Observing How RNs Use Clinical Time in a Nursing Home: A Pilot Study

Geriatric Nursing

Volumn 33, Issue 4, 2012, Pages 256-263

  Dellefield, Mary Ellen ^a   Harrington, Charlene ^b   Kelly, Ann ^a  

^a VA SAN DIEGO HEALTHCARE SYSTEM   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DECUBITUS; FEASIBILITY STUDY; FEMALE; GERIATRIC NURSING; HUMAN; MIDDLE AGED; NURSE ATTITUDE; NURSING; NURSING HOME; NURSING PRACTICE; ORGANIZATION AND MANAGEMENT; PILOT STUDY; TASK PERFORMANCE; TIME; WORKLOAD;

FEASIBILITY STUDIES; FEMALE; GERIATRIC NURSING; HUMANS; MIDDLE AGED; NURSE'S PRACTICE PATTERNS; NURSE'S ROLE; NURSING HOMES; NURSING SERVICES; PILOT PROJECTS; PRESSURE ULCER; TASK PERFORMANCE AND ANALYSIS; TIME FACTORS; WORKLOAD;

EID: 84864339353     PISSN: 01974572     EISSN: 15283984     Source Type: Journal    
DOI: 10.1016/j.gerinurse.2012.01.003     Document Type: Article

References (33)

1. Horn S.D., Buerhaus P., Bergstrom N., et al. RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse outcomes are less likely as RNS spend more time on direct patient care. Am J Nurs 2005, 105:58-70.
2. Collier E., Harrington C. Staffing characteristics, turnover rates, and quality of resident care in nursing facilities. Res Gerontol Nurs 2008, 1:157-170.
3. Harrington C, Carrillo H, Dowdell M, et al. Nursing facilities, staffing, residents and facility deficiencies, 2005 through 2010. San Francisco: Department of Social and Behavioral Sciences, University of California San Francisco.
4. American Health Care Association. Trends in nursing facility characteristics. Available at www.ahcancal.org/research_data/trends_statistics/Documents/trends_nursing_facilities_charactecharact_June2007.pdf. Cited August 24, 2011. http://www.ahcancal.org/research_data/trends_statistics/Documents/trends_nursing_facilities_charactecharact_June2007.pdf.
5. Methods for studying nurse staffing in a patient unit (DHEW Publication No. HRA 78-3) 1978, Division of Nursing, US Government Printing Office, Washington, DC.
6. Burgio L.D., Engel B.T., Hawkins A., et al. A descriptive analysis of nursing staff behaviors in a teaching nursing home: differences among NAs, LPNs and RNS. Gerontologist 1990, 30:107-112.
7. Cardona P., Tappen R.M., Terrill M., et al. Nursing staff time allocation in long-term care: a work sampling study. J Nurs Adm 1997, 27:28-36.
8. McGillis Hall L., O'Brient-Pallas L. Redesigning nursing work in long-term care environments. Nurs Econ 2000, 18:79-87.
9. Williams H., Harris R., Turner-Stokes L. Work sampling a quantitative analysis of nursing activity in a neuro-rehabilitation setting. J Adv Nurs 2009, 65:2097-2107.
10. Naliaka E., Yu P., Hailey D. How nursing staff spend their time on activities in a nursing home: an observational study. J Adv Nurs 2011, 67:1908-1917.
11. Keeping patients safe: transforming the work environment of nurses 2004, Institute of Medicine (IOM), US Government Printing Office, Washington, DC.
12. Dellefield M.E. Best practices in nursing homes: clinical supervision, management and human resource practices. Res Gerontol Nurs 2008, 1:197-208.
13. Barnes R.M. Motion and time study: design and measurement of work 1968, Wiley & Sons, New York.
14. Scherubel J.C., Minnick A.F. Implementation of work sampling methodology. Nurs Res 1994, 4:120-123.
15. Pelletier D., Duffield C. Work sampling: valuable methodology to define nursing practice patterns. Nurs Health Sci 2003, 5:31-38.
16. Clinical Practice Guideline Number 3. Pressure ulcers in adults: prediction and prevention 1992, U.S. Department of Health and Human Services, Public Health ServicesPublic Health Services, Agency for Health Care Policy and ResearchAgency for Health Care Policy and Research, Agency for Health Care Policy and Research, Rockville, MD.
17. Bates-Jensen B.M., Cadogan M., Jorge J., et al. Standardized quality-assessment system to evaluate pressure ulcer care in the nursing home. J Am Geriatr Soc 2003, 51:1195-1202.
18. Bates-Jensen B.M., Cadogan M., Osterweil D., et al. The minimum data set pressure ulcer indicator: does it reflect differences in care processes related to pressure ulcer prevention and treatment in nursing homes. J Am Geriatr Soc 2003, 51:1203-1212.
19. WorkStudy 3.0. Available at www.quetech.com. Cited September 12, 2011. http://www.quetech.com.
20. Time Study (STRIVE). Available at https://www.cms.gov/snfpps/10_TimeStudy.asp. Cited September 21, 2011. https://www.cms.gov/snfpps/10_TimeStudy.asp.
21. Bailey J.S., Burch M.R. Research methods in applied behavior analysis 2002, Sage, Thousand Oaks, CA.
22. Sittig D.F. Work-sampling: a statistical approach to evaluation of the effect of computers on work patterns in health care. Evaluating the organizational impact of healthcare information systems 2005, Springer, New York. 2nd edition. J.G. Anderson, C.E. Aydin (Eds.).
23. Kahng S., Iwata B. Computerized systems for collecting real-time observational data. J Behav Analysis 1998, 31:253-261.
24. Shu M.H., Hsu B.M., Lour K.R. Comparisons and sensitivity study for investigation of factors of work sampling models. Inform Manage Sci 2004, 15:43-58.
25. Dickson W.M. Measuring pharmacist time use: a note on the use of fixed-interval work sampling. Am J Health Syst Pharm 1978, 35:1241-1243.
26. Shore B.A., Lerman D.C., Smith R.G., et al. Direct assessment of quality of care in a geriatric nursing home. J Applied Behav Anal 1995, 28:435-448.
27. California Nursing Home. Available at www.calnhs.org/profiles/index. Cited August 1, 2008. http://www.calnhs.org/profiles/index.
28. Delmar's basic core skills for nursing assistant [DVD]. Available at www.delmarlearning.com. Cited December 2, 2011. http://www.delmarlearning.com.
29. Elsevier Health [DVD]. Fundamentals of nursing - text and Mosby's Nursing Skills DVD. Available at www.us.elsevierhealth.com. Cited December 2, 2011. http://www.us.elsevierhealth.com.
30. Rantz M.J., Hicks L., Petroski G.F., et al. Cost, staffing and quality impact of bedside electronic medical record (EMR) in nursing homes. J Am Med Dir Assoc 2010, 11:485-493.
31. Rantz M.J., Alexander G., Galambos C., et al. The use of bedside electronic medical record to improve quality of care in nursing facilities: a qualitative analysis. Comput Inform Nurs 2011, 29:149-156.
32. Dellefield M.E. Implementation of the resident assessment instrument/minimum data set in the nursing home as organization: implications for quality improvement in RN clinical assessment. Geriatr Nurs 2007, 377-386.
33. Dellefield M.E. Interdisciplinary care planning and the written care plan in nursing homes: a critical review. Gerontologist 2006, 46:128-133.