Faculty of Biology and Medicine, Institute of Higher Education and Research in Health, Lausanne, Switzerland.
La Source School of Nursing Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.
J Nurs Manag. 2021 Sep;29(6):1785-1800. doi: 10.1111/jonm.13318. Epub 2021 Apr 23.
To log the activities of registered nurses and nursing assistants on a visceral surgery ward.
By prioritizing their activities, nurses fail to exercise their full scope of practice even though this is essential for health care systems to function effectively and efficiently.
A descriptive observational time-motion study was conducted over a period of 48 days. The activities of nurses (n = 24) and nursing assistants (n = 9) were logged over the course of their entire work shifts, both in the day and at night.
In all, 499 hr of observation were logged. Tasks that fell under the dimensions of care activities and of communication and care coordination, which cover documentation, non-care activities and delegated medical tasks, were the ones that took up most of the nurse work time. Patient assessment, relational care, therapeutic teaching/coaching, and knowledge updating and utilization were categories that nurses were under-engaged in.
The study shows that the scope of nursing practice was not optimal.
The results can serve to improve the work environment of carers, optimize the use of human resources and increase the visibility and efficiency of nursing work.
记录内脏外科病房注册护士和助理护士的活动。
尽管优先考虑护士的活动对于医疗保健系统有效和高效运作至关重要，但由于护士的活动优先级，他们未能充分发挥其执业范围。
进行了为期 48 天的描述性观察时间运动研究。记录了白天和夜间整个工作班次中护士（n=24）和助理护士（n=9）的活动。
共记录了 499 小时的观察。属于护理活动维度以及沟通和护理协调维度的任务，包括文档记录、非护理活动和委托的医疗任务，占据了护士大部分工作时间。护士参与度较低的类别包括患者评估、关系护理、治疗性教学/辅导以及知识更新和利用。
研究表明护理实践的范围并不理想。
结果可以改善护理人员的工作环境，优化人力资源的利用，并提高护理工作的可见性和效率。
