Frequency of nursing tasks in medical and surgical wards

Barbara Farquharson, Cheryl Bell, Derek Johnston, Martyn Jones, Pat Schofield, Julia Allan, Ian Ricketts, Kenny Morrison, Marie Johnston

    Research output: Contribution to journalArticle

    10 Citations (Scopus)

    Abstract

    Aim: To explore the frequency of different nursing tasks in medical and surgical wards. Background: The time nurses spend on direct patient care is important for both patients and nurses. However, little is known about the time nurses spend on various nursing tasks. Methods: A real-time, repeated measures design conducted amongst 67 (n = 39 medical, n = 28 surgical) UK hospital nurses. Between September 2011 and August 2012 participants completed an electronic diary version of a classification of nursing tasks (WOMBAT) during shifts. Results: A total of 961 real-time measures of nursing task were obtained. Direct patient care [median = 37.5%, interquartile range = 27.8], indirect care (median = 11.1%, interquartile range = 19.4) and medication (median = 11.1%, interquartile range = 18.8) were most commonly reported. Participants were interrupted in 62% of entries (interquartile range = 35), reported adequate time in 78% (interquartile range = 31) and adequate resources in 89% (interquartile range = 36). Ward-related tasks were significantly more frequent on medical wards than surgical wards but otherwise there were no significant differences. Conclusions: Nurses spend the highest proportion of time in direct patient care and majority of this on core nursing activities. Interruptions to tasks are common. Nurses tend to report adequate time/resources. The frequency of nursing tasks is similar in medical and surgical wards. Implications for nursing management: Nurse managers should review the level of interruptions to nurses' work and ensure appropriate levels of supervision.
    Original languageEnglish
    JournalJournal of Nursing Management
    Early online date8 Aug 2013
    DOIs
    Publication statusPublished - 2013

    Fingerprint

    Nursing
    Nurses
    Patient Care
    Nurse Administrators

    Cite this

    Farquharson, B., Bell, C., Johnston, D., Jones, M., Schofield, P., Allan, J., ... Johnston, M. (2013). Frequency of nursing tasks in medical and surgical wards. Journal of Nursing Management. https://doi.org/10.1111/jonm.12110
    Farquharson, Barbara ; Bell, Cheryl ; Johnston, Derek ; Jones, Martyn ; Schofield, Pat ; Allan, Julia ; Ricketts, Ian ; Morrison, Kenny ; Johnston, Marie. / Frequency of nursing tasks in medical and surgical wards. In: Journal of Nursing Management. 2013.
    @article{de73ea2ab7b4413f8ee1eca0601d8cda,
    title = "Frequency of nursing tasks in medical and surgical wards",
    abstract = "Aim: To explore the frequency of different nursing tasks in medical and surgical wards. Background: The time nurses spend on direct patient care is important for both patients and nurses. However, little is known about the time nurses spend on various nursing tasks. Methods: A real-time, repeated measures design conducted amongst 67 (n = 39 medical, n = 28 surgical) UK hospital nurses. Between September 2011 and August 2012 participants completed an electronic diary version of a classification of nursing tasks (WOMBAT) during shifts. Results: A total of 961 real-time measures of nursing task were obtained. Direct patient care [median = 37.5{\%}, interquartile range = 27.8], indirect care (median = 11.1{\%}, interquartile range = 19.4) and medication (median = 11.1{\%}, interquartile range = 18.8) were most commonly reported. Participants were interrupted in 62{\%} of entries (interquartile range = 35), reported adequate time in 78{\%} (interquartile range = 31) and adequate resources in 89{\%} (interquartile range = 36). Ward-related tasks were significantly more frequent on medical wards than surgical wards but otherwise there were no significant differences. Conclusions: Nurses spend the highest proportion of time in direct patient care and majority of this on core nursing activities. Interruptions to tasks are common. Nurses tend to report adequate time/resources. The frequency of nursing tasks is similar in medical and surgical wards. Implications for nursing management: Nurse managers should review the level of interruptions to nurses' work and ensure appropriate levels of supervision.",
    author = "Barbara Farquharson and Cheryl Bell and Derek Johnston and Martyn Jones and Pat Schofield and Julia Allan and Ian Ricketts and Kenny Morrison and Marie Johnston",
    year = "2013",
    doi = "10.1111/jonm.12110",
    language = "English",
    journal = "Journal of Nursing Management",
    issn = "0966-0429",
    publisher = "Wiley",

    }

    Farquharson, B, Bell, C, Johnston, D, Jones, M, Schofield, P, Allan, J, Ricketts, I, Morrison, K & Johnston, M 2013, 'Frequency of nursing tasks in medical and surgical wards', Journal of Nursing Management. https://doi.org/10.1111/jonm.12110

    Frequency of nursing tasks in medical and surgical wards. / Farquharson, Barbara; Bell, Cheryl; Johnston, Derek; Jones, Martyn; Schofield, Pat; Allan, Julia; Ricketts, Ian; Morrison, Kenny; Johnston, Marie.

    In: Journal of Nursing Management, 2013.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Frequency of nursing tasks in medical and surgical wards

    AU - Farquharson, Barbara

    AU - Bell, Cheryl

    AU - Johnston, Derek

    AU - Jones, Martyn

    AU - Schofield, Pat

    AU - Allan, Julia

    AU - Ricketts, Ian

    AU - Morrison, Kenny

    AU - Johnston, Marie

    PY - 2013

    Y1 - 2013

    N2 - Aim: To explore the frequency of different nursing tasks in medical and surgical wards. Background: The time nurses spend on direct patient care is important for both patients and nurses. However, little is known about the time nurses spend on various nursing tasks. Methods: A real-time, repeated measures design conducted amongst 67 (n = 39 medical, n = 28 surgical) UK hospital nurses. Between September 2011 and August 2012 participants completed an electronic diary version of a classification of nursing tasks (WOMBAT) during shifts. Results: A total of 961 real-time measures of nursing task were obtained. Direct patient care [median = 37.5%, interquartile range = 27.8], indirect care (median = 11.1%, interquartile range = 19.4) and medication (median = 11.1%, interquartile range = 18.8) were most commonly reported. Participants were interrupted in 62% of entries (interquartile range = 35), reported adequate time in 78% (interquartile range = 31) and adequate resources in 89% (interquartile range = 36). Ward-related tasks were significantly more frequent on medical wards than surgical wards but otherwise there were no significant differences. Conclusions: Nurses spend the highest proportion of time in direct patient care and majority of this on core nursing activities. Interruptions to tasks are common. Nurses tend to report adequate time/resources. The frequency of nursing tasks is similar in medical and surgical wards. Implications for nursing management: Nurse managers should review the level of interruptions to nurses' work and ensure appropriate levels of supervision.

    AB - Aim: To explore the frequency of different nursing tasks in medical and surgical wards. Background: The time nurses spend on direct patient care is important for both patients and nurses. However, little is known about the time nurses spend on various nursing tasks. Methods: A real-time, repeated measures design conducted amongst 67 (n = 39 medical, n = 28 surgical) UK hospital nurses. Between September 2011 and August 2012 participants completed an electronic diary version of a classification of nursing tasks (WOMBAT) during shifts. Results: A total of 961 real-time measures of nursing task were obtained. Direct patient care [median = 37.5%, interquartile range = 27.8], indirect care (median = 11.1%, interquartile range = 19.4) and medication (median = 11.1%, interquartile range = 18.8) were most commonly reported. Participants were interrupted in 62% of entries (interquartile range = 35), reported adequate time in 78% (interquartile range = 31) and adequate resources in 89% (interquartile range = 36). Ward-related tasks were significantly more frequent on medical wards than surgical wards but otherwise there were no significant differences. Conclusions: Nurses spend the highest proportion of time in direct patient care and majority of this on core nursing activities. Interruptions to tasks are common. Nurses tend to report adequate time/resources. The frequency of nursing tasks is similar in medical and surgical wards. Implications for nursing management: Nurse managers should review the level of interruptions to nurses' work and ensure appropriate levels of supervision.

    UR - http://www.scopus.com/inward/record.url?scp=84881150285&partnerID=8YFLogxK

    U2 - 10.1111/jonm.12110

    DO - 10.1111/jonm.12110

    M3 - Article

    JO - Journal of Nursing Management

    JF - Journal of Nursing Management

    SN - 0966-0429

    ER -