Alex Walsby, Sharon Williams, John Gammon, Stephanie Best
{"title":"The reality of nursing time: how nurses spend their shifts.","authors":"Alex Walsby, Sharon Williams, John Gammon, Stephanie Best","doi":"10.12968/bjon.2024.0050","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Nurse staffing levels are increasingly challenged while pressures on healthcare systems are rising. There is a clear need to optimise efficiency in healthcare delivery in order to deliver safe, effective and quality health care.</p><p><strong>Aim: </strong>To understand how nurses working shifts spend their time and explore opportunities to improve efficiency in care delivery.</p><p><strong>Method: </strong>A time-motion study was conducted on three acute care wards in a district general hospital in West Wales; 13 nurses were observed over 14 shifts, each activity undertaken was recorded in real time.</p><p><strong>Findings: </strong>In all, 109 hours were observed. Approximately half of nurses' time is spent delivering direct patient care, with medications administration taking the majority of time.</p><p><strong>Conclusion: </strong>A number of recommendations are made involving processes and workforce modelling with the aim of improving efficiency and safety. Further research would be required to assess the impact of their introduction.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"33 20","pages":"968-974"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British journal of nursing (Mark Allen Publishing)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12968/bjon.2024.0050","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Nurse staffing levels are increasingly challenged while pressures on healthcare systems are rising. There is a clear need to optimise efficiency in healthcare delivery in order to deliver safe, effective and quality health care.
Aim: To understand how nurses working shifts spend their time and explore opportunities to improve efficiency in care delivery.
Method: A time-motion study was conducted on three acute care wards in a district general hospital in West Wales; 13 nurses were observed over 14 shifts, each activity undertaken was recorded in real time.
Findings: In all, 109 hours were observed. Approximately half of nurses' time is spent delivering direct patient care, with medications administration taking the majority of time.
Conclusion: A number of recommendations are made involving processes and workforce modelling with the aim of improving efficiency and safety. Further research would be required to assess the impact of their introduction.
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