How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit
Open Access
- 16 June 2021
- journal article
- research article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 77 (11), 4459-4470
- https://doi.org/10.1111/jan.14935
Abstract
Aim To describe the nature and duration of nursing activities and how much time registered nurses allocate to the different dimensions of their scope of practice in a Swiss university hospital internal medicine ward. Design A single-centre observational descriptive study. Method Using a time and motion study, two researchers shadowed healthcare workers (N = 21) during 46 complete work shifts in 2018. They recorded each activity observed in real time using a tablet computer with a pre-registered list of 42 activities classified into 13 dimensions. Results A total of 507.5 work hours were observed. Less than one third of registered nurses’ work time was spent with patients. They allocated the most time to the dimensions of ‘communication and care coordination’ and ‘care planning’, whereas ‘optimizing the quality and safety of care’, ‘integrating and supervising staff’ and ‘client education’ were allocated the least time. Conclusion This study provided a reliable description of nurses’ time use at work. It highlighted suboptimal use of the full scope of nursing practice. Impact Both work organization and culture should be reconsidered to promote better use of nursing skills. Practice optimization should focus on the following three main areas: (1) greater involvement of registered nurses in building relationships and directly caring for patients and their families; (2) better use of registered nurses’ skills in the activities required of their proper roles, including nursing clinical assessments and patient education and (3) more systematically updating registered nurses’ knowledge.Keywords
Funding Information
- Centre Hospitalier Universitaire Vaudois
This publication has 33 references indexed in Scilit:
- Frequency of nursing tasks in medical and surgical wardsJournal of Nursing Management, 2013
- Conceptualizing performance of nursing care as a prerequisite for better measurement: a systematic and interpretive reviewBMC Nursing, 2013
- Measuring Actual Scope of Nursing PracticeJONA: The Journal of Nursing Administration, 2012
- Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United StatesBMJ, 2012
- Nursing staffing, nursing workload, the work environment and patient outcomesApplied Nursing Research, 2011
- How much time do nurses have for patients? a longitudinal study quantifying hospital nurses' patterns of task time distribution and interactions with health professionalsBMC Health Services Research, 2011
- Using a Task Analysis to Describe Nursing Work in Acute Care Patient EnvironmentsJONA: The Journal of Nursing Administration, 2009
- Nurses' everyday activities in hospital careJournal of Nursing Management, 2009
- Value-Added CareJONA: The Journal of Nursing Administration, 2007
- Complexity Compression: Nurses Under FireNursing Forum, 2007