Time and quality of admissions: nursing workload

• Published in: Revista Brasileira de Enfermagem Vol. 73; no. 5; pp. e20190267 - 7
• Main Authors: Trovó, Simone Aparecida, Cucolo, Danielle Fabiana, Perroca, Marcia Galan
• Format: Journal Article
• Language: Portuguese; English
• Published: Brazil Associação Brasileira de Enfermagem 01.01.2020
• Subjects: Adult; Brazil; Female; Hospitals; Humans; Intervention; Male; Nurses; Nursing care; Nursing Care - methods; Nursing Care - standards; Nursing Human Resources; Patient Admission - statistics & numerical data; Patient admissions; Patient assessment; Process Assessment, Health Care; Professional ethics; Standard deviation; Time Factors; Time Management; Workflow; Workload; Workload - psychology; Workload - standards; Workloads; Brazil
• ISSN: 0034-7167; 1984-0446
• DOI: 10.1590/0034-7167-2019-0267

to measure the average time spent by the nursing staff during patient admission and investigate their compliance with the activities described by the Nursing Interventions Classification; evaluate the degree of interference in the workload of the team. observational with time measurement through software. We followed 199 admissions made by the nursing staff in seven units, using two validated instruments. Total scores ≥ 70% and 50% validated the process. the average time of nurses ranged from 5.5 (standard deviation = 2.3) to 13 (standard deviation = 1.1) minutes; and the auxiliary / technician, between 4.7 (standard deviation = 2.1) and 6.8 (standard deviation = 2.0) minutes (p ≤ 0.01). We qualified six admissions made by nurses and 33 by assistants/technicians. The intervention spent 16.3% to 31.5% of the working hours of the team. admission impacts nursing workload and needs to be considered both in the measurement of activities and in the sizing of the nursing staff.