Work pattern of neurology nurses in a Chinese hospital: A time and motion study

Ping Yu, Liying Song, Siyu Qian, Xing Yao, Jue Huang, Lingtong Min, Xudong Lu, Huilong Duan, Ning Deng (Corresponding author)

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Scopus)

Abstract

Aim: To investigate nursing work patterns in a neurology department in a Chinese hospital. Background: Knowledge of nursing work patterns is important for nursing management and work design, and for the evaluation of organizational process change associated with the introduction of an innovation. Methods: A time-and-motion method was used to observe 14 registered nurses’ (RNs’) work patterns in a neurology department in a Chinese hospital. Results: There were 147 hr of observation. Overall, the most time-consuming activities were verbal communication (28.5%) and documentation (28.3%), followed by indirect care (14.6%) and direct care (14%). Compared to support RNs, charge RNs spent 20% more time on documentation and 11% more time on verbal communication. Two-thirds of the observed activities had a duration of less than 40 s. Conclusions: Communication, in verbal and written forms, consumed more than half of the nursing time. Conversely, nurses only spent about a quarter of their worktime on preparation for care provision and direct care provision. This reflects the significant role and resource-consuming nature of communication to provide safe and quality care. Implications for Nursing Management: Communication methods need to be enhanced to improve nursing productivity. This may be achieved through the introduction of more effective nursing documentation methods.

Original languageEnglish
Pages (from-to)320-329
Number of pages10
JournalJournal of Nursing Management
Volume27
Issue number2
DOIs
Publication statusPublished - 1 Mar 2019

Keywords

  • activity
  • hospital
  • neurology
  • nurse
  • nursing work
  • observation
  • time and motion

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