels of nursing activities.īesides producing high quality patient outcomes, nursing care has been required to be more patient-centered, efficient, and cost effective.
#Photo art of nurses on their computers at work license#
The study results provide evidence to assist nursing leaders to develop strategies for transforming nursing practice through re-examination of nursing work and activities, and to promote nurses working at top of license for high quality care and best outcomes. In addition, nurses spent approximately 10% of their time on delegable and non-nursing activities, which could be used more effectively for patient care. We found that greater frequency and duration in hands-on tasks occurred between 7am-11am.
Nurses’ work was not distributed equally across a 12-hour shift.
Nurses also spent most of their time charting and reviewing information in EHR, mostly at the nursing station. We found that nurses spent most of their time communicating with patients and in patient rooms. We conducted a time motion study to document nursing activities on communication, hands-on tasks, and locations (where activities occurred), and compared differences between different time blocks (7am-11am, 11am-3pm, and 3pm-7pm).
In order to do so, they need to work at the top of their license. Nurses have been required to provide more patient-centered, efficient, and cost effective care.
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