Understanding Nursing Workflow for Inpatient Education Delivery: Time and Motion Study. (Record no. 11375)

MARC details
000 -LEADER
fixed length control field 05889nam a22004337a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 211101s20192019 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2562-7600
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 34345775
245 ## - TITLE STATEMENT
Title Understanding Nursing Workflow for Inpatient Education Delivery: Time and Motion Study.
251 ## - Source
Source JMIR Nursing. 2(1):e15658, 2019 Jan-Dec.
252 ## - Abbreviated Source
Abbreviated source JMIR Nurs. 2(1):e15658, 2019 Jan-Dec.
253 ## - Journal Name
Journal name JMIR nursing
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2019
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2019
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
266 ## - Date added to catalog
Date added to catalog 2021-11-01
520 ## - SUMMARY, ETC.
Abstract Background: Diabetes self-management education and support improves diabetes-related outcomes, but many persons living with diabetes do not receive this. Adults with diabetes have high hospitalization rates, so hospital stays may present an opportunity for diabetes education. Nurses, supported by patient care technicians, are typically responsible for delivering patient education but often do not have time. Using technology to support education delivery in the hospital is one potentially important solution.
520 ## - SUMMARY, ETC.
Abstract Conclusions: The workflow of nurses and patient care technicians, constantly in and out of patient rooms, suggests an opportunity for delivering a tablet to the patient bedside. The average time between visits to a given room is consistent with bringing the tablet to a patient in one visit and retrieving it at the next. However, the relatively short duration of direct patient care sessions could potentially limit the ability of nurses and patient care technicians to spend much time with each patient on instruction in the technology platform or the content. Copyright (c)Kelley M Baker, Michelle F Magee, Kelly M Smith. Originally published in JMIR Nursing Informatics (https://nursing.jmir.org), 01.11.2019.
520 ## - SUMMARY, ETC.
Abstract Methods: We conducted a time and motion study of nurses and patient care technicians on three medical-surgical units of a large urban tertiary care hospital. Five trained observers conducted observations in 2-hour blocks. During each observation, a single observer observed a single nurse or patient care technician and recorded the tasks, locations, and their durations using a Web-based time and motion data collection tool. Percentage of time spent on a task and in a location and mean duration of task and location sessions were calculated. In addition, the number of tasks and locations per hour, number of patient rooms visited per hour, and mean time between visits to a given patient room were determined.
520 ## - SUMMARY, ETC.
Abstract Objective: The aim of this study was to evaluate nurse and patient care technician workflow to identify opportunities for providing education. The results informed implementation of a diabetes education program on a tablet computer in the hospital setting within existing nursing workflow with existing staff.
520 ## - SUMMARY, ETC.
Abstract Results: Nurses spent approximately one-third of their time in direct patient care and much of their time (60%) on the unit but not in a patient room. Compared with nurses, patient care technicians spent a significantly greater percentage of time in direct patient care (42%; P=.001). Nurses averaged 16.2 tasks per hour, while patient care technicians averaged 18.2. The mean length of a direct patient care session was 3:42 minutes for nurses and 3:02 minutes for patient care technicians. For nurses, 56% of task durations were 2 minutes or less, and 38% were one minute or less. For patient care technicians, 62% were 2 minutes or less, and 44% were 1 minute or less. Nurses visited 5.3 and patient care technicians 9.4 patient rooms per hour. The mean time between visits to a given room was 37:15 minutes for nurses and 33:28 minutes for patient care technicians.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Medicine/Endocrinology
656 ## - INDEX TERM--OCCUPATION
Department MedStar Institute for Quality and Safety
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Baker, Kelley M
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Magee, Michelle
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Smith, Kelly M
790 ## - Authors
All authors Baker KM, Magee MF, Smith KM
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.2196/15658">https://dx.doi.org/10.2196/15658</a>
Public note https://dx.doi.org/10.2196/15658
858 ## - ORCID
ORCID text Baker, Kelley M
-- Magee, Michelle F
-- Smith, Kelly M
Orcid <a href="https://orcid.org/0000-0002-2473-9606">https://orcid.org/0000-0002-2473-9606</a>
-- <a href="https://orcid.org/0000-0002-4692-3201">https://orcid.org/0000-0002-4692-3201</a>
-- <a href="https://orcid.org/0000-0002-9483-5118">https://orcid.org/0000-0002-9483-5118</a>
Name https://orcid.org/0000-0002-2473-9606
-- https://orcid.org/0000-0002-4692-3201
-- https://orcid.org/0000-0002-9483-5118
-- https://orcid.org/0000-0002-2473-9606
-- https://orcid.org/0000-0002-4692-3201
-- https://orcid.org/0000-0002-9483-5118
-- https://orcid.org/0000-0002-2473-9606
-- https://orcid.org/0000-0002-4692-3201
-- https://orcid.org/0000-0002-9483-5118
858 ## - ORCID
ORCID text Baker, Kelley M
-- Magee, Michelle F
-- Smith, Kelly M
Orcid <a href="https://orcid.org/0000-0002-2473-9606">https://orcid.org/0000-0002-2473-9606</a>
-- <a href="https://orcid.org/0000-0002-4692-3201">https://orcid.org/0000-0002-4692-3201</a>
-- <a href="https://orcid.org/0000-0002-9483-5118">https://orcid.org/0000-0002-9483-5118</a>
Name https://orcid.org/0000-0002-2473-9606
-- https://orcid.org/0000-0002-4692-3201
-- https://orcid.org/0000-0002-9483-5118
-- https://orcid.org/0000-0002-2473-9606
-- https://orcid.org/0000-0002-4692-3201
-- https://orcid.org/0000-0002-9483-5118
-- https://orcid.org/0000-0002-2473-9606
-- https://orcid.org/0000-0002-4692-3201
-- https://orcid.org/0000-0002-9483-5118
858 ## - ORCID
ORCID text Baker, Kelley M
-- Magee, Michelle F
-- Smith, Kelly M
Orcid <a href="https://orcid.org/0000-0002-2473-9606">https://orcid.org/0000-0002-2473-9606</a>
-- <a href="https://orcid.org/0000-0002-4692-3201">https://orcid.org/0000-0002-4692-3201</a>
-- <a href="https://orcid.org/0000-0002-9483-5118">https://orcid.org/0000-0002-9483-5118</a>
Name https://orcid.org/0000-0002-2473-9606
-- https://orcid.org/0000-0002-4692-3201
-- https://orcid.org/0000-0002-9483-5118
-- https://orcid.org/0000-0002-2473-9606
-- https://orcid.org/0000-0002-4692-3201
-- https://orcid.org/0000-0002-9483-5118
-- https://orcid.org/0000-0002-2473-9606
-- https://orcid.org/0000-0002-4692-3201
-- https://orcid.org/0000-0002-9483-5118
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 11/01/2021   34345775 34345775 11/01/2021 11/01/2021 Journal Article

Powered by Koha