Korteland Tim, Li Chiao-Yun, Dohmen Niklas, Urbanus Bastiaan H A, Van Zelst Sebastiaan, Pu Lihui, Van Dijk Monique, Ista Erwin
Department Internal Medicine, Section Nursing Science, Erasmus Medical Center, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Fraunhofer Institute for Applied Information Technology FIT, Birlinghoven Castle, Sankt Augustin, Germany.
HERD. 2025 Jul;18(3):114-124. doi: 10.1177/19375867251330838. Epub 2025 May 13.
ObjectivesTo explore the time spent on nursing tasks and the extent of multitasking in a hospital with multi-bedded rooms compared to single-occupancy rooms.BackgroundSingle-occupancy patient rooms in hospitals have become popular because of the privacy they offer. However, little is known about the impact of different hospital designs on time spent performing on nursing tasks.MethodsA before-after time motion study was conducted in a former hospital which featured multi-bedded rooms and a new hospital with 100% single-occupancy rooms. Trained observers shadowed nurses during day and evening shifts using an online shadow application distinguishing eleven main categories of nursing tasks (e.g., direct patient care, indirect care, and professional communication). Data was analyzed using descriptive statistics. Tasks performed concurrently (multitasking) are described in terms of (overlapping) duration and frequency.ResultsIn total, 60 and 107 nurses were shadowed for 225 and 450 hours in the former and new hospital, respectively. The top three tasks on which nurses spent most the time in the former and new hospital concerned: direct care 40% versus 40%, training and supervision 27% versus 25%, communication 25% versus 25%, respectively. In the former hospital, nurses performed on average 32.8% of their time on multitasking versus 34.8% in the new hospital.ConclusionsContrary to our expectations, the 100% single-occupancy rooms hospital design hardly affected nursing time spent in nursing tasks and multi-tasking compared to a multi-bedded patient rooms setting.
目标
探究与单人病房相比，多人间病房医院中护理任务所花费的时间以及多任务处理的程度。
背景
医院的单人病房因提供隐私而受到欢迎。然而，对于不同医院设计对执行护理任务所花费时间的影响知之甚少。
方法
在一家以前设有多人间病房的医院和一家拥有100%单人病房的新医院进行了前后时间动作研究。经过培训的观察员使用在线跟踪应用程序在白班和夜班期间跟踪护士，该应用程序区分了十一个主要护理任务类别（例如，直接患者护理、间接护理和专业沟通）。使用描述性统计分析数据。同时执行的任务（多任务处理）根据（重叠）持续时间和频率进行描述。
结果
在前一家医院和新医院中，分别有60名和107名护士被跟踪了225小时和450小时。在前一家医院和新医院中，护士花费最多时间的前三项任务分别是：直接护理40%对40%，培训和监督27%对25%，沟通25%对25%。在前一家医院，护士平均32.8%的时间用于多任务处理，而在新医院这一比例为34.8%。
结论
与我们的预期相反，与多人间病房设置相比，100%单人病房的医院设计几乎不会影响护理任务和多任务处理所花费的护理时间。
