Journal
RESEARCH IN NURSING & HEALTH
Volume 36, Issue 6, Pages 554-566Publisher
WILEY
DOI: 10.1002/nur.21565
Keywords
patient turnover; interruptions; nursing workload; health care quality; quality; patient safety; ethnography
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Funding
- postdoctoral fellowship in Health care Quality and Patient Outcomes
- National Institute of Nursing research/National Institutes of Health [2T32NR008856]
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The impact on nursing work of patient turnover (admissions, discharges, and transfers) became evident in an ethnographic study of turbulence. The patient turnover data were generated from extensive observations, 21 formal interviews, and a year of admission and discharge records on one medical and one surgical unit. Timing of turnover events on the two units differed, but on both units admissions typically interrupted workflow more than did discharges, clustered admissions were more disruptive than staggered admissions, and patient turnover during change of shift was more disruptive than during medication administration. Understanding the complexity of patient turnover will elucidate the work involved and improve the evidence base for nurse staffing, a key determinant of quality and safety of care. (c) 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 554-556, 2013
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