Development and validation of a time and motion tool to measure cardiology acute care nurse practitioner activities.

Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires Pub Date : 2011-01-01

Kelley Kilpatrick

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Abstract

Background: Acute care nurse practitioners (ACNPs) provide advanced nursing care to patients and families who are experiencing a complex acute, critical or chronic health condition. A clear understanding of ACNP activities may facilitate the deployment of ACNP roles in health care teams. Time and motion studies represent the gold standard to measure clinician work time.

Methods: A time and motion tool to measure cardiology ACNP activities was developed and pilot-tested in two organizations.

Findings: The researcher produced a valid and reliable tool. The inter-observer agreement was 0.94 following the pilot study. A training guide and a training schedule were produced to support the use of the time and motion tool. Each activity was defined to facilitate the coding of ACNP activities.

Conclusion: A validated tool can contribute to our knowledge of ACNP activities and role components, and identify the ACNPs' contributions to patient care and the functioning of the health care team.

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开发和验证的时间和运动工具，以衡量心脏病急症护理护士执业活动。

背景:急性护理执业护士(ACNPs)提供高级护理病人和家庭谁正在经历一个复杂的急性，危重或慢性健康状况。对ACNP活动的清晰理解可能有助于在卫生保健团队中部署ACNP角色。时间和运动研究是衡量临床医生工作时间的黄金标准。方法:开发了一种测量心脏病ACNP活动的时间和运动工具，并在两个组织中进行了试点测试。研究结果:研究者制作了一个有效可靠的工具。初步研究后的观察者间一致性为0.94。制定了培训指南和培训时间表，以支持时间和运动工具的使用。定义每个活动以方便ACNP活动的编码。结论:一个经过验证的工具可以帮助我们了解ACNP的活动和角色组成，并确定ACNP对患者护理和医疗团队功能的贡献。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires

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