The Relationship Between Nurse Staffing Patterns and the Percentage of RN Time Allocated to Direct and Indirect Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/153693
Type:
Presentation
Title:
The Relationship Between Nurse Staffing Patterns and the Percentage of RN Time Allocated to Direct and Indirect Care
Abstract:
The Relationship Between Nurse Staffing Patterns and the Percentage of RN Time Allocated to Direct and Indirect Care
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Conference Date:July 10-12, 2003
Author:Cheung, Robyn, PhD
P.I. Institution Name:University of Pennsylvania
Title:Postdoctoral research fellow
Objective: to explore the relationships between nurse staffing and the percentage of time registered nurses spend in direct and indirect care.<P> Design: longitudinal, multifactorial research design, consisting of 70 days by 5 units by 3 shifts.<P> Sample: all nursing personnel <P> Setting: 5 inpatient acute care units in a community hospital.<P> Year: 70 days during 2001.<P> Variables: Independent: ratio of RNs to LPNs and RNs to total nursing staff; patient-to-nurse ratio. Dependent: percentage of time RNs spent in direct and indirect care. Direct care was defined as time RNs spent in a patient room or in the hallway outside of a patient room or in the medication room, indirect care was defined as time RNs spent at the nursing station. All variables were adjusted by unit acuity.<P> Methods: electronic data files that captured second to second recordings of physical locations of nursing personnel were downloaded and merged with a daily staffing data base that contained all nursing personnel working on each of 5 units. After data cleaning procedures were completed, statistical analyses were conducted using SPSS. <P> Findings: The average percentage of time RNs spent in direct care was 54%, indirect care was 42%. RNs spent 31.5% more time in direct care as the proportion of RN hours increased by 1. As the hours of unit secretary increased by 1, the percentage of time RNs spent in direct care increased by 2.7%.<P> Conclusions: The study findings indicate that RN time is driven by the proportion of RN hours in the skill mix, and highlights the important contribution the unit secretary makes in allowing RNs to spend more time in direct care. <P> Implications: These study findings may clarify how nurse staffing impacts allocation of RN time and may be an explanatory factor that explains the established linkage between nurse staffing and patient outcomes.<!--Abstract 12828 modified by 68.81.130.223 on 10-3-2002--></P></P></P></P></P></P></P></P></P>
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Jul-2003
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Relationship Between Nurse Staffing Patterns and the Percentage of RN Time Allocated to Direct and Indirect Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153693-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Relationship Between Nurse Staffing Patterns and the Percentage of RN Time Allocated to Direct and Indirect Care</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 10-12, 2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cheung, Robyn, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Pennsylvania</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Postdoctoral research fellow</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cheungr@nursing.upenn.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: to explore the relationships between nurse staffing and the percentage of time registered nurses spend in direct and indirect care.&lt;P&gt; Design: longitudinal, multifactorial research design, consisting of 70 days by 5 units by 3 shifts.&lt;P&gt; Sample: all nursing personnel &lt;P&gt; Setting: 5 inpatient acute care units in a community hospital.&lt;P&gt; Year: 70 days during 2001.&lt;P&gt; Variables: Independent: ratio of RNs to LPNs and RNs to total nursing staff; patient-to-nurse ratio. Dependent: percentage of time RNs spent in direct and indirect care. Direct care was defined as time RNs spent in a patient room or in the hallway outside of a patient room or in the medication room, indirect care was defined as time RNs spent at the nursing station. All variables were adjusted by unit acuity.&lt;P&gt; Methods: electronic data files that captured second to second recordings of physical locations of nursing personnel were downloaded and merged with a daily staffing data base that contained all nursing personnel working on each of 5 units. After data cleaning procedures were completed, statistical analyses were conducted using SPSS. &lt;P&gt; Findings: The average percentage of time RNs spent in direct care was 54%, indirect care was 42%. RNs spent 31.5% more time in direct care as the proportion of RN hours increased by 1. As the hours of unit secretary increased by 1, the percentage of time RNs spent in direct care increased by 2.7%.&lt;P&gt; Conclusions: The study findings indicate that RN time is driven by the proportion of RN hours in the skill mix, and highlights the important contribution the unit secretary makes in allowing RNs to spend more time in direct care. &lt;P&gt; Implications: These study findings may clarify how nurse staffing impacts allocation of RN time and may be an explanatory factor that explains the established linkage between nurse staffing and patient outcomes.&lt;!--Abstract 12828 modified by 68.81.130.223 on 10-3-2002--&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;</td></tr></table>en_GB
dc.date.available2011-10-26T12:26:56Z-
dc.date.issued2003-07-10en_GB
dc.date.accessioned2011-10-26T12:26:56Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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