The Impact of Hospital Design on Time Spent on Nursing Tasks: A Time Motion Study.

Objectives: To explore the time spent on nursing tasks and the extent of multitasking in a hospital with multi-bedded rooms compared to single-occupancy rooms. Background: Single-occupancy patient rooms in hospitals have become popular because of the privacy they offer. However, little is known abou...

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Publicado en:Health Environments Research & Design Journal (HERD) (Sage Publications, Ltd.) Vol. 18; no. 3; pp. 114 - 125
Autores principales: Korteland, Tim, Li, Chiao-Yun, Dohmen, Niklas, Urbanus, Bastiaan H. A., Van Zelst, Sebastiaan, Pu, Lihui, Van Dijk, Monique, Ista, Erwin
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2025
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        atl: The Impact of Hospital Design on Time Spent on Nursing Tasks: A Time Motion Study.
      aug:
        au:
          Korteland, Tim
          Li, Chiao-Yun
          Dohmen, Niklas
          Urbanus, Bastiaan H. A.
          Van Zelst, Sebastiaan
          Pu, Lihui
          Van Dijk, Monique
          Ista, Erwin
        affil: Department Internal Medicine, Section Nursing Science, Erasmus Medical Center, University Medical Center Rotterdam, Rotterdam, The Netherlands
      sug:
        subj:
          Nursing Staff, Hospital Psychosocial Factors
          Hospital Design and Construction
          Time
          Task Performance and Analysis
          Multitasking Behavior Evaluation
          Human
          Male
          Female
          Time and Motion Studies
          Descriptive Statistics
          Comparative Studies
          Shiftwork
          Data Analysis Software
          Communication
          Bed Occupancy
          Supervisors and Supervision
          Netherlands
          Work Environment
          Built Environment
          Ergonomics
          Workload
          Male
          Female
      ab: Objectives: To explore the time spent on nursing tasks and the extent of multitasking in a hospital with multi-bedded rooms compared to single-occupancy rooms. Background: Single-occupancy patient rooms in hospitals have become popular because of the privacy they offer. However, little is known about the impact of different hospital designs on time spent performing on nursing tasks. Methods: A before-after time motion study was conducted in a former hospital which featured multi-bedded rooms and a new hospital with 100% single-occupancy rooms. Trained observers shadowed nurses during day and evening shifts using an online shadow application distinguishing eleven main categories of nursing tasks (e.g., direct patient care, indirect care, and professional communication). Data was analyzed using descriptive statistics. Tasks performed concurrently (multitasking) are described in terms of (overlapping) duration and frequency. Results: In total, 60 and 107 nurses were shadowed for 225 and 450 hours in the former and new hospital, respectively. The top three tasks on which nurses spent most the time in the former and new hospital concerned: direct care 40% versus 40%, training and supervision 27% versus 25%, communication 25% versus 25%, respectively. In the former hospital, nurses performed on average 32.8% of their time on multitasking versus 34.8% in the new hospital. Conclusions: Contrary to our expectations, the 100% single-occupancy rooms hospital design hardly affected nursing time spent in nursing tasks and multi-tasking compared to a multi-bedded patient rooms setting.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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