Frequency of nursing tasks in medical and surgical wards

Bell, Cheryl; Johnston, Derek; Jones, Martyn; Schofield, Pat; Allan, Julia; Ricketts, Ian W.; Morrison, Kenny; Johnston, Marie

doi:10.1111/jonm.12110

Cited by 23 publications

(32 citation statements)

References 25 publications

(46 reference statements)

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“…This offers a different perspective on nurses' administrative work, which focuses on its relationship to the content and organization of nursing practices. Most studies are based on an idealized patient-centred model of nursing and either report on nurses' complaints about administrative work and its burdens or criticize it by emphasizing its impact on decreasing bedside nursing time (Hendrich et al 2009, Dearmon et al 2013Farquharson et al 2013, Antinhao et al 2015. This study moves beyond this frame to show that nurses' perceptions of DOA and its burdens are not necessarily linked to the time spent, but to organizational factors.…”

Section: Discussionmentioning

confidence: 98%

“…Moreover, several authors demonstrate that the time spent on documentation is internationally proportionate: 10% of nurses’ time is spent doing paperwork in Britain (Farquharson et al . ), 9·3% in Greece (Kiekkas et al . ), and 13% in Australia (Fitzgerald et al .…”

Section: Introductionmentioning

confidence: 99%

“…In conjunction with these researches stressing the burden of administrative work, there are several studies calculating nurses' time management, using Work-sampling or Time and Motion methods, which reveal a rise in nurses' general administrative duties (Fitzgerald et al 2003, Hendrich et al 2009). Moreover, several authors demonstrate that the time spent on documentation is internationally proportionate: 10% of nurses' time is spent doing paperwork in Britain (Farquharson et al 2013), 9Á3% in Greece (Kiekkas et al 2005), and 13% in Australia (Fitzgerald et al 2003). A lack of precision regarding the definitions and categories of nursing administrative and organizational duties limits the value of this work.…”

Section: Introductionmentioning

confidence: 99%

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The content and meaning of administrative work: a qualitative study of nursing practices

Michel

Waelli

Allen

et al. 2017

Journal of Advanced Nursing

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Aim:To investigate the content and meaning of nurses' administrative work.Background: Nurses often report that administrative work keeps them away from bedside care. The content and meaning of this work remains insufficiently explored. Design:Comparative case studies. Method:The investigation took place in 2014. It was based on 254 hours of observations and 27 interviews with nurses and staff in two contrasting units: intensive care and long term care. A time and motion study was also performed over a period of 96 hours.Results: Documentation and Organizational Activities is composed of 6 categories; documenting the patient record, coordination, management of patient flow, transmission of information, reporting quality indicators, ordering supplies-stock management Equal amounts of time were spent on these activities in each case. Nurses did not express complaints about documentation in intensive care, whereas they reported feeling frustrated by it in long term care. These differences reflected the extent to which these activities could be integrated into nurses' clinical work, and this is in turn was related to a number of factors: staff ratios, informatics, and relevance to nursing work.Conclusion: Documentation and Organizational Activities are a main component of care.The meaning nurses attribute to them is dependent on organizational context. These activities are often perceived as competing with bedside care, but this does not have to be the case. The challenge for managers is to fully integrate them into nursing practice.Results also suggest that nurses' Documentation and Organizational Activities should be incorporated into informatics strategies.Keywords: nurses, administrative work, documentation, perception, activity timing. Summary StatementWhy is this research needed?• A great deal of nurses' work is composed of administrative and organizing work, essential for the process of care.• Nurses express the feeling of being frustrated by the increasing time spent on socalled "administrative work".• The content of this "administrative work" and why it is considered a burden remains insufficiently explored. Studying nurses' activities and perceptions in different wards enables us to better understand the organizational factors influencing nursing practices and perceptions.What are the key findings?• Nurses' administrative work is composed of six primary categories:documenting the patient record, coordination of activities and examinations/investigations, management of patient flow, transmission of information, tracking and reporting quality indicators, ordering supplies and stock management.• Both units spent an equal amount of time on Documentation and OrganizationalActivities, but the work had different meaning for nurses.• The meaning of Documentation and Organizational Activities reflects not only the time spent on these activities but their integration with nurses' work in the local context of care.• Staff ratios, effective use of electronic health information systems, and the relevance of Documentatio...

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The content and meaning of administrative work: a qualitative study of nursing practices

Michel

Waelli

Allen

et al. 2017

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…The literature supports decreasing nursing care interruptions, a negative patient safety impact, and increased cost and risk when interruptions are experienced (Barclay, 2010;Dearmon et al, 2013;Farquharson et al, 2013;Hall et al, 2010;Hamdi et al, 2012;Unruh & Zhang, 2014). The lack of functional computers/computer carts was reported as the number one barrier to nursing care in a case study hospital (K. Peoples, Chief Nursing Officer, personal communication, January 12, 2015).…”

Section: Intended Improvementmentioning

confidence: 99%

“…As of 2012, 44% of acute care hospitals had adopted a basic electronic medical record (EMR), which was more than triple the 2009 adoption rate (Charles, King, Patel, & Furukawa, ). Maintaining functioning computers and computer equipment is essential to the nursing process, workflow, and a hospital's financial health (Dearmon et al., ; Farquharson et al., ; Hamdi, Oweis, Abu Zraiq, & Abu Sammour, ; Popescu, Currey, & Botti, ). The Agency for Healthcare Research and Quality () found for every 8‐hr shift, a nurse spends 4.5 hr charting.…”

Section: Introductionmentioning

confidence: 99%