Time-motion analysis of research nurse activities in a lung transplant home monitoring study.
Background-The emergence and subsequent integration of new technologies precipitate changes in roles and work lives of nurses. The nurses' work with home monitoring technologies within a spirometry-based program that transmits pulmonary function data after lung transplantation has characteristics th...
| Publicado en: | Progress in Transplantation Vol. 21; no. 3; pp. 190 - 200 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Sep2011
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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=65279509&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 65279509 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15269248 G4M jtl: Progress in Transplantation issn: 15269248 maglogo: N pubinfo: dt: Sep2011 vid: 21 iid: 3 pid: 20732 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 65279509 104684350 104684350 10.7182/prtr.21.3.u267v51327m276l2 65279509 ppf: 190 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Time-motion analysis of research nurse activities in a lung transplant home monitoring study. aug: au: Lindquist, Ruth VanWormer, Arin Lindgren, Bruce MacMahon, Kathleen Robiner, William Finkelstein, Stanley affil: University of Minnesota, Minneapolis sug: subj: Time and Motion Studies Research Nurses Lung Transplantation Nursing Spirometry Home Health Nursing Task Performance and Analysis Observational Methods Intraclass Correlation Coefficient Interrater Reliability Nursing Role Trends Nursing Assessment Health Status Conceptual Framework Nursing Practice Descriptive Research Correlational Studies Minnesota kappa Statistic Descriptive Statistics Human Computers and Computerization Nursing Informatics Interprofessional Relations Funding Source Clinical Nursing Research ab: Background-The emergence and subsequent integration of new technologies precipitate changes in roles and work lives of nurses. The nurses' work with home monitoring technologies within a spirometry-based program that transmits pulmonary function data after lung transplantation has characteristics that are distinct from other types of direct patient care. Nurses' changing roles in such programs after transplantation have not been well described. Objective- To describe a time-motion study of 2 research nurses in the context of a home-spirometry study to monitor patients' pulmonary status after lung transplantation. Method- A detailed list of research nurses' 67 routine work-related activities was developed and validated to monitor and record activities of research home monitoring nurses. Two weeks of observations were completed; recordings of a second observer established reliability of observations. Results- In 48.8 hours of observation, 610 tasks related to monitoring of 45 patients were recorded. Task time ranged from brief seconds (eg, data review) to 39 minutes (eg, clinic visits). Between-observer intraclass correlation (r=0.96) reflected high agreement in observations of the duration of activities, Agreement for category of activity was strong, κ=0.82), with high levels of agreement (96%). Computer tasks were the most frequent (118 tasks/week) and most time-intensive activities. Nurses' face-to-face interactions with health professionals were equally time intensive (both 267 minutes/week), but not as frequent. Data review tasks were the second most frequent (49/week), although less time-intensive (47 minutes/week). Conclusion- Findings reveal patterns of effort and time expenditure in nurses' evolving roles in home monitoring of the health status of patients after lung transplantation. These findings highlight the centrality and importance of well-developed data management, computer skills, and interprofessional communication skills of nurses who perform responsibilities in the emerging role in transplantation. Efforts to streamline computerized information access, as through integrated information systems, and methods to enhance efficiency in connecting with patients in the clinic may free up time for nurses to engage in other activities of direct benefit to patients. Strategies to supplement face-to-face meeting among professionals with electronic modalities may reduce the time spent meeting, while maintaining or enhancing communication. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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