Journal
JOURNAL OF ADVANCED NURSING
Volume 65, Issue 10, Pages 2097-2107Publisher
WILEY-BLACKWELL PUBLISHING, INC
DOI: 10.1111/j.1365-2648.2009.05073.x
Keywords
neuro-rehabilitation; nursing activity; quantitative analysis; rehabilitation nursing; work sampling
Categories
Funding
- Dunhill Medical Trust
- Luff Foundation
- National Institutes of Health Research (NIHR) [RP-PG-0407-10185] Funding Source: National Institutes of Health Research (NIHR)
- National Institute for Health Research [RP-PG-0407-10185] Funding Source: researchfish
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P>Title. Work sampling: a quantitative analysis of nursing activity in a neuro-rehabilitation setting. Aim. The aim of this investigation was to establish the distribution and proportion of nursing activity represented by patient-related care activities (direct and indirect), and other nursing activities (unit-related and personal) within one inpatient neurological rehabilitation unit. Background. A set of tools has been developed for estimating the care/nursing hours required for direct hands-on patient care in hospital rehabilitation settings. However, to apply this information to estimate the actual staffing requirements in relation to a given caseload, it is necessary to know the proportion of nursing workload assigned to other activities and how this may vary throughout the day. Method. A work sampling study was conducted during 2004. A snapshot of nursing activity was recorded at 5-minute intervals from 06 center dot 00 to 23 center dot 55 spread over 2 weeks, with one session from 06 center dot 00 to 15 center dot 25 and the second from 15 center dot 30 to 23 center dot 55. Results. A total of 8883 nursing activities were observed and recorded over 126 hours and categorized as follows: 4060 (46%) direct patient care, 2218 (25%) indirect patient care, 874 (10%) unit-related and 1731 (19%) personal time. The proportions of direct care fluctuated throughout the day, with direct care activities mainly concentrated in early mornings and to a lesser extent evenings. Conclusion. Direct patient care accounted for less than half of the nursing activity in a rehabilitation setting. Estimates of staffing requirement must also take account of the time required for indirect care and non-patient related activity.
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