Kearney Anne, Grainger Patricia, Chubbs Katherine, Downey Joan
Author Affiliations: School of Nursing, Memorial University of Newfoundland (Dr Kearney); and Centre for Nursing Studies (Ms Grainger), Eastern Health (Mss Chubbs and Downey), St John's, Newfoundland and Labrador, Canada.
J Nurs Adm. 2016 Jul-Aug;46(7-8):379-84. doi: 10.1097/NNA.0000000000000362.
The performance of nonnursing duties by nursing staff contributes to an already busy workload while taking time away from patient care.
This article reports on a process implemented by a large regional health authority in Canada to measure and address nurses' performance of nonnursing duties through a newly created tool.
Process improvement methodology was used to conduct this project. A measurement tool, the "Non-Nursing Duties Tracking Tool," was designed for frontline nursing staff and patient care attendants to document the performance of tasks classified as clerical, housekeeping, food services, clinical support, and transportation. This article reports on a survey of managers regarding information collected from frontline nurses and patient care attendants regarding their performance of nonnursing duties and actions taken or planned to address this.
Tasks were identified that could be delegated to housekeeping, transport, and clerical staff. Both frontline nurses and managers expressed the need for administrative support to realign nonnursing tasks to more appropriate personnel. Although most managers of nurses expressed concern about the support of managers in other departments to make these changes, little resistance was encountered when adequate resources were in place.
The "Non-Nursing Duties Tracking Tool" is a valid instrument to support the assessment of nonnursing direct care duties.
护理人员承担非护理职责会增加本就繁忙的工作量，同时占用护理患者的时间。
本文报告了加拿大一个大型地区卫生当局实施的一个流程，该流程通过一个新创建的工具来衡量和处理护士的非护理职责履行情况。
采用流程改进方法开展本项目。设计了一种测量工具“非护理职责跟踪工具”，供一线护理人员和患者护理助理记录归类为文书工作、家务管理、餐饮服务、临床支持和运输等任务的履行情况。本文报告了一项针对管理人员的调查，内容涉及从一线护士和患者护理助理收集到的关于他们非护理职责履行情况的信息，以及为解决此问题已采取或计划采取的行动。
确定了可以委托给家务管理、运输和文书工作人员的任务。一线护士和管理人员都表示需要行政支持，以便将非护理任务重新分配给更合适的人员。尽管大多数护士管理人员对其他部门管理人员支持做出这些改变表示担忧，但在有足够资源的情况下，几乎没有遇到阻力。
“非护理职责跟踪工具”是一种有效的工具，可用于支持对非护理直接护理职责的评估。
