Intrahospital transfers and the impact on nursing workload

Journal of Clinical Nursing

Volumn 26, Issue 23-24, 2017, Pages 4822-4829

  Blay, Nicole ^a,b   Roche, Michael A ^a,c,d   Duffield, Christine ^a,e   Gallagher, Robyn ^f  

^a UNIVERSITY OF TECHNOLOGY SYDNEY   (Australia)

^b UNIVERSITY OF WESTERN SYDNEY   (Australia)

^c Building 52   (Australia)

^d AUSTRALIAN CATHOLIC UNIVERSITY   (Australia)

^e EDITH COWAN UNIVERSITY   (Australia)

^f UNIVERSITY OF SYDNEY   (Australia)

Author keywords

intrahospital transfer; nurse workload; nursing activities; observational timing study; secondary analysis; transfer

Indexed keywords

CLINICAL PRACTICE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; NURSE; NURSING CARE; PATIENT TRANSPORT; RETROSPECTIVE STUDY; SECONDARY ANALYSIS; WORKLOAD; ANALYSIS OF VARIANCE; HOSPITAL BED CAPACITY; NURSING STAFF; ORGANIZATION AND MANAGEMENT; PROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; TASK PERFORMANCE;

ANALYSIS OF VARIANCE; HOSPITAL BED CAPACITY; HUMANS; NURSING STAFF, HOSPITAL; PATIENT TRANSFER; PROSPECTIVE STUDIES; RETROSPECTIVE STUDIES; TIME AND MOTION STUDIES; WORKLOAD;

EID: 85023196429     PISSN: 09621067     EISSN: 13652702     Source Type: Journal    
DOI: 10.1111/jocn.13838     Document Type: Article

References (44)

1. ABS. (2012). Australian Demographic Statistics, June 2012 population by age and sex, Australia, states and territories. Canberra, ACT: Australian Bureau of Statistics.
2. AIHW. (2013). Australia's Health 2012: The thirteenth biennial health report of the Australian Institute of Health and Welfare. Canberra, ACT: Australian Institute of Health and Welfare. Retrieved from http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=10737422169
3. AIHW. (2014). Australian hospital statistics 2012-13. Canberra, ACT: Australian Institute of Health and Welfare. Retrieved from http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=60129547000
4. AMA. (2008). Public hospital report card 2008: An AMA analysis of Australia's public hospital system. Kingston, ACT: Australian Medical Association.
5. AMA. (2013). Public hospital report card 2013: An AMA analysis of Australia's public hospital system. Barton, ACT: Australian Medical Association.
6. Baernholdt, M., Cox, K., & Scully, K. (2010). Using clinical data to capture nurse workload: Implications for staffing and safety. Computers, Informatics, Nursing: CIN, 28(4), 229–234. https://doi.org/10.1097/ncn.0b013e3181e1e57d
7. Bakes, B. (2014). Acute outliers in rehabilitation beds: Is a bed a bed? [Guest editorial]. Journal of the Australasian Rehabilitation Nurses’ Association, 17(3), 3–6.
8. Ballermann, M. A., Shaw, N. T., Mayes, D. C., Gibney, R. T. N., & Westbrook, J. I. (2011). Validation of the Work Observation Method By Activity Timing (WOMBAT) method of conducting time-motion observations in critical care settings: An observational study. BMC Medical Informatics and Decision Making, 11(32), 1–12. https://doi.org/10.1186/1472-6947-11-32
9. Beswick, S., Hill, P. D., & Anderson, M. A. (2010). Comparison of nurse workload approaches. Journal of Nursing Management, 18(5), 592–598. https://doi.org/10.1111/j.1365-2834.2010.01124.x
10. Blay, N., Duffield, C., & Gallagher, R. (2012). Patient transfers in Australia: Implications for nursing workload and patient outcomes. Journal of Nursing Management, 20(3), 302–310.
11. Blay, N., Duffield, C., Gallagher, R., & Roche, M. (2014). A systematic review of time studies to assess the impact of patient transfers on nurse workload. International Journal of Nursing Practice, 20(6), 662–673. https://doi.org/10.1111/ijn.12290
12. Corbally, M., Macri, G., & Hawkshaw, S. (2014). An examination of the role and activities of nurses caring for patients who are admitted to a model 4 hospital as part of the National Acute Medicine Programme. Final Report (pp. 95). Ireland: Dublin City University.
13. Crawford, K., Morphet, J., Jones, T., Innes, K., Griffiths, D., & Williams, A. (2014). Initiatives to reduce overcrowding and access block in Australian emergency departments: A literature review. Collegian, 21(4), 359–366. https://doi.org/10.1016/j.colegn.2013.09.005
14. Douglas, S., Cartmill, R., Brown, R., Hoonakker, P., Slagle, J., Schultz Van Roy, K., … Carayon, P. (2013). The work of adult and pediatric intensive care unit nurses. Nursing Research, 62(1), 50–58. https://doi.org/10.1097/NNR.0b013e318270714b
15. Duffield, C., Diers, D., Aisbett, C., & Roche, M. (2009). Churn: Patient turnover and case mix. Nursing Economic$, 27(3), 185–191.
16. Duffield, C., Roche, M., O'Brien-Pallas, L., & Catling-Paull, C. (2009). The implications of staff ‘churn’ for nurse managers, staff and patients. Nursing Economic$, 27(3), 185–192.
17. Duffield, C., & Wise, W. (2003). Tell me what we do: Using work sampling to find the answer. The Australian Journal of Advanced Nursing, 20(3), 19–23.
18. Eijsvoogel, C. F. H., Peters, R. W., Budding, A. J., Ubbink, D. T., Vermeulen, H., & Schep, N. W. L. (2014). Implementation of an acute surgical admission ward. British Journal of Surgery, 101(11), 1434–1438. https://doi.org/10.1002/bjs.9605
19. Farris, J. A., Matis, T. I., McAllister, M., & Snider, A. (2010). Applying healthcare systems engineering methods to the patient discharge process. International Journal of Collaborative Enterprise, 1(3/4), 293–315.
20. Gleason, J. (2013). Comparative Power of the Anova, Randomization Anova, and Kruskal-Wallis Test. Wayne State University Dissertations. Retrieved from http://digitalcommons.wayne.edu/oa_dissertations/658 (Paper 658)
21. Government of Western Australia. (n.d.). How NHpPD can be used to calculate staffing for your ward/unit. Retrieved from http://www.nursing.health.wa.gov.au/docs/planning/NHpPD_calculating_staffing.pdf
22. Griffiths, P. (2011). A community of practice: The nurses’ role on a medical assessment unit [Article]. Journal of Clinical Nursing, 20(1/2), 247–254. https://doi.org/10.1111/j.1365-2702.2009.03135.x
23. Hendrich, A., & Lee, N. (2005). Intra-unit patient transports: Time, motion, and cost impact on hospital efficiency. Nursing Economic$, 23(4), 157–164.
24. Hughes, G. (2010). Four hour target for EDs: The UK experience. Emergency Medicine Australasia, 22(5), 368–373. https://doi.org/10.1111/j.1742-6723.2010.01326.x
25. Hughes, R. G., Bobay, K. L., Jolly, N. A., & Suby, C. (2015). Comparison of nurse staffing based on changes in unit-level workload associated with patient churn. Journal of Nursing Management, 23(3), 390–400. https://doi.org/10.1111/jonm.12147
26. Jennings, B. M., Sandelowski, M., & Higgins, M. K. (2013). Turning over patient turnover: An ethnographic study of admissions, discharges, and transfers. Research in Nursing & Health, 36(6), 554–566. https://doi.org/10.1002/nur.21565
27. Kaier, K., Mutters, N. T., & Frank, U. (2012). Bed occupancy rates and hospital-acquired infections—Should beds be kept empty? Clinical Microbiology and Infection, 18(10), 941–945. https://doi.org/10.1111/j.1469-0691.2012.03956.x
28. Keegan, A. D. (2010). Hospital bed occupancy: More than queuing for a bed. The Medical Journal of Australia, 193(5), 291–293.
29. Kibler, J., & Lee, M. (2011). Improving patient transfer between the intensive care unit and the medical/surgical floor of a 200-bed hospital in Southern California. Journal for Healthcare Quality, 33(1), 68–76. https://doi.org/10.1111/j.1945-1474.2010.00101.x
30. McDonald, J. H. (2014). Handbook of biological statistics. Retrieved from http://www.biostathandbook.com/kruskalwallis.html
31. Myny, D., Van Hecke, A., De Bacquer, D., Verhaeghe, S., Gobert, M., Defloor, T., & Van Goubergen, D. (2012). Determining a set of measurable and relevant factors affecting nursing workload in the acute care hospital setting: A cross-sectional study. International Journal of Nursing Studies, 49(4), 427–436. https://doi.org/10.1016/j.ijnurstu.2011.10.005
32. Park, S. H., Blegen, M. A., Spetz, J., Chapman, S. A., & De Groot, H. (2012). Patient turnover and the relationship between nurse staffing and patient outcomes. Research in Nursing & Health, 35(3), 277–288. https://doi.org/10.1002/nur.21474
33. Perera, M. L., Gnaneswaran, N., Roberts, M. J., Giles, M., Liew, D., Ritchie, P., & Chan, S. T. F. (2016). The ‘four-hour target’ and the impact on Australian metropolitan acute surgical services. ANZ Journal of Surgery, 86(1–2), 74–78. https://doi.org/10.1111/ans.13186
34. Simon, M., Yankovskyy, E., Klaus, S., Gajewski, B., & Dunton, N. (2011). Midnight census revisited: Reliability of patient day measurements in US hospital units. International Journal of Nursing Studies, 48(1), 56–61. https://doi.org/10.1016/j.ijnurstu.2010.07.002
35. Stevenson, J., Anderson, S., Veach, K., Hine, B.-A., Webster, J., Fleming, L., & Osborne, S. (2011). Occupancy data: Unravelling the mystery. The Australian Journal of Advanced Nursing, 29(2), 5–12.
36. Twigg, D., Duffield, C., Bremner, A., Rapley, P., & Finn, J. (2011). The impact of the nursing hours per patient day (NHPPD) staffing method on patient outcomes: A retrospective analysis of patient and staffing data. International Journal of Nursing Studies, 48(5), 540–548. https://doi.org/10.1016/j.ijnurstu.2010.07.013
37. Unruh, L. Y., & Fottler, M. D. (2006). Patient turnover and nursing staff adequacy. Health Services Research, 41(2), 599–612. https://doi.org/10.1111/j.1475-6773.2005.00496.x
38. Weber, E. J., Mason, S., Carter, A., & Hew, R. L. (2011). Emptying the corridors of shame: Organizational lessons from England's 4-hour emergency throughput target. Annals of Emergency Medicine, 57(2), 79–88.e71. https://doi.org/10.1016/j.annemergmed.2010.08.013
39. Webster, J., Davies, H., Stankiewicz, M., & Fleming, L. C. (2011). Estimating the time involved in managing the ‘unoccupied bed:’ A time and motion study. Nursing Economic$, 29(6), 317–322. https://doi.org/10.1186/1472-6963-9-110
40. Weissman, J. S., Rothschild, J. M., Bendavid, E., Sprivulis, P., Cook, E. F., Evans, R. S., … Bates, D. W. (2007). Hospital workload and adverse events. Medical Care, 45(5), 448–455.
41. West, D. (2010a). Half of hospital trusts cannot report patient transfer data. Nursing Times. Retrieved from http://www.nursingtimes.net/specialist-news/infection-control-news/half-of-hospital-trusts-cannot-report-patient-transfer-data/5019996.article
42. West, D. (2010b). Hospital bed transfers put thousands of patients at risk of infection. Nursing Times Retrieved from http://www.nursingtimes.net/specialist-news/infection-control-news/hospital-bed-transfers-put-thousands-of-patients-at-risk-of-infection/5019997.article
43. Westbrook, J. I., Duffield, C., Li, L., & Creswick, N. J. (2011). How much time do nurses have for patients? A longitudinal study quantifying hospital nurses’ patterns of task time distribution and interactions with health professionals BMC Health Services Research, 11(319), 1–12. Retrieved from http://www.biomedcentral.com/content/pdf/1472-6963-11-319.pdf https://doi.org/10.1186/1472-6963-11-319
44. Yakusheva, O., Lindrooth, R., & Weiss, M. (2014). Nurse value-added and patient outcomes in acute care. Health Services Research, 49(6), 1767–1786. https://doi.org/10.1111/1475-6773.12236