Time Allocated to Nursing Tasks on Hospital Units Caring for Older Patients.
Introduction : Hospitals need objective data about the time allocated to nursing tasks, particularly for older inpatients who often need assistance with activities of daily living (ADLs), such as toileting and mobility. Methods : This descriptive time–motion study objectively measured the time regis...
| Publicado en: | Journal for Healthcare Quality: Promoting Excellence in Healthcare Vol. 47; no. 3; pp. 1 - 14 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul-Sep2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187346086&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187346086 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10622551 IM0 jtl: Journal for Healthcare Quality: Promoting Excellence in Healthcare issn: 10622551 maglogo: N pubinfo: dt: Jul-Sep2025 vid: 47 iid: 3 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 187346086 187346086 187346086 10.1097/JHQ.0000000000000483 187346086 ppf: 1 ppct: 13 formats: tig: atl: Time Allocated to Nursing Tasks on Hospital Units Caring for Older Patients. aug: au: Hollingsworth, Emily K. Slagle, Jason Wilson, Lucy Schnelle, John F. Kim, Jennifer Simmons, Sandra F. affil: Emily Hollingsworth, MSW, is a research Programs Manager within the Vanderbilt Department of Medicine, Division of Geriatrics, Center for Quality Aging, Nashville TN. She is trained as a Social Worker and has nearly 15 years of experience coordinating and managing clinical research studies focused on older adults in long-term care, postacute and acute care settings. sug: subj: Time Management Evaluation Task Performance and Analysis Hospital Units Hospitalization of Older Persons Activities of Daily Living Evaluation Toileting Physical Mobility Gerontologic Nursing Human Funding Source Male Female Aged Aged, 80 and Over Descriptive Research Registered Nurses Certified Nursing Assistants Descriptive Statistics Documentation Gerontologic Care Nursing Staff, Hospital Quality Improvement Academic Medical Centers Nurse-Patient Ratio Length of Stay Interrater Reliability Analysis of Variance T-Tests Nursing Skills Education Aged: 65+ years Aged, 80 & over Male Female ab: Introduction : Hospitals need objective data about the time allocated to nursing tasks, particularly for older inpatients who often need assistance with activities of daily living (ADLs), such as toileting and mobility. Methods : This descriptive time–motion study objectively measured the time registered nurses (RNs) and nursing assistants (NAs) spent on clinical and ADL care and made comparisons by staff type. Research staff completed 277 standardized observation hours on three hospital units caring for older patients. Results: Registered nurses and NAs spent 38% and 34% of their time, respectively, on indirect care tasks, with medical record documentation being most common. Both staff types spent an additional 34% of their time on direct care tasks. Medication pass consumed the most RN direct care time, and ADL care consumed the most NA direct care time. Activities of daily living care was observed in fewer than 25% of patient encounters, despite 73%–89% of patients across the three units requiring ADL care assistance. Overall, staff spent less than 10% of their time idle. Conclusions: Objective data related to the time allocated to nursing tasks are necessary to inform skill mix adjustments or other staffing strategies to meet older inpatients' care needs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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