2.50
Hdl Handle:
http://hdl.handle.net/10755/156867
Type:
Presentation
Title:
Nursing Time and Work in an Acute Rehabilitation Setting
Abstract:
Nursing Time and Work in an Acute Rehabilitation Setting
Conference Sponsor:Sigma Theta Tau International
Conference Year:2002
Conference Date:July, 2002
Author:Neatherlin, Jacquelin
P.I. Institution Name:Baylor University
Title:Associate Professor
Nursing staffing has long been recognized as a significant variable in a hospital budget even through the era of increased productivity and efficiency (Bloom, Alexander, & Nuchols, 1997). In addition, patient acuity has been rising, and increasing demands on the nursing personnel have been documented (Davis, 1995; Levenstam & Bergbom Engberg, 1997). Therefore, it becomes imperative that nursing time and work be examined in a setting in which this research has been sparse-the acute rehabilitation setting. In order to be able to estimate patient acuity, the activities of the nursing personnel must be examined to establish time frames for the care that these patients need. Previous studies have examined time and work according to pre-established patient acuity categories (Levenstam & Bergbom Engberg, 1997). However, this study examines time and work related to patients with different diagnoses, and from that, develop a patient acuity system. The patient acuity development is an effort to identify how nurses spend their time so that these hidden costs and important interventions can be addressed by administrative leaders of the institution. Research Problem The problem addressed in this study was: I. What are the time frames spent by nursing personnel in an acute rehabilitation setting caring for patients admitted to the facility for treatment? II. Are there differences in time and work when caring for patients with different diagnoses in an acute rehabilitation setting? Research Questions The following questions were posed for this study: 1. What are the amounts of time nursing personnel in the acute rehabilitation setting spend in direct care, indirect care, unit-related work, and personal time related to the work they carry out with patients in this setting? 2. Are there differences in the amount of time related to the work with the patients in the acute rehabilitation setting depending on the diagnosis of the patients? Review of the Literature In an effort to discern what the particular nursing demand is, and decisions about how to match care needs with nursing resources, Marsee (1995)determined these decisions should be based on measurable, qualitative data. Strickland and Neely (1995), believe that flexing staff according to patient acuity and census is essential in maintaining optimal productivity. Patient classification systems have been designed and used in hospitals and other health care institutions since the 1960's, and were created as a tool to help administration objectively allocate staff for budgetary purposes. When patient classification systems were first established they were used as a "mechanism that allowed patients to be grouped according to the type and amount of nursing care required to meet their needs" (Strickland, 1995). These systems also met JCAHO standards that specified individual staffing needs be identified based on patient acuity (Davis, 1995). JCAHO states "...in analysis of actual staffing patterns to findings from quality assessment and improvement activities, the allocation of financial and other resources is assessed to determine whether nursing care is provided appropriately, efficiently, and effectively." (Joint Commission on Accreditation of Hospitals, 145). In an effort to determine just how nurses spend their time, several studies have been conducted (Ridge, 1995; McCloskey, Bulechik, Moorhead, & Daly, 1996). Nurse staffing is a major factor in ensuring hospital production efficiency because nurses directly participate in the core technology of hospitals, the delivery of patient care, and also represent a significant portion of the hospital's operating budget (Bloom, 1997). Richmond (1995) studied acutely injured Spinal Cord Injury patients and found that there were hidden costs within the overall hospital budget regarding nursing care. "In this era of health care reform, it is important to uncover the costs of nursing care the acute spinal cord injury patient and identify variables that influence the amount of nursing care resources consumed" (Richmond, 1995, p.47). Methodology: After appropriate Institutional Review Board approvals, the researchers met with the nursing staff of the three units at the acute rehabilitation setting. The researchers explained the study and obtained consent from the nursing staff at all levels to participate. Each nursing personnel chosen was accompanied during one shift of the person's regular work schedule. Data were collected in 15-minute increments to capture the majority of the work performed by the individual. The researchers collected the data; the nursing personnel performed the usual functions of the shift. Pre-testing of the data collection form occurred prior to the data collection period. Inter-rater reliability was 99%. Data are currently being analyzed using descriptive statistics and inferential statistics as appropriate. Initial results will be ready by January, 2002.

Repository Posting Date:
26-Oct-2011
Date of Publication:
Jul-2002
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNursing Time and Work in an Acute Rehabilitation Settingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156867-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nursing Time and Work in an Acute Rehabilitation Setting</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">2002</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July, 2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Neatherlin, Jacquelin</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Baylor University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Jacque_Neatherlin@baylor.edu</td></tr><tr><td colspan="2" class="item-abstract">Nursing staffing has long been recognized as a significant variable in a hospital budget even through the era of increased productivity and efficiency (Bloom, Alexander, &amp; Nuchols, 1997). In addition, patient acuity has been rising, and increasing demands on the nursing personnel have been documented (Davis, 1995; Levenstam &amp; Bergbom Engberg, 1997). Therefore, it becomes imperative that nursing time and work be examined in a setting in which this research has been sparse-the acute rehabilitation setting. In order to be able to estimate patient acuity, the activities of the nursing personnel must be examined to establish time frames for the care that these patients need. Previous studies have examined time and work according to pre-established patient acuity categories (Levenstam &amp; Bergbom Engberg, 1997). However, this study examines time and work related to patients with different diagnoses, and from that, develop a patient acuity system. The patient acuity development is an effort to identify how nurses spend their time so that these hidden costs and important interventions can be addressed by administrative leaders of the institution. Research Problem The problem addressed in this study was: I. What are the time frames spent by nursing personnel in an acute rehabilitation setting caring for patients admitted to the facility for treatment? II. Are there differences in time and work when caring for patients with different diagnoses in an acute rehabilitation setting? Research Questions The following questions were posed for this study: 1. What are the amounts of time nursing personnel in the acute rehabilitation setting spend in direct care, indirect care, unit-related work, and personal time related to the work they carry out with patients in this setting? 2. Are there differences in the amount of time related to the work with the patients in the acute rehabilitation setting depending on the diagnosis of the patients? Review of the Literature In an effort to discern what the particular nursing demand is, and decisions about how to match care needs with nursing resources, Marsee (1995)determined these decisions should be based on measurable, qualitative data. Strickland and Neely (1995), believe that flexing staff according to patient acuity and census is essential in maintaining optimal productivity. Patient classification systems have been designed and used in hospitals and other health care institutions since the 1960's, and were created as a tool to help administration objectively allocate staff for budgetary purposes. When patient classification systems were first established they were used as a &quot;mechanism that allowed patients to be grouped according to the type and amount of nursing care required to meet their needs&quot; (Strickland, 1995). These systems also met JCAHO standards that specified individual staffing needs be identified based on patient acuity (Davis, 1995). JCAHO states &quot;...in analysis of actual staffing patterns to findings from quality assessment and improvement activities, the allocation of financial and other resources is assessed to determine whether nursing care is provided appropriately, efficiently, and effectively.&quot; (Joint Commission on Accreditation of Hospitals, 145). In an effort to determine just how nurses spend their time, several studies have been conducted (Ridge, 1995; McCloskey, Bulechik, Moorhead, &amp; Daly, 1996). Nurse staffing is a major factor in ensuring hospital production efficiency because nurses directly participate in the core technology of hospitals, the delivery of patient care, and also represent a significant portion of the hospital's operating budget (Bloom, 1997). Richmond (1995) studied acutely injured Spinal Cord Injury patients and found that there were hidden costs within the overall hospital budget regarding nursing care. &quot;In this era of health care reform, it is important to uncover the costs of nursing care the acute spinal cord injury patient and identify variables that influence the amount of nursing care resources consumed&quot; (Richmond, 1995, p.47). Methodology: After appropriate Institutional Review Board approvals, the researchers met with the nursing staff of the three units at the acute rehabilitation setting. The researchers explained the study and obtained consent from the nursing staff at all levels to participate. Each nursing personnel chosen was accompanied during one shift of the person's regular work schedule. Data were collected in 15-minute increments to capture the majority of the work performed by the individual. The researchers collected the data; the nursing personnel performed the usual functions of the shift. Pre-testing of the data collection form occurred prior to the data collection period. Inter-rater reliability was 99%. Data are currently being analyzed using descriptive statistics and inferential statistics as appropriate. Initial results will be ready by January, 2002.<br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T15:13:05Z-
dc.date.issued2002-07en_GB
dc.date.accessioned2011-10-26T15:13:05Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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