The Evolution of an Ambulatory Nursing Intensity System

Moore, Marsha N.; Hastings, Catherine

doi:10.1097/00005110-200605000-00017

Cited by 15 publications

(17 citation statements)

References 5 publications

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“…Some research indicates that this method tends to underestimate the number of activities carried out by respondents and, therefore, is prone to overestimate the time taken for a specific activity. Self-reporting can be verified through actual observational studies or work sampling (Blay et al, 2002;Colombo et al, 2005;Moore & Hastings, 2006). One study, which compared the time and motion method with self-reporting for nursing tasks (Burke et al, 2000), found that self-reporting provides a reliable estimate of the allocation of nursing time among defined activity categories.…”

Section: Discussionmentioning

confidence: 99%

Nursing Takes Time: Workload Associated With Administering Cancer Protocols

Raad¹,

Gool²,

Haas³

et al. 2010

Clinical Journal of Oncology Nursing

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New medicines and therapeutic combinations are tested and marketed every year. Healthcare decision makers have to make explicit choices about adopting new treatments and deal with the resource consequences of their choices. The aim of this article is to examine the nursing workload of administering alternative chemotherapy protocols as a driver of costs. Data collection (focus groups with chemotherapy nurses and a survey of nurse unit managers) was conducted to ascertain the time required to undertake chemotherapy-related tasks and the sources of variability in six chemotherapy centers in New South Wales, Australia. Four task types (patient education, patient assessment, administration, and patient communication) were identified as being associated with administering chemotherapy. On average, patient education required 48 minutes during the first visit and 18.5 minutes thereafter, patient assessment took 20.3 minutes, administration averaged 23 minutes, and patient communication required 24.2 minutes. Each center treated an average of 14 patients per day. Each patient received 3.3 hours of staff time (1.7 hours of direct contact time and 1.6 hours of noncontact time). The result of this research will allow healthcare decision makers and evaluators to predict the amount of nursing time required to administer chemotherapy based on the characteristics of a wide range of chemotherapy protocols.

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Section: Discussionmentioning

confidence: 99%

Nursing Takes Time: Workload Associated With Administering Cancer Protocols

Raad¹,

Gool²,

Haas³

et al. 2010

Clinical Journal of Oncology Nursing

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“…Seventeen of the instruments had been used in an acute care setting, [5,9,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] followed by one used in a psychiatric setting [26] and two in outpatient settings. [27,28] Few instruments in the studies had been designed based on a theoretical framework; three (15%) of the 20 instruments were based upon, respectively, Benner's NoviceExpert, the NIC, and Nursing Outcome Classification; [12] Horta's Basic Needs Theory; [13] and the Nursing Process Model. [26] In total, 1,438 nursing activities from 20 instruments were extracted and sorted according to the NIC.…”

Section: Survey Developmentmentioning

confidence: 99%

“…Duclos-Miller, 1996 [22] Labor, Delivery, Recovery, Postpartum Model (LDRP) (NI -2) 16 Hlusko & Nichols, 1996 [23] Not Available (NI -3) 17 Hoi et al, 2010 [24] Workload Intensity Measurement System (WIMS) (NI -4) 18 Karr & Fisher, 1997 [27] Not Available (NI -5) 19 Moore & Hastings, 2006 [28] Not Available (NI -6) 20 Chou et al, 2007 [25] Chinese Nursing Interventions in ICU (CNI-ICU) (NI -7)…”

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confidence: 99%

Nursing activities and factors influential to nurse staffing decision-making

Young

Lee

Sands

et al. 2015

JHA

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Objective: There is limited published research supporting the effectiveness of nursing workload measurement to comprehensively measure nursing workload and to formulate nurse resource need. Predictive accuracy is impaired due to variation in direct and indirect care-related activities across measurement instruments. This study aimed to (1) identify common nursing activities considered by nurse managers for staffing decision-making, (2) systematically review such nursing activities in relation to existing nursing workload instruments and Nursing Intervention Classification taxonomy, and (3) describe challenges perceived by managers in staffing decision-making. Methods: A survey was developed from an inclusive review of 20 nursing workload instruments collectively measuring 502 nursing activities. Nurse managers in 13 medical-surgical and two intensive care units at a Midwest healthcare organization identified nursing activities considered daily for staffing decision-making. Results: Twenty-one activities were commonly considered by at least 90 percent of managers (n = 13) for daily staffing decisionmaking, although none of the instruments reviewed included all 21 activities. Conclusions: Lack of a standardized framework for nursing workload measurement might have led to nurse managers' different perceptions about appropriate determinants of these measurements. A standardized approach for measuring nursing workload would facilitate benchmarking for estimating nurse resource need. Further research is needed to design a systematic infrastructure that ensures staffing to meet patient care need. A process is also needed to alleviate the challenges in staffing decision-making that nurse managers face, such as fluctuations in census and patient acuity, nurse competency-based patient assignments, and limited information resources for staffing estimation.

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“…No panorama nacional e internacional, nos últimos quinze anos, há seis estudos referentes ao tema em Ambulatório de QT e HD. Nenhum abordou especificamente os Ambulatórios de Clínicas Integradas ou RDT (43,44,45,46,47,48) .…”

Section: Segurança Do Pacienteunclassified

“…Na literatura foram encontrados quatro estudos internacionais (45,46,47,48) e dois estudos (43,44) nacionais que abordaram carga de trabalho em contextos de tratamento quimioterápico. Desses estudos, três apresentaram tempo médio das intervenções (43,44,46) , enquanto três (45,47,48) revelaram o tempo despendido pelo profissional de enfermagem durante a sessão de um paciente. Apenas um estudo contemplou a categoria técnico de enfermagem (43) .…”

Section: Ambulatório De Qtunclassified

Dimensionamento de profissionais de enfermagem para assistência oncológica ambulatorial: aplicação do método WISN

Santos¹

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DEDICATÓRIA Ao meu filho Arthur (in memorian), o desejo de me tornar um bom exemplo para você, inspirou o início deste projeto. Você e a calculadora foram ótimos parceiros. Saudade é o amor que fica (anônimo). À minha mãe, Leonice, pelo exemplo de resiliência, amor e dedicação. Ao meu pai Lourival, por me ensinar o valor do conhecimento. Ao meu tio Santo (in memorian) por me ensinar o quão preciosa é a simplicidade. AGRADECIMENTO ESPECIAL Agradeço em especial ao brilhante casal Gaidzinski, Raul e Raquel, por literalmente abrirem as portas da casa para mim, aprendi muito mais do que dimensionamento e estatística. Muitíssimo obrigada por aceitarem compartilhar essa trajetória comigo! AGRADECIMENTOS À família e amigos por entenderem, mas não aceitarem os motivos das minhas ausências nesse período, pois fizeram com que eu me sentisse especial. Aos pacientes e familiares por me ensinarem diariamente o valor da contribuição da equipe de enfermagem em suas vidas. À Profa. Dra. Maria Cristina K B Massarollo por me iniciar na área de ensino e pesquisa. À Profa. Dra. Paulina Kurcgant por ótimas reflexões sobre a atuação da enfermagem e sobre a vida. À Profa. Dra. Fernanda Maria T Fugulin, você também é responsável pelo meu interesse em dimensionamento de enfermagem. À Sra Esterlina Watanabe (in memorian) por me ensinar a importância da tríade assistência, ensino e pesquisa para a prática da enfermagem. À. Sra. Olinda M V Costenaro, pelo acolhimento e todas as contribuições ao longo da minha vida profissional. À Dra. Wania R M Baía por ter estimulado a inserção do ensino e pesquisa na prática assistencial da equipe de enfermagem do ICESP e por me desafiar constantemente a oferecer o melhor para a equipe de colaboradores DGA, assim como o paciente/família. À Sra. Maria Rita da Silva pelo carinho, parceria e estímulo ao meu desenvolvimento profissional. A Dra. Daiana Bonfim, pelas contribuições sobre o WISN. À equipe de liderança de Enfermagem dos setores participantes da pesquisa (Lenira, Rosemeire, Adriana e Cinthia), porque este trabalho é resultado das nossas reflexões sobre dimensionamento de enfermagem. Aos participantes da pesquisa que acreditaram na contribuição desta pesquisa para a prática da enfermagem. Às observadoras de campo Chrisna e Anne, pela dedicação e parceria. Vocês foram fundamentais neste projeto. Às ex-alunas do Curso de Aprimoramento em Enfermagem Oncológica por motivarem a minha constante atualização. Ao Sr. Marcelo Santos e Sra. Evellyn Simon pela contribuição com a organização dos dados. À equipe de Gerentes da Diretoria Geral da Assistência (DGA/ICESP) pelas reflexões semanais referentes ao gerenciamento de recursos. Aos colaboradores do ICESP, especialmente da DGA, pelas contribuições na melhoria contínua da assistência prestada. Às Diretorias Clínica e Executiva do ICESP por permitirem a realização deste estudo. Santos DV. Dimensionamento de profissionais de enfermagem para assistência oncológica ambulatorial: aplicação do método WISN [tese]. São Paulo: Escola de Enfermagem, Universidade de São ...

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The Evolution of an Ambulatory Nursing Intensity System

Abstract: This ambulatory nursing intensity tool proved to be adaptable to heterogeneous patient populations.

Cited by 15 publications

References 5 publications

Nursing Takes Time: Workload Associated With Administering Cancer Protocols

Nursing Takes Time: Workload Associated With Administering Cancer Protocols

Nursing activities and factors influential to nurse staffing decision-making

Dimensionamento de profissionais de enfermagem para assistência oncológica ambulatorial: aplicação do método WISN

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